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If you are an existing contracted group and wish to add a provider, or if you are a non-contracted provider and would like to join Empire’s network: Begin Application
To learn more about the application process before you begin, visit the Getting Started with Empire page.
Ready to join our network? Once you select your state and provider type on the enrollment page, you will be redirected to the secure Availity Essentials* to finish the application process.
Through the secure Availity Essentials — available 24 hours a day, 7 days a week — participating and non-participating providers can:
- Submit prior authorization requests.
- Get current patient insurance coverage information.
- Submit and monitor the status of claims submissions.
- View remittance advice.
- Inquire about previously submitted authorization requests.
- Dispute a claim payment or denial.
- Send us medical records, invoices, itemized bills, or other requested information.
If you don’t have an Availity account, you can register for access and view the on demand and/or instructor led trainings to become familiar with Availity’s robust features. Availity is the preferred method for contacting Empire.
Availity chat with payer is available during normal business hours. Get answers to your questions about eligibility, benefits, authorizations, claims status, and more. Log in to the Availity Essentials and select Empire from the payer spaces drop-down menu. Then, select Chat with Payer and complete the pre-chat form to start your chat.
Provider Services: Call the number on the back of the member’s ID card or call 800-676-BLUE (2583) to speak to a Provider Service representative.
The credentialing process typically takes 45 days from the time the Credentialing department receives your completed CAQH application.
Review the Credentialing Overview page for more information about our process.
To review your application or correct submitted information, please email our Credentialing team at Credentialing@Anthem.com.
Standard fee schedules are available within the Availity Essentials. After you select your payer, navigate to the Applications page, select Information Center, then select Administrative Support and choose the appropriate fee schedule.
If you have questions about your fee schedule or need to request a copy of your contract, please reach out to your contract manager for assistance.
We’re committed to supporting you in providing quality care and services to the members in our network. On our Policies page, you will find information for assessing coverage options, guidelines for clinical utilization management, practice policies, the provider manual, and support for delivering benefits to our members.
If you have questions related to Availity, contact Availity Client Services at 800-282-4548 or visit the Availity support community.
You can also log in to Availity, select Help and Training, choose Availity Support and select your organization.
If you don’t have an Availity account, you can register for access.
Training opportunities
Use our library of self-paced courses and instructor-led training sessions available 24/7 at no cost. These learning opportunities will assist you in administering your patient’s health plan and provide with the knowledge to best assist our members.
Get convenient online service through the ProviderPortal, or call Carelon Medical Benefits Management for support at 800-554-0580.
If you have a question about a previously submitted information update, enrollment application, or contracting question not answered here, please send us a message.
Availity, LLC is an independent company providing administrative support services on behalf of the health plan. Carelon Medical Benefits Management is an independent company providing some utilization review services on behalf of the health plan.
