Call Center Hours Changing in June
Blue Cross Blue Shield of Wyoming (BCBSWY) provider call center hours will soon change. The new hours will be from 7:30 a.m. to 5 p.m. This change will be in effect June 1, 2022.
BCBSWY Increasing Claims Process Accuracy
In an ongoing effort to ensure high quality claims processing and payment, BCBSWY is taking additional steps to verify the accuracy of payments made to our contracted facilities. Beginning in July 2022, BCBSWY will begin auditing DRG claims and associated medical records to ensure payments were applied in accordance with national correct coding standard rules.
BCBSWY has contracted with Cotiviti to assist us in this effort. If you have DRG claims selected for audit, you will receive a letter from Cotiviti requesting medical records for these claim audits on behalf of BCBSWY.
The Provider Directory Validation Tool is Ready
In order to help facilitate compliance with the No Surprises Act (NSA) provider directory validation requirements, BCBSWY has developed a Directory Validation tool on the Availity Portal.
This tool allows you to review and confirm name, address, contact information, and providers affiliated with your organization online. The NSA requires you confirm this information with us every 90 days so your information can continue to be listed in our public directory. Please see the guide here.