Posted in Insurance, Training, Updates

New Provider Network/Plan BCBS for 2021 (NY Providers)

New provider Network Name is Blue High-Performance Network.

Effective 01/01/2021 there will be new Blue HPN Network/Plans, available for large and small group employers plans, with the existing Connection network as the New York HPN entry.

According to Empire BCBS (Anthem)-Blue HPN is a NATIONAL NETWORK that will be available across US in 50 cities. It consists of many local networks that then are connected to the national chassis to form a national Blue HPN.

For NY Providers- Blue HPN plans will be EPO plans or HSA plans with an EPO network. Under these plans, out of network benefits are limited to emergency or urgent care. 

If you, as a NY provider, do not know if you accept these plans, please contact your Empire Provider Relations Representative.*

The provider participation in Blue HPN network/plans will be available Empire BCBS directory as of 01/01/2021.

*Note: if you are unable to reach your empire provider relations representative, you can also check your participation when you are checking the benefits for the patient. However, if that is not an option, I would suggest that the providers would hold off on seeing new patients with those type of plans, until they can verify their participation in the Empire Directory. This will prevent a lot of unnecessary denials.

#anthem #bcbs #connectionnetwork #NYHPN

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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