Empire Blue Cross Blue Shield New York Payer ID 00803R — EDI, Portal & Claim Status

Coverage profile

How Substrate can help you with Empire Blue Cross Blue Shield New York

Substrate can help practices and billers with the following claims tasks for Empire Blue Cross Blue Shield New York.

Eligibility

EDI 270/271

The Substrate Eligibility Agent can verify patient benefits, identify TPAs and carve-outs, and more with Empire Blue Cross Blue Shield New York.

Available

Portal claim status

Browser automation

The Substrate Claim Status Agent can check claim status via the payer portal for Empire Blue Cross Blue Shield New York.

Available

Frequently asked questions

Empire Blue Cross Blue Shield New York payer FAQs

Can I automate Empire Blue Cross Blue Shield New York portal follow-up?

Yes — portal retrieval is required when 276/277 is missing or stale. See payer portal automation and learn why 276/277 is not enough.

What is the payer ID for Empire Blue Cross Blue Shield New York?

The primary payer ID for Empire Blue Cross Blue Shield New York is 00803R. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.

What is the provider portal for Empire Blue Cross Blue Shield New York?

The provider portal for Empire Blue Cross Blue Shield New York is https://apps.availity.com/. Available features depend on the payer and your account.

What is the 270 payer ID for Empire Blue Cross Blue Shield New York?

The 270 payer ID for Empire Blue Cross Blue Shield New York is 803 via Availity.

What is the 276 payer ID for Empire Blue Cross Blue Shield New York?

The 276 payer ID for Empire Blue Cross Blue Shield New York is 803 via Availity.

What states does Empire Blue Cross Blue Shield New York operate in?

Empire Blue Cross Blue Shield New York operates in AL, AR, CA, CO, MD, MS, and TN.

Routing reference

Empire Blue Cross Blue Shield New York payer IDs and operating states

Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.

Empire Blue Cross Blue Shield New York payer name, operating states, and transaction-specific payer IDs
Payer name	Empire Blue Cross Blue Shield New York
Operating states	AL, AR, CA, CO, MD, MS, TN
270 eligibility payer IDAvaility	`803`
276 claim status payer IDAvaility	`803`

Payer contact directory

Empire Blue Cross Blue Shield New York phone and fax numbers

Use the number associated with your task. These contacts were stated in successful eligibility responses and may apply to specific benefits, products, or departments.

Eligibility / benefits phone: (800) 244-6224CIGNA
Prior authorization fax: (866) 411-2573ACUTE INPATIENT REHABILITATION ADMISSION PRECERTIFICATION, SKILLED NURSING FACILITY ADMISSION PRECERTIFICATION

Empire Blue Cross Blue Shield New York payer phone and fax directory
Channel and number	Payer Notes	Department	Specialties
fax`(866) 411-2573`	Prior authorizationBenefit context: Co-Insurance	ACUTE INPATIENT REHABILITATION ADMISSION PRECERTIFICATION SKILLED NURSING FACILITY ADMISSION PRECERTIFICATION	Hospital
fax`(866) 411-2585`	Prior authorizationBenefit context: Co-Insurance	ACUTE INPATIENT HOSPITAL ADMISSION PRECERTIFICATION	Hospital
fax`(410) 781-7661`	Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information	UTILIZATION MANAGEMENT
fax`(866) 606-6021`	Other stated context, PharmacyBenefit context: Active Coverage; Benefit context: Coverage Basis	PA LOGIC SOLUTIONS	Pharmacy
fax`(800) 453-4341`	Other stated contextBenefit context: Co-Insurance	CLINICAL INTAKE OPERATIONS	Hospital
fax`(833) 453-0101`	Other stated contextBenefit context: Coverage Basis	REACH KIDNEY CARE
fax`(833) 938-9934`	Other stated contextBenefit context: Co-Insurance; Benefit context: Deductible	CREDENCE BCBS	Hospital
fax`(877) 665-5542`	Other stated contextBenefit context: Limitations	AMERICAN HEALTH HOLDING	Hospital, Hospital - Inpatient
fax`(479) 527-2323`		ANTHEM
fax`(501) 212-8518`		ANTHEM
fax`(501) 378-2562`		ANTHEM
fax`(501) 378-2965`		ANTHEM
fax`(501) 379-1200`		ANTHEM
fax`(888) 282-1321`		ANTHEM
phone(800) 244-6224	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CIGNA	Dental Care
phone(800) 255-5681	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	DDS	Dental Care
phone(800) 321-2843	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	THE HOLMAN GROUP	Mental Health
phone(800) 364-6331	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CVS/CAREMARK	Pharmacy
phone(800) 422-4234	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	DELTA DENTAL	Dental Care
phone(800) 441-9188	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CUSTOMER SERVICE	Hospital, Hospital - Inpatient
phone(800) 451-0287	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CUSTOMER SERVICE	Hospital, Hospital - Inpatient
phone(800) 454-3730	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CARELONRX	Pharmacy
phone(800) 523-4702	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	NATIONAL ELEVATOR INDUSTRY HEALTH BENEFIT PLAN	Physician Visit - Office: Well
phone(800) 631-7780	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	MEDCO	Pharmacy
phone(800) 634-4832	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	KEPRO	Hospital - Emergency Accident, Hospital - Emergency Medical, Emergency Services
phone(800) 635-1928	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	BCBSIL	Hospital, Hospital - Inpatient
phone(800) 672-2378	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CUSTOMER SERVICE	Hospital, Hospital - Inpatient
phone(800) 676-2583	Eligibility / benefits, Other stated contextBenefit context: Active Coverage; Benefit context: Contact Following Entity for Eligibility or Benefit Information	ANTHEM CAPITAL BLUE CROSS CUSTOMER SERVICE	Health Benefit Plan Coverage, Hospital, Hospital - Inpatient, Hospital, Hospital - Inpatient, Hospital - Emergency Accident, Urgent Care, Chiropractic, Professional (Physician) Visit - Office, Physician Visit - Office: Well, Vision (Optometry), Hospital, Hospital - Inpatient, Physician Visit - Office: Well
phone(800) 789-7488	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	ESI	Pharmacy
phone(800) 846-7418	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	DELTA DENTAL	Dental Care
phone(800) 942-0854	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	METLIFE	Dental Care
phone(800) 972-8088	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CUSTOMER SERVICE	Hospital, Hospital - Inpatient
phone(800) 981-3546	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CUSTOMER SERVICE	Hospital, Hospital - Inpatient
phone(800) 992-0900	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	NEVADA FFS MEDICAID	Dental Care
phone(833) 267-2133	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	INGENIORX	Pharmacy
phone(833) 741-1361	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CVS-CAREMARK	Pharmacy
phone(844) 260-5889	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CVS CAREMARK	Pharmacy
phone(844) 306-8650	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CAPITAL RX	Pharmacy
phone(844) 550-2712	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	EXPRESS SCRIPTS MEDCO	Pharmacy
phone(844) 770-1500	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	DAVIS VISION	Vision (Optometry)
phone(844) 819-4773	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	COMPSYCH	Mental Health
phone(855) 350-1267	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CARELON RX	Pharmacy
phone(855) 505-8110	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	OPTUMRX	Pharmacy
phone(855) 559-7917	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CVS CAREMARK	Pharmacy
phone(855) 811-2218	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	OPTUMRX	Pharmacy
phone(855) 820-6604	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CIGNA PPO	Dental Care
phone(866) 231-0847	Eligibility / benefits, Utilization managementBenefit context: Contact Following Entity for Eligibility or Benefit Information; Benefit context: Co-Payment	CARELONRX UTILIZATION MANAGEMENT	Hospital, Pharmacy
phone(866) 277-5383	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CARELON BEHAVIORAL HEALTH	Mental Health
phone(866) 299-1358	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	EYEMED	Vision (Optometry)
phone(866) 333-2757	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	NAVITUS	Pharmacy
phone(877) 449-6710	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	OPTUM BEHAVIORAL HEALTH	Mental Health
phone(888) 352-7924	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	LIBERTY DENTAL	Dental Care
phone(888) 696-9551	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	BLUE VIEW VISION	Vision (Optometry)
phone(888) 752-7229	Eligibility / benefitsBenefit context: Contact Following Entity for Eligibility or Benefit Information	CAREMARK	Pharmacy
phone(323) 255-1575	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(323) 317-9200	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(323) 728-3955	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(626) 960-6999	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(800) 274-7767	Other stated context, Utilization managementBenefit context: Co-Insurance; Benefit context: Co-Payment	ANTHEM BLUE CROSS OF CALIFORNIA UTILIZATION MANAGEMENT	Hospital
phone(800) 403-4160	Utilization managementBenefit context: Co-Insurance; Benefit context: Co-Payment; Benefit context: Limitations	UTILIZATION MANAGEMENT	Chiropractic
phone(800) 832-7850	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Hospital
phone(844) 396-2330	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Hospital
phone(855) 260-7770	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Hospital
phone(855) 343-4851	Other stated context, Utilization managementBenefit context: Co-Insurance; Benefit context: Co-Payment	ANTHEM BLUE CROSS AND BLUE SHIELD UTILIZATION MANAGEMENT	Hospital, Hospital, Hospital - Inpatient
phone(855) 671-2667	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Hospital, Hospital - Inpatient, Hospital - Outpatient
phone(866) 316-8438	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Hospital
phone(866) 470-6244	Utilization managementBenefit context: Co-Insurance; Benefit context: Co-Payment	UTILIZATION MANAGEMENT	Hospital, Hospital, Hospital - Inpatient, Hospital - Outpatient
phone(866) 773-2884	Other stated context, Utilization managementBenefit context: Co-Insurance; Benefit context: Contact Following Entity for Eligibility or Benefit Information	PRE SERVICE REVIEW UTILIZATION MANAGEMENT	Chiropractic
phone(866) 840-2466	Utilization managementBenefit context: Limitations	UTILIZATION MANAGEMENT	Hospital
phone(877) 499-1774	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Hospital
phone(888) 779-7247	Utilization managementBenefit context: Co-Insurance	UTILIZATION MANAGEMENT	Chiropractic
phone(949) 923-3200	Utilization managementBenefit context: Co-Payment	UTILIZATION MANAGEMENT	Chiropractic
phone(800) 924-7141	Other stated context, PharmacyBenefit context: Co-Insurance; Benefit context: Benefit Description	BLUECROSS AND BLUESHIELD OF TENNESSEE MAGELLANRX	Hospital - Outpatient, Pharmacy
phone(866) 205-5107	Other stated context, PharmacyBenefit context: Active Coverage; Benefit context: Coverage Basis	PA LOGIC SOLUTIONS	Pharmacy
phone(800) 245-1150	Behavioral healthBenefit context: Non-Covered	BEHAVIORAL HEALTH SERVICES BEHAVIORAL HEALTH SYSTEMS	Mental Health
phone(855) 339-8558	Behavioral health, Other stated contextBenefit context: Active Coverage; Benefit context: Coverage Basis	LUCET	Mental Health
phone(866) 322-1657	Behavioral healthBenefit context: Active Coverage	BEHAVIORAL HEALTH MANAGER	Mental Health
phone(800) 248-2342	Other stated contextBenefit context: Deductible	BCBS OF ALABAMA	Hospital
phone(800) 275-2583	Other stated contextBenefit context: Co-Insurance	AUTHORIZATIONS	Physician Visit - Office: Well
phone(800) 338-7807	Other stated contextBenefit context: Other or Additional Payor	AETNA
phone(800) 351-2370	Other stated contextBenefit context: Co-Insurance	CLINICAL INTAKE OPERATIONS	Hospital
phone(800) 392-1016	Other stated contextBenefit context: Co-Insurance	ANTHEM BLUE CROSS AND BLUE SHIELD	Urgent Care
phone(800) 424-8270	Other stated contextBenefit context: Coverage Basis	PRIME THERAPEUTICS
phone(800) 441-2411	Other stated contextBenefit context: Co-Payment	ANTHEM BLUE CROSS AND BLUE SHIELD	Urgent Care
phone(800) 452-8507	Other stated contextBenefit context: Active Coverage	HIGHMARK MEDICAL MANAGEMENT & POLICY	Hospital
phone(800) 476-0677	Other stated contextBenefit context: Non-Covered	SOUTHLAND NATIONAL INSURANCE CORP	Vision (Optometry)
phone(800) 632-0997	Other stated contextBenefit context: Limitations	SHARP	Hospital - Inpatient
phone(800) 664-2583	Other stated contextBenefit context: Active Coverage	HORIZON BCBSNJ	Health Benefit Plan Coverage
phone(800) 780-7881	Other stated contextBenefit context: Co-Insurance	CLINICAL INTAKE OPERATIONS	Hospital
phone(800) 794-7882	Other stated contextBenefit context: Other or Additional Payor	CIGNA HEALTHCARE - TENNESSEE
phone(800) 827-4814	Other stated contextBenefit context: Limitations	MEDICAL AUDIT AND REVIEW SKAI BLUE CROSS AND BLUE SHIELD	Hospital - Inpatient, Hospital - Inpatient, Hospital - Outpatient
phone(800) 845-4742	Other stated contextBenefit context: Co-Insurance	EMPIRE MEDICAL MANAGEMENT	Hospital
phone(800) 920-2485	Other stated contextBenefit context: Active Coverage	EXCELLUS BLUE CROSS BLUE SHIELD	Health Benefit Plan Coverage
phone(800) 972-4226	Other stated contextBenefit context: Co-Payment	AMERICAN SPECIALTY HEALTH	Chiropractic
phone(833) 447-4397	Other stated contextBenefit context: Coverage Basis	REACH KIDNEY CARE
phone(833) 462-0104	Other stated contextBenefit context: Limitations	AMERICAN HEALTH HOLDING	Hospital, Hospital - Inpatient
phone(833) 578-4436	Other stated contextBenefit context: Co-Insurance	ANTHEM BLUE CROSS AND BLUE SHIELD	Urgent Care
phone(833) 592-9956	Other stated contextBenefit context: Co-Insurance	ANTHEM BLUE CROSS AND BLUE SHIELD	Hospital, Hospital - Inpatient
phone(833) 639-1634	Other stated contextBenefit context: Co-Insurance	ANTHEM BLUE CROSS AND BLUE SHIELD	Hospital, Hospital - Inpatient
phone(833) 647-9355	Other stated contextBenefit context: Co-Insurance	MONTEFIORE CMO 833-MHS-WELL	Hospital
phone(833) 663-8703	Other stated contextBenefit context: Co-Insurance; Benefit context: Deductible; Benefit context: Coverage Basis	CREDENCE BCBS PA LOGIC SOLUTIONS	Hospital
phone(833) 798-6733	Other stated contextBenefit context: Coverage Basis	BCBSAL
phone(833) 800-4032	Other stated contextBenefit context: Coverage Basis	BCBSAL
phone(833) 800-4033	Other stated contextBenefit context: Coverage Basis	BCBSAL
phone(844) 230-3689	Other stated contextBenefit context: Co-Insurance	ANTHEM BLUE CROSS AND BLUE SHIELD	Urgent Care
phone(844) 235-4454	Other stated contextBenefit context: Co-Payment	EMPIRE MEDICAL MANAGEMENT	Chiropractic
phone(844) 484-8489	Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment	ANTHEM BLUE CROSS OF CALIFORNIA	Hospital, Hospital, Hospital - Inpatient
phone(855) 333-5730	Other stated contextBenefit context: Co-Insurance; Benefit context: Co-Payment	ANTHEM BLUE CROSS OF CALIFORNIA	Hospital, Hospital, Hospital - Inpatient
phone(855) 798-2627	Other stated contextBenefit context: Other or Additional Payor	MEDICARE PART A ONLY
phone(866) 803-8002	Other stated contextBenefit context: Coverage Basis	CARELON MEDICAL BENEFITS MANAGEMENT EVICORE HEALTHCARE
phone(866) 952-0353	Other stated contextBenefit context: Deductible	QUANTUM HEALTH	Hospital
phone(877) 986-8136	Other stated contextBenefit context: Co-Insurance	QUANTUM HEALTH	Hospital - Outpatient
phone(800) 214-4844		ANTHEM
phone(800) 327-6716		ANTHEM
phone(800) 800-4298		ANTHEM
phone(844) 465-5227		ANTHEM

Phone and fax numbers sourced directly from the payer response

Other aliases

Also known as

00803R
ANTHEM BCBS NY
EMBSNY803R