NCCI Compliance: Our new claims processing system is fully compliant with the National Correct Coding Initiative (NCCI) and you may have noticed some slight…
We’re streamlining case management services to provide you with faster and easier service and have removed the following services requiring prior authorization: Bili Lights…
Top Billing Issues and Errors and How to Avoid them for Professional Providers
Claims processing experts identified the common adjudication errors that cause claims to be suspended or denied. To ensure timely and accurate processing of claims…
Top Billing Issues and Errors and How to Avoid them for Institutional Providers
Claims processing experts identified the common adjudication errors that cause claims to be suspended or denied. To ensure timely and accurate processing of claims…
You can now verify eligibility and benefits online through the Availity Provider portal. To get started, look under the “Patient Registration” tab. Features include…
Institutional and professional remittances are now available using Availity. BCBSWY is no longer mailing remittances for these type of claims. To get started register…
As we transition to a new utilization management system, you may experience a longer than usual wait time for prior authorization approvals including preadmission…
Effective September 1, 2018, BCBSWY has updated, and added new medical policies. These updated policies will offer clarification to authorization requests or claims denials…
