Site of Care & Advanced Claim Editing Update

Site of Care Update
BCBSWY recently updated our list of services for our Site of Care Program regarding infusion drugs. To learn more, please visit BCBSWY.com/providers/site-of-care/.

Advanced Claim Editing
We are sharing coding advice to help Providers prepare for our automated claims review process starting in March. These ongoing tips help ensure your claims are properly coded.

Coding Advice

  • BCBSWY will deny revenue codes when CMS indicates a HCPCS code is required, and they are billed without one.
  • BCBSWY will deny revenue codes when billed with a modifier and no HCPCS code is associated with the line.

If you have questions, please contact Provider Relations for more information.

We encourage you to share this newsletter with any associate who may want to subscribe and receive BCBSWY updates.

Share

Related Posts
Claim Edit Enhancements Effective July 1, 2026
Updates to several claim edits (DPs) will take effect July 1 to align with CMS guidance and current clinical recommendations. Gastrointestinal Pathogen Panels Non‑Covered…
Explore WyoBlue Advantage and Arkos Health
INFORMATIONAL WYOBLUE ADVANTAGE AND ARKOS HEALTH WEBINAR With Open Enrollment for 2026 now complete, WyoBlue Advantage is officially underway — and thousands of Wyoming…
Provider Bulletin: Suitcase, MWY Claims, Taxonomy – What Providers Should Know
VISUAL UPDATE TO MEMBER ID CARDS: SUITCASE SYMBOL BEING PHASED OUT We want to make you aware of a recent change to the design…

Fewer Hassles. Better Service.

ACA – Online Event Registration Form

Please enable JavaScript in your browser to complete this form.
Name
Email
How did you hear about this event?
Medicare - Event Registration
Medicare - Online Event Registration Form
Please enable JavaScript in your browser to complete this form.
Name
Email
How did you hear about this event?