Posted in Insurance, Updates

Empire BCBS (Anthem) (NY, CT, CA, etc)-IngenioRx pharmacy network for 2021

Effective 01/01/2021 IngenioRx will make a new standard pharmacy network available to Empire BCBS (Anthem) patients in 14 states (NY, CT, CA, CO, GA, IN, Kentucky, Main, Missouri, New Hampshire, Nevada, Ohio, Virginia, Wisconsin)

This standard network will include 58,000 pharmacies, including some of already well-known nationwide chains like Costco, CVS, Kroger, Sam’s club, Target and Walmart.

What you need to know:

  1. If currently your Empire BCBS (Anthem) patients do not use the pharmacy in this standard network, they will need to transfer their active RXs to the network pharmacy. This will ensure that there are no interruptions of their coverage.
  2. Empire BCBS (Anthem) will send a notification to the patients, informing them of this change
  3. There will be also a message in the EMR of your patients, that will notify you if the pharmacy the patient is using is in the standard network or not.

If your patients need to search the pharmacy standard network prior to the effective date, they can log into the empireblue.com and find the helpful link to Empire BCBS online pharmacy search tool. Patients can enter address/city/state or zip code to begin search.

If you have any more questions, please click here for FAQs attachment.

Author:

My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC) and an owner of KR2 Medical Billing. KR2 Medical Billing is a full service Consulting/Medical Billing Business that is dedicated to educating, consulting, and overall improving the "financial health" of your medical practice.

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