Provider Updates

Archives: Provider News

ASC Billing & Reimbursement Updates
ASC Billing & Reimbursement Changes Effective 6/1/2022 Effective 6/1/2022, BCBSWY will be updating its ASC reimbursement rates and rules. Updated ASC rates can be…
Anthem & New Provider Directory Validation Tool Update
Anthem Update If you provide care for a City of New York retiree covered by an Anthem Medicare Advantage plan, please see this update…
Provider Manual and Directory
Provider Manual Reminder, you can find the BCBSWY Provider Manual here and under “Provider Resources” at BCBSWY.com. It’s important for you to follow the…
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)….
Availity Improvements & Webinar Update
REMINDER! Availity has many features to improve efficiency! You can upload documents that you need to submit to BCBSWY through Availity. Documents for appeals,…
Over-The-Counter At-Home Covid-19 Tests Update
Over-the-Counter COVID-19 Tests The Biden administration on Jan.10 announced that starting Jan.15, 2022, commercial insurance companies and group health plans will be required to…
Provider Directory, Holiday Closure & Anthem Update
Provider Directory Beginning Jan. 1, 2022, provider directory information must be reviewed and validated every 90 days, in accordance with the No Surprises Act….
Telemedicine Services & COVID-19 Cost-Share Wavier Updates
Place of Service Codes Update The Centers for Medicare & Medicaid Services (CMS) and the Place of Service Workgroup has approved two changes for…
Covid-19 Cost-Share Waiver & Holiday Closures
COVID-19 Cost-Share Waiver BCBSWY is discontinuing the member cost share for COVID-19 treatment effective 1/1/22. Member cost-share will apply for inpatient hospital stays beginning…
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…

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