What is the payer ID for New York State Health Insurance Program Empire Plan?

Empire payer name and ID: Your Payer Name is Empire BlueCross BlueShield HealthPlus. Your Payer ID is 27514.

What are the prefixes for BCBS empire?

Blue Access offers in network access to nearly all key hospitals and aligns with our physicians to make access to high-quality care more affordable. Member ID prefixes are BAW, BGW, CFT, XNU, YXE.

What is the phone number for New York State Health Insurance Program Empire Plan?

Enrollees may reach Empire Plan carriers through one toll-free telephone number, 1-877-7-NYSHIP (1-877-769-7447).

What is the NYS employee benefits phone number?

Call EBD at 518-457-5754 or 1-800-833-4344 (United States, Canada, Puerto Rico, Virgin Islands). Representatives are available Monday through Friday, 9 a.m. to 4 p.m. Eastern time.

Is Empire BCBS the same as Nyship?

The Empire Plan is NYSHIP's unique health insurance plan designed exclusively for New York State's public employees and employers. The Empire Plan pays for covered hospital services, physicians' bills, prescription drugs and other covered medical expenses.

What is the provider phone number for empire bcbs new york?

If you have questions about this form or need additional assistance, contact Provider Services at (800) 450-8753 or contact your local Provider Experience Consultant.

What is the Nyship Empire Plan Group number?

If you have any questions about your EOBs, call The Empire Plan at 1-877-7-NYSHIP (1-877-769-7447) and select the appropriate program.

Does NYS Empire Plan cover IVF?

Under The Empire Plan, in vitro fertilization is a Qualified Procedure (a specialized procedure that facilitates a pregnancy but does not treat the cause of the infertility) for which you must receive prior authorization.

Get Empire Referral Form 2010-2025

Q: Is Empire BCBS the same as Nyship?

The Empire Plan is NYSHIP&#039;s unique health insurance plan designed exclusively for New York State&#039;s public employees and employers. The Empire Plan pays for covered hospital services, physicians&#039; bills, prescription drugs and other covered medical expenses.

Managed Care Referral Form PO BOX 1407 Church Street Station New York New York 10008- 1407 Fax no. 1-800-522-5793 Reference no. www. empireblue. com N PCP s Tracking no. Optional/not required Referrals are not valid for the following services please contact Empire Medical Management at 1-800-441-2411 for approval of these services Non-participating Provider s Inpatient Admission to Hospital/Facilities Emergency/Maternity Admissions Home Care Hospice Private Duty Nursing at home Surgery not performed in doctor s office Empire Baby Care Health Plans that require a referral to an Empire participating provider are HMO Child Health Plus Healthy NY Direct Pay HMO Required field. Managed Care Referral Form PO BOX 1407 Church Street Station New York New York 10008- 1407 Fax no. 1-800-522-5793 Reference no. www. empireblue. com N PCP s Tracking no. Optional/not required Referrals are not valid for the following services please contact Empire Medical Management at 1-800-441-2411 for approval of these services Non-participating Provider s Inpatient Admission to Hospital/Facilities Emergency/Maternity Admissions Home Care Hospice Private Duty Nursing at home Surgery not performed in doctor s office Empire Baby Care Health Plans that require a referral to an Empire participating provider are HMO Child Health Plus Healthy NY Direct Pay HMO Required field. If any required field is missing the referral will not be accepted* Section 1. PATIENT INFORMATION Patient ID no. Date of birth MM/DD/YYYY --- Patient last name Patient first name MI Policyholder last name Provider first name Section 2. REFERRING PHYSICIAN INFORMATION Provider last name Service address Empire provider ID or NPI Phone no. Specialist last name Specialist first name Section 4. AUTHORIZATION INFORMATION Referrals are valid for 90 days from the service start date unless otherwise specified* Please remember Authorized Services are subject to Limitations/Exclusions of Contract. No* of visits Service start date MM/DD/YYYY Service end date MM/DD/YYYY Referral reason/remarks/limitations Signature of referring physician 12895NYPENZ 3/10 Date MM/DD/YYYY Services provided by Empire HealthChoice HMO Inc* and/or Empire HealthChoice Assurance Inc* licensees of the Blue Cross and Blue Shield Association an association of independent Blue Cross and Blue Shield plans. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association*. www. empireblue. com N PCP s Tracking no. Optional/not required Referrals are not valid for the following services please contact Empire Medical Management at 1-800-441-2411 for approval of these services Non-participating Provider s Inpatient Admission to Hospital/Facilities Emergency/Maternity Admissions Home Care Hospice Private Duty Nursing at home Surgery not performed in doctor s office Empire Baby Care Health Plans that require a referral to an Empire participating provider are HMO Child Health Plus Healthy NY Direct Pay HMO Required field. If any required field is missing the referral will not be accepted* Section 1. PATIENT INFORMATION Patient ID no. .

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