Reimbursement Increases
Effective January 1, 2020, BCBSWY has implemented a 3% increase on all E/M codes, following a 10% increase in 2019.
All dental codes have been increased by 10% as of 1/1/2020.
Remark Codes
Use this link BCBSWY.com/providers/resources if you have questions about remark codes on your remittance advice.
Ambulance Zip Codes
For electronic submissions of ambulance claims, you must include both pick-up and drop-off (9- digit) zip codes in the appropriate field. For paper claims on the 1500 form, use the 9-digit zip code in Box 23.
Reminders & Tips:
- Effective February 2, 2020, access to THOR will no longer be available. Most information can now be accessed through Availity.
- Claims for services prior to January 1, 2019 should be submitted on paper by May 15, 2020 so that these claims can be processed without delays.
- For ASC billing to process correctly remember to submit the claim with the invoice for the supplies and operative report by faxing to 307-635-9366.
- The Claims Processing section of the BCBSWY Provider Manual has been updated.
