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

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

EDI site can help save time and money with electronic filing

EDI site can help save time and money with electronic filing  
Empire is working to make sure you have clear and accurate information — how and when you want it. Our easy-to-use business tools are one way we help simplify processes for you. You can save time and improve office efficiencies while receiving guidance on electronic issues, and you’ll also get information to share with your clearinghouse, software vendor or billing agency.  
Providers and trading partners can navigate to our EDI site at empireblue.com by selecting “Electronic Data Interchange (EDI)”  
Look for this information on Empire’s EDI site:  
EDI registration information and forms
Current information on the benefits and cost savings of electronic filing
EDI contacts and support information
National Provider Identifier (NPI) registration information and electronic filing instructions
Empire Companion Guides with complete information on submitting electronic transactions
Current EDI communications and electronic submission tips
Access to Empire report descriptions, electronic error listings and resolutions
List of clearinghouses, software vendors and billing agencies
Answers to frequently asked questions about electronic transactions
Web addresses for information and publications regarding the Health Insurance Portability and Accountability Act (HIPAA)
Complete instructions for filing secondary/coordination of benefits, claims requiring supporting documentation and adjustments
For more information on EDI, please contact Empire’s EDI HelpDesk at 866-889-7322, Mon. – Fri., 8:30 a.m. – 4:30 p.m.  
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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.