Provider E-Bulletin

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.

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