Billing & Claims

Provider Resources
Professional Claim Adjustment Form | Use this form to file a professional claim adjustment. | Download Form |
Institutional Claim Adjustment Form | Use this form to file an institutional claim adjustment. | Download Form |
Claim Remark Codes | View Remittance Advice Remark Codes. | View Codes |
Instructions for CMS 1500 Form | Instruction manual detailing how to complete the CMS 1500 Form. | Read More |
Obesity Coverage Guidelines | Guidelines for the full Obesity Benefit Synopsis. | Read More |
Behavioral Health Guidelines | Guidelines to ensure timely and accurate payments for mental health and substance abuse programs. | Read More |
Hospice Billing Guidelines | Guidelines to ensure more timely and accurate processing of hospice claims. | Download Guide |
Telemedicine Matrix | Keep updated on Telemedicine Services. | Read More |
Bright Futures Guidelines | BCBSWY covers the Bright Futures recommendations for pediatric screenings. | Read More |
A1C Code Information | Keep updated on A1C coding information. | Download Guide |
Provider Training Guides
Learn How it Works
How to Upload Attachments to Availity
View our Online Medical Document Attachment Training Guide.
How to Submit a Online Prior Authorization Request
View our Prior Authorization Online Training Guide.
How to Submit Electronic Funds (EFT) Requests
Learn how to submit EFT requests through the Availity portal.