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
Billing Codes & Pilot Program
Don’t Forget NDCs When Billing J-Codes When billing J-Codes, please provide Blue Cross Blue Shield of Wyoming with the NDC for that medication. Failure…
Updated Instructions to the Directory Validation Tool
Updates Data Validation Tool Instructions  BCBSWY has updated our Directory Validation tool instructions on the Availity Portal. The instructions now include directions for Providers to…
Availity Tools & Upcoming Features
Availity Provides Useful Tools Availity is the best option to work electronically with BCBSWY. You can verify eligibility and benefits, file claims, check claim…

Fewer Hassles. Better Service.

Back to Top