WebIndividuals & Family Plans (under age 65): 1-844-305-6963. Medicare Supplement and Medicare Advantage Plans: 1-855-731-1090 (TTY/TDD: 711) please call us 8:00am - 8:00pm 7 days a week except Thanksgiving and Christmas. Employers Plans: Contact your broker or consultant to learn more about Empire plans. WebJan 1, 2024 · 2024 Anthem Dental Individual Enrollment Application for New York (Empire BCBS) effective 1/1/2024. Employee Enrollment Application Change Form/Anthem Balanced Funding - Downstate (274 KB) Employee Enrollment Application Change Form/Anthem Balanced Funding - Upstate (261 KB) Provider Nomination Form - Dental …
Provider Forms - MetroPlusHealth
Web3. To help us expedite your authorization requests, please fax all the information required on this form to 844-429-7761. Allow us at least 24 hours to review this request. If you have questions regarding a pharmacy prior authorization request, call us at 844-462-0022. The pharmacy may dispense up to a WebAffinity offers numerous health insurance options tailored to meet your individual needs. Each plan has specific eligibility requirements, and you must reside in one of the following counties: Bronx, Brooklyn (Kings), Manhattan, Nassau, Orange, Queens, Rockland, Staten Island (Richmond), Suffolk or Westchester. showcase branded ag
Provider Information – SOMOS
WebPharmacy program and billing policy and other pharmacy related information can be found in the NYS MMIS Pharmacy Provider Manual and the Department's Medicaid Update. You may also contact us at [email protected] or (518) 486-3209 for Medicaid pharmacy policy related questions. Revised: January 2024 Department of Health WebIn help with eligibility verification, compensation, and general provider questions, please call the appropriate Empire BlueCross BlueShield HealthPlus (Empire) telephones number below. Note is Empire is also free 24 hours a day, 7 days a week to accept claims, prior authorization requests and continue via the Availity* Portal. WebThe Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer. At Availity, you can: Request authorizations Submit claims Access reports Log in to Availity Don’t have an Availity account? Register free now showcase brackets