Provider Updates

Provider News Tag: Coding Advice

Online Prior Authorization Updates
We are actively working to correct a system issue with online authorizations displaying the incorrect effective and expiration date of an authorization. This is…
CPT Code 83036 Billing Tips
BCBSWY would like to encourage Providers billing CPT code 83036 to include the category claims as this will be a focus beginning Jan. 1,…
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…
DME Reimbursement Update
Announcements Holiday Closures BCBSWY is updating its DME reimbursement rates. Effective August 1, 2023, our DME reimbursement will be based on Medicare’s DMEPOS 2023…
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…
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