Provider Updates

Archives: Provider News

Coding Advice: Claims Coding Tips For Faster Approval
Please note the following errors that often lead to claims denial when not properly coded: BCBSWY will deny Column II procedure codes billed with…
Availity: Prior Authorizations Go Live Next Monday
Prior Authorizations are Live on Availity Next Monday, September 18, 2023 You will soon be able to submit prior authorizations through Availity again. This…
Workflow and Updated Prior Authorization Guide Available
Online Prior Authorizations Submissions are unavailable until 9/18. Soon you can experience: More real-time information; Reduced wait times; Auto-approval of some authorizations. We appreciate…
Prior Authorization Update Soon
Online Prior Authorizations Submissions will be unavailable between 9/1 – 9/18. Coming soon: View more real-time information Reduced wait times Auto-approval of some authorizations…
Availity/Prior Authorization Update
Our new Prior Authorization tool, Predictal, will launch September 5th. We look forward to the convenience it will offer you. We will provide you…
Claim Reprocessing Requests; Mental Health and Substance Abuse
Claim Reprocessing Requests As we enter our busy season, we want to remind providers that if you receive a claim that is denied for…
Infusion Pump Billing, Unclassified HCFA Unit Billing
Coding Advice Infusion Pump Billing BCBSWY is seeing an uptick in billing of implantable infusion pumps (HCPCS Code E0782) billed without a required modifier…
Availity Secure File Hold Coming Soon
Announcements Availity Secure File Transfer Hold Coming Up Availity will hold all files through Secure File Transfer, including Responses to Providers (999, 277CA, IBR,…
Transition Faxes to Availity, Electronic Claim Corrections, Welcome North Platte Valley Medical Center
Transition Faxes to Availity Starting in July of 2023, we will no longer accept faxes from Providers. Please use the Availity attachments tool to…
Hearing Aid Submissions, New Prior Authorization Tool Coming in Fall
Hearing Aid Submission Effective 7/1/2023, BCBSWY will reimburse hearing aids at 100% of submitted invoices. Providers should bill the cost of professional services associated…
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