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Provider Updates

Provider News Tag: Coding Advice

Coding Advice: Claims Coding Tips For Faster Approval
Please note the following errors that often lead to claims denial when not properly coded: BCBSWY will deny Column II procedure codes billed with…
Workflow and Updated Prior Authorization Guide Available
Online Prior Authorizations Submissions are unavailable until 9/18. Soon you can experience: More real-time information; Reduced wait times; Auto-approval of some authorizations. We appreciate…
Prior Authorization Update Soon
Online Prior Authorizations Submissions will be unavailable between 9/1 – 9/18. Coming soon: View more real-time information Reduced wait times Auto-approval of some authorizations…
Availity/Prior Authorization Update
Our new Prior Authorization tool, Predictal, will launch September 5th. We look forward to the convenience it will offer you. We will provide you…
Claim Reprocessing Requests; Mental Health and Substance Abuse
Claim Reprocessing Requests As we enter our busy season, we want to remind providers that if you receive a claim that is denied for…
Infusion Pump Billing, Unclassified HCFA Unit Billing
Coding Advice Infusion Pump Billing BCBSWY is seeing an uptick in billing of implantable infusion pumps (HCPCS Code E0782) billed without a required modifier…
HEDIS Codes, UM Tool Updates & Coding Advice
Patients Benefit from HEDIS Codes Blue Cross Blue Shield of Wyoming is enhancing our Health Employer Data and Information Set (HEDIS) metrics for On-exchange…
Cystourethroscopy Rate Adjustment, Claims Editing & Coding Advice
Holiday Closure As a reminder, BCBSWY will be closed Feb. 20, 2023 in observance of Presidents Day. We hope everyone has a wonderful holiday….
Location Change Notifications & Advanced Claim Editing
Location Change Notifications As a reminder, Providers are obligated to notify BCBSWY of any changes in Provider’s name, contact information, billing address, taxpayer identification…
Availity Webinar, Advanced Claim Editing & Coding Advice
Availity Webinar Reminder As a reminder, BCBSWY is offering training via Availity Essentials for multi-payer appeals. The tool saves Providers time by allowing you…

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