Billing & Claims

Upload Transaction Files through AvailityInstructions for how to upload an EDI batch fileDownload Form
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
Electronic Claim Correction InstructionsInstructions detailing electronically processed claims corrections.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
Availity Provider Portal
Verify eligibility and benefits, submit claims, and more.
Provider Resources

COVID-19 for Providers

What is BCBSWY doing to help providers during this time?

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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.

Electronic Funds (EFT) Requests

Providers set up for electronic remits can receive EFT payments. Use Availity to enroll or make changes to an EFT account.