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Provider Resources

ACA Grace Period

A 90-day grace period for certain members who purchased their health plan on the Health Insurance Marketplace.

Claim Adjustment Reason Codes

Explanation of Claim Adjustment Reason Codes.

Electronic Filing (EDI)

Share information with BCBSWY electronically.

Forms

Download and print commonly used forms.

Guide to Member ID Cards

An overview of Blue Cross and Blue Shield ID cards, including what the symbols mean and how to use the information on them.

Provider News

Whether you work in the emergency room, laboratory, or administrative offices, you’ll find useful information in this section.

Provider FAQ

Frequently asked questions from providers around the recent BCBSWY systems upgrade.

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Rx ToolsGo

Rx ToolsPrior authorizations,
drug lists and more

Medical Policy Go

View BCBSWY guidelines for coverage.

Prior Authorization Go

Propose inpatient stay and request specified services.

Dental Guideline

Out of Area Search Go

Find Medical Policy and Precertification/Preauthorization outside Wyoming