The Healthcare Online Resource
The Healthcare Online Resource (THOR) is a self-service tool available 24/7 to physicians, clinics and hospitals. Secure access allows providers to:
- Verify patients' BCBSWY coverage
- View claim information
- Retrieve vital BCBSWY information in one place
- Ensure security of data
- Access educational information
- Troubleshoot potential claim issues and expedite claims processing
- Increase efficiency by eliminating telephone inquiries
- Provide information to help patients remain in their chosen network
Claim Inquiry allows Blue Cross Blue Shield of Wyoming (BCBSWY) participating providers to view professional, institutional, dental and vision claims submitted to BCBSWY.
Claim Inquiry gives you the ability to manage your accounts receivable at all times. You can see why an outstanding claim is still in process, as well as verify the information on a processed claim.
Accessing claims information can be done by benefit plan number, patient name or claim number.
The confidentiality of your facility is protected since Claim Inquiry shows you only the claims your office has submitted. Double-clicking on the "Not Paid" and "Discount" amounts will display the reasons for these amounts, eliminating the need for hard copy explanations.
Streamline your registration process and care for your patients as quickly as possible by using THOR's Membership function. BCBSWY participating providers can verify their patient's Benefit Plan, network affiliation and cost share amounts within seconds.
And, depending upon your security, you can also verify whether your patient has Dental and/or Vision coverage.
THOR also helps you and your patient manage their care and remain in their chosen network so they can receive the highest level of benefits available to them.
Membership shows you the effective dates of your patient's coverage and whether or not they are within a waiting period.
Since maintaining a healthy bottom line is paramount to your financial stability, cost share information is available to determine the amount that is your patient’s responsibility.
All of THOR's applications complement each other, and together they make up the wide variety of information you need to work efficiently.
The Provider Directory gives you detailed information about all healthcare providers on file with Blue Cross Blue Shield of Wyoming (active, participating and non-participating providers). You can retrieve information on providers by inquiring on their name, provider type, network, specialty, and city, or in any combination of these. You can also retrieve information by inquiring on their Wyoming Provider Identification Number (PIN).
Provider Directory gives you the tools to help manage your patient's healthcare. Knowing who participates in your patient's healthcare network equips you to help your patients make informed choices when they need a referral for other services.
Since the multi-faceted THOR applications are built to complement each other, you don't need multiple software programs running to access all this diverse information.
- PC using Windows 2000 or XP (THOR will not work on a Mac OS)
- Internet access, minimum 56k dial-up, DSL or cable recommend
- The latest version and Service Pack of Microsoft Internet Explorer with 128-bit encryption
- Most recent version of Adobe Acrobat
- To avoid possible problems, we suggest temporarily disabling pop-up blockers or adding THOR's URL to the blocking software
THOR applications have been tested using the standards listed above. If you have any browser problems, networking issues or other questions concerning THOR, feel free to contact THOR Support Services at 800.544.8467, or e-mail email@example.com.
Please note these requirements are subject to change as services are added or operating systems and browsers are updated.
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Drug list, cost estimator and more.
View BCBSWY guidelines for coverage.
Propose inpatient stay and request specified services.
Find Medical Policy and Precertification/Preauthorization outside Wyoming