Evaluation & Managment Reimbursement Update

Effective June 1, 2025, BCBSWY is implementing an increase in reimbursement in the areas of Evaluation and Management (E&M).

For questions regarding these changes please contact Provider Relations at 1-888-666-5188 or email provider.relations@bcbswy.com.


Hospice Reimbursement Update

Effective July 1, 2025, BCBSWY is implementing an increase in reimbursement in the areas of Hospice for the following Revenue Codes:

  • Revenue Code 651
  • Revenue Code 652
  • Revenue Code 655
  • Revenue Code 656
  • Revenue Code 659

For questions regarding these changes please contact Provider Relations at 1-888-666-5188 or email provider.relations@bcbswy.com.


Understanding Labs Webinar Save the Date

Mark your calendars for our upcoming webinar Understanding Labs

12 p.m. – 1 p.m. MST, Wed., April 23, 2025

  • Learn about laboratory benefits including cost share, medically unlikely edits, and frequency limitations.
  • We’ll cover how to bill, what modifiers affect payment, and where to bill a claim for labs utilizing the BlueCard System.
  • Understand how CLIA Certificate of Waiver effects reimbursement and coding requirements.
  • How BCBSWY is educating members, so they understand that not all labs are preventive.

Details on how to register to come.


Provider Directory Validation Reminder

You can find the Provider Directory Validation guide under the Provider Resources section on the right rail of the website.

Providers can use the Directory Validation tool on the Availity Portal to find NPI and tax ID combinations.

No Surprises Act (NSA) requires you confirm this information every 90 days.

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