Provider Updates

Archives: Provider News

Preferred Product Program, Provider Directory Validation Reminder
Preferred Product Program To help keep health care affordable for our members, some medications have been identified as preferred products under our health plans….
Prior Authorization Update: Pharmacy Submissions Are Not Impacted
Important: While medical prior authorization submission requirements are changing October 1, 2026, the method of prior authorization requests for medications dispensed through a pharmacy are policy-dependent: BlueSelect…
Prior Authorization Submission Changes (Effective October 1)
Effective October 1, 2026, all Wyoming providers are required to submit initial prior authorization and concurrent review requests through Availity. Faxed requests from in-state providers…
Preferred Specialty Pharmacy Transitioning to Prime Therapeutics Pharmacy
Starting October 1, 2026, BCBSWY’s preferred Specialty Pharmacy will transition to Prime Therapeutics Pharmacy (PTP).  By partnering with PTP, BCBSWY is strengthening its specialty pharmacy program…
Introducing CarePath: What Providers Need to Know 
BCBSWY is introducing a new Site of Care program, CarePath, designed to support health care affordability and access across Wyoming. The program connects members…
Introducing CarePath: What Providers Need to Know 
BCBSWY is introducing a new Site of Care program, CarePath, designed to support health care affordability and access across Wyoming. The program connects members…
Surgical Reimbursement 
Effective September 1, 2026, BCBSWY will continue implementing updated reimbursement rates for all physician‑provided surgical services. These changes are intended to further align surgical…
FRIENDLY REMINDER: PAPERLESS REMITTANCE ADVICE AVAILABLE IN AVAILITY
For providers who may need a refresher, Blue Cross Blue Shield of Wyoming does not print remittance advice statements by request. Availity remains the most…
Important Notice: Please Use Cover Sheet for Appeals Submitted via Availity
We are excited to share that our AGM platform has officially gone live. As with any major system transition, we continue to monitor performance…
Important Notice: Please Use Cover Sheet for Appeals Submitted via Availity
We are excited to share that our AGM platform has officially gone live. As with any major system transition, we continue to monitor performance…

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