Billing & Claims

Availity Provider Portal
Verify eligibility and benefits, submit claims, and more.

COVID-19 for Providers

What is BCBSWY doing to help providers during this time?

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Provider Resources
Professional Claim Adjustment FormUse this form to file a professional claim adjustment.Download Form
Institutional Claim Adjustment FormUse this form to file an institutional claim adjustment.Download Form
Claim Remark CodesView Remittance Advice Remark Codes.View Codes
Instructions for CMS 1500 FormInstruction manual detailing how to complete the CMS 1500 Form.Read More
Obesity Coverage GuidelinesGuidelines for the full Obesity Benefit Synopsis.Read More
Behavioral Health GuidelinesGuidelines to ensure timely and accurate payments for mental health and substance abuse programs.Read More
Hospice Billing GuidelinesGuidelines to ensure more timely and accurate processing of hospice claims.Download Guide
Telemedicine MatrixKeep updated on Telemedicine Services.Read More
Bright Futures Guidelines BCBSWY covers the Bright Futures recommendations for pediatric screenings.Read More
A1C Code InformationKeep 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.

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