Provider Updates

Provider News Tag: prior authorization

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…
Availity Secure File Hold Coming Soon
Announcements Availity Secure File Transfer Hold Coming Up Availity will hold all files through Secure File Transfer, including Responses to Providers (999, 277CA, IBR,…
Intraocular Lenses Billing Code Change, Therapy Modifiers, Availity and More
Coding Advice – Modifiers As of 9/1/2023, BCBSWY will no longer permit the usage of modifiers CO (Occupational Therapy Assistant) or CQ (Physical Therapy…
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…
Billing Under Supervising Provider Policy & Online Prior Authorization Tool
Billing Under Supervising Provider Policy • BCBSWY does not permit credentialed physicians to submit claims on behalf of other noncredentialed or non-physician practitioners (NPPs)….
Provider Update – Redirection of Care & Holiday Closures
Redirection of Care Blue Cross Blue Shield of Wyoming is introducing a new redirection of care program for certain medications. When clinically appropriate services…
Upcoming Webinar – Prior Authorizations
Beginning September 1st, 2021 all prior authorizations for outpatient or professional services for BCBSWY members should be submitted through the Availity portal. To assist…
Upcoming Webinar – Prior Authorizations
Beginning September 1st, 2021 all prior authorizations for outpatient or professional services for BCBSWY members should be submitted through the Availity portal. To assist…
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…
Coming Soon! Inpatient Prior Authorizations & Concurrent Review Using Availity
Reminder, beginning April 1st, 2021 all hospital inpatient prior authorizations and concurrent reviews for BCBSWY members should be submitted through the Availity portal. To…
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