Posted in Insurance, Training, Updates

Empire BCBS (an Anthem Company)- New Provider Network Updates- for 2020

Episode 3

As of 01/01/2020 Empire BlueCross BlueShield will launch an NEW provider network.

The name of this network will be “Connection”.

The coverage area will be Downstate New York area: Bronx, Brooklyn, Queens, Manhattan, Staten Island, Nassau, Suffolk, Westchester and Rockland

The network will be available for Local and National Small and Large Groups.

There will be word “Connection” written on the top of patients ID cards.

Please refer to the following list regarding network Prefixes:

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*Please remember both EPO and Gatekeeper EPO do not have out of network benefits. You as a provider have to be in network in order to see members enrolled in these plans.

If you have any further questions, please contact your local Network Management Consultant.

Posted in Insurance, Updates

Empire BCBS (an Anthem Company)- New Provider Network for 2020

Episode 2.

Starting on 01/01/2020 Empire BlueCross BlueShield HealthPlus (Empire HealthPlus) will be introducing a new Network.

This network will replace the Pathway Enhanced Network. The name of this new network will be “Individual Network”. It will be used for commercial individual products that are available both on and off the healthcare exchanges.

Members that have benefits under this network will receive cards that say “Individual Network” on the bottom right side. (Example of the card is enclosed)

anthemcardexample

There Prefixes used will be: VJD or VFG

*Please take note that this is an HMO network. These members do not have out of network benefits.