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Provider Updates

Archives: Provider News

Coding Advice
Announcements Cervical Cancer Screening Codes Together, we understand the critical importance of women receiving cervical cancer screening for early identification to enhance their safety and the health…
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Advanced Claim Editing, Document Processing, Authorization Pre-Check & More
Announcements We are excited to finally share our newly redesigned Provider Update. This update gives everyone a cleaner and more efficient design. Sign up…
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Claims, Coding, URAC Guidelines & More
Advanced Claims Editing  We are sharing coding advice to help Providers prepare for our automated claims review process starting March of 2023. These ongoing tips…
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Claims & Best Practices
Advanced Claims Editing  We are sharing coding advice to help Providers prepare for our automated claims review process starting March of 2023. These ongoing tips…
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Diagnosis Code Policy & Behavioral Health Guidelines Updates 
Coding Clarification – Diagnosis Code Policy  Thank you for your feedback regarding our Diagnosis Code Policy. We have clarified our language to avoid further…
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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…
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Claims Editing, Blue Circle of Excellence Designation & More
Coming Soon: Advanced Claims Editing Beginning in March of 2023, BCBSWY will be implementing advanced claims editing tools to ensure that claims are accurate…
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Code Updates & Survey Reminder
E0118: Crutch Substitute Code Update  Effective 11/1/22, procedure code E0118 should be billed monthly. Rentals should be billed with an RR modifier with one…
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Annual Survey Coming Soon
Survey Coming Soon  BCBSWY asks for your feedback to help us improve our programs and services. We invite you to participate in our annual…
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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…
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