Hassle-free Administration.

Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements
View requirements for Local Plan and BlueCard Out-of-Area members.

Find a Doctor
Search our online provider directory when you need a doctor, hospital or other health care provider.

Professional Bulletin List - 2005

Health plans are required by law to have the ability to send and receive HIPAA-compliant transactions. Based on the implementation guides, there are specific Empire business requirements that must be further clarified so entities can do business with Empire. 
Professional Bulletin List — 2005 
[2005-03B] New Empire Business Edits - REFBS00000058 and BS00000059 - Compare Admission and Discharge Dates and Revised Business Edit REF00000040 - Adjustment Claims
[2005-02BS] New Empire Business Edits - REF02BS005 and BS00000057 – require tax identification numbers
[2005-01BS] Important update regarding timeframes for the shutdown of professional Blue Shield claim submissions in non-HIPAA compliant formats
©2017 Empire BlueCross BlueShield

Services provided by Empire HealthChoice HMO, Inc. and/or Empire HealthChoice Assurance, Inc., and/or HealthPlus, LLC., licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans, serving residents and businesses in the 28 eastern and southeastern counties of New York State. All external sites will open in a new browser window. Please view our Website Privacy Policy for more information.