Advanced Claims Editing We are sharing coding advice to help Providers prepare for our automated claims review process starting March of 2023. These ongoing tips…
Diagnosis Code Policy & Behavioral Health Guidelines Updates
Coding Clarification – Diagnosis Code Policy Thank you for your feedback regarding our Diagnosis Code Policy. We have clarified our language to avoid further…
Claims Editing, Code Policy, Preventive Services & More
Ongoing: Advanced Claims Editing As part of our ongoing code updates to help Providers prepare for our automated claims review process starting March of…
Claims Editing, Blue Circle of Excellence Designation & More
Coming Soon: Advanced Claims Editing Beginning in March of 2023, BCBSWY will be implementing advanced claims editing tools to ensure that claims are accurate…
E0118: Crutch Substitute Code Update Effective 11/1/22, procedure code E0118 should be billed monthly. Rentals should be billed with an RR modifier with one…
Reimbursement Change Effective Oct. 1, BCBSWY will begin using J-code level pricing for J-1745 (infliximab). We will no longer be pricing this medication at…
Holiday Closure Our offices will be closed in observance of Labor Day on Monday, Sept. 5. Authorization Pre-Check Tip Providers can use the Authorization…
Data Validation Tool, New Sign-up & Authorization Pre-Check
Reminder: Data Validation Tool Instructions BCBSWY updated our Directory Validation tool instructions on the Availity Portal. The instructions include directions for Providers to find…
Authorization Pre-Check Coming Soon Soon, Authorization Pre-Check will enable providers to quickly verify if procedures require prior authorization. Coming in the fall, providers will…
