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 to be submitted through the Availity portal.  

At this time, you are not required to submit all prior authorization requests using Availity, but we do encourage you to use this method for quicker authorization turnaround times.

FAQ – Newborn Inpatient Authorizations 

In the situation of a newborn requiring additional inpatient hospital days beyond the stay of the mother, providers should submit a separate authorization under the mother’s name (or the policy holder if different) and make the distinction of the hospital stay for the newborn under the clinical documentation section. In the case of multiples born, providers should call 1-800-251-1814 for authorization.

COVID-19 Cost-Share Waiver for Treatment

In our continued effort to make sure that our members do not face significant barriers in getting medical care to treat COVID-19, BCBSWY has extended our commitment to waive all member cost sharing and copayments for treatment, and inpatient hospital admissions for the treatment of COVID-19, effective through December 31, 2021. 

 

BCBSWY Mailing Address:

PO Box 2266, Cheyenne, WY 82003-2266

Blue Cross Blue Shield of Wyoming is an independent licensee of the Blue Cross and Blue Shield Association

Share

Related Posts
Claim Edit Enhancements Effective July 1, 2026
Updates to several claim edits (DPs) will take effect July 1 to align with CMS guidance and current clinical recommendations. Gastrointestinal Pathogen Panels Non‑Covered…
Explore WyoBlue Advantage and Arkos Health
INFORMATIONAL WYOBLUE ADVANTAGE AND ARKOS HEALTH WEBINAR With Open Enrollment for 2026 now complete, WyoBlue Advantage is officially underway — and thousands of Wyoming…
Provider Bulletin: Suitcase, MWY Claims, Taxonomy – What Providers Should Know
VISUAL UPDATE TO MEMBER ID CARDS: SUITCASE SYMBOL BEING PHASED OUT We want to make you aware of a recent change to the design…

Fewer Hassles. Better Service.

ACA – Online Event Registration Form

Please enable JavaScript in your browser to complete this form.
Name
Email
How did you hear about this event?
Medicare - Event Registration
Medicare - Online Event Registration Form
Please enable JavaScript in your browser to complete this form.
Name
Email
How did you hear about this event?