Provider Updates

Provider News Tag: availity

Claims Editing, Code Policy, Preventive Services & More
Ongoing: Advanced Claims Editing As part of our ongoing code updates to help Providers prepare for our automated claims review process starting March of…
Reimbursement & Directory Validation Update
Reimbursement Change Effective Oct. 1, BCBSWY will begin using J-code level pricing for J-1745 (infliximab). We will no longer be pricing this medication at…
Holiday Closure & Authorization Pre-Check Tip 
Holiday Closure Our offices will be closed in observance of Labor Day on Monday, Sept. 5. Authorization Pre-Check Tip Providers can use the Authorization…
Data Validation Tool, New Sign-up & Authorization Pre-Check
Reminder: Data Validation Tool Instructions BCBSWY updated our Directory Validation tool instructions on the Availity Portal. The instructions include directions for Providers to find…
Authorization Pre-Check & Provider Email Updates
Authorization Pre-Check Coming Soon Soon, Authorization Pre-Check will enable providers to quickly verify if procedures require prior authorization. Coming in the fall, providers will…
Updated Instructions to the Directory Validation Tool
Updates Data Validation Tool Instructions  BCBSWY has updated our Directory Validation tool instructions on the Availity Portal. The instructions now include directions for Providers to…
Availity Tools & Upcoming Features
Availity Provides Useful Tools Availity is the best option to work electronically with BCBSWY. You can verify eligibility and benefits, file claims, check claim…
ASC Billing & Reimbursement Updates
ASC Billing & Reimbursement Changes Effective 6/1/2022 Effective 6/1/2022, BCBSWY will be updating its ASC reimbursement rates and rules. Updated ASC rates can be…
Anthem & New Provider Directory Validation Tool Update
Anthem Update If you provide care for a City of New York retiree covered by an Anthem Medicare Advantage plan, please see this update…
Availity Improvements & Webinar Update
REMINDER! Availity has many features to improve efficiency! You can upload documents that you need to submit to BCBSWY through Availity. Documents for appeals,…
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