Provider Updates

Archives: Provider News

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…
COB Reminder, Availity Best Practices
COB Inquiry Reminder Providers who have Coordination of Benefits inquiries, questions, or concerns should send a fax to 307-432-2942. Please include the BCBSWY Request…
Intraocular Lenses Billing Code Change, Therapy Modifiers, Availity and More
Coding Advice – Modifiers As of 9/1/2023, BCBSWY will no longer permit the usage of modifiers CO (Occupational Therapy Assistant) or CQ (Physical Therapy…
DME Reimbursement Update
Announcements Holiday Closures BCBSWY is updating its DME reimbursement rates. Effective August 1, 2023, our DME reimbursement will be based on Medicare’s DMEPOS 2023…
Anesthesia Reimbursement, Nerve Conduction & More
Anesthesia Reimbursement Updates Effective 4/1/2023, we have updated our pricing on 01967 to allow eight additional units above the base instead of the previous…
Hearing Aids, National Physicians Week & More
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…
Fewer Hassles. Better Service.
A new way to take care of your patients online--quickly and efficiently.
2020 Update
BCBSWY Provider Manual
Latest News
BCBSWY Newsroom

Fewer Hassles. Better Service.