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.

Dental Provider Resources

Tools for Dental Providers 
Empire Dental Self-Service Tool
Log in to access Dental Prime and Dental Complete eligibility, plan information, dollar amounts used and claim status; submit and view claims online; and sign up for or update Electronic Fund Transfer (EFT) and Electronic Remittance Advice (ERA). EFT and ERA registration available in NY. 
National Provider Identifier (NPI) Registration
Affiliates and Other Payors
Provider Services & Help
CDT Updates Effective 1/1/2017
Dental Newsletter – Spring 2017
Dental Newsletter – Winter 2016
Dental Newsletter – Summer 2016
CDT Updates Effective 1/1/2016
Dental Newsletter – Fall 2015
Dental E-Newsletter - Summer 2015
CDT Updates Effective 1/1/2015
CDT Updates Effective 1/1/2014
CDT Updates Effective 1/1/2013
Dental Newsletter – Fall 2014
Dental Newsletter – Fall 2013
Standardized Maintenance Form
Dental Care Network Direct Referral and Special Exception Form
Dental Care Network Patient Encounter Form
Dental Care Network Orthodontic Referral Form
Dental Care Network Periodontal Referral Form
Dental Claim Form
Dental W-9 Form
Dental ERA Form
Dental EFT Form
HLD Index Score Sheet
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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.