Covid Code Updates, Appeals Pilot Program & Data Validation Tool
Update: New COVID Codes Added BCBSWY has updated COVID codes. Please visit BCBSWY.com to see the new codes. Seeking Volunteers: Join Our Appeals Pilot Program…
Over-the-Counter COVID-19 Tests The Biden administration on Jan.10 announced that starting Jan.15, 2022, commercial insurance companies and group health plans will be required to…
COVID-19 Cost-Share Waiver BCBSWY is discontinuing the member cost share for COVID-19 treatment effective 1/1/22. Member cost-share will apply for inpatient hospital stays beginning…
Inpatient Prior Authorizations & Concurrent Review Using Availity
Inpatient Prior Authorizations & Concurrent Review Using Availity Beginning April 1, BCBSWY started requiring all hospital inpatient prior authorizations and concurrent reviews for BCBSWY members…
Screening for COVID-19 Diagnosis Guidance Asymptomatic and pre-surgical COVID-19 diagnostic testing is covered when medically appropriate and supported by the accepted standards of current…
The Families First Coronavirus Response Act (the FFCRA) and the Coronavirus Aid, Relief, and Economic Security Act (the CARES Act) require health plans to…
BCBSWY understands that providing care during the COVID 19 pandemic is challenging. To minimize administrative burden, we are relaxing our prior authorization requirements for…