Wyoming Blue Circle of Excellence 

For Ambulatory Surgical Centers Knee and Hip Replacement

Frequently Asked Questions

We appreciate your interest in the Blue Circle of Excellence for Knees and Hips evaluation process, please thoroughly review this entire application and the supplemental instructions for more details. 

The application process to be evaluated as a Wyoming Blue Circle of Excellence for Knees and Hips is available throughout the year.

We encourage all interested providers to complete the Wyoming Blue Circle of Excellence application for our team to evaluate if you meet the qualification criteria. Please review the application and instructions to gather the information required before submitting online. The online survey must be completed in the same session. Contact provider.relations@bcbswy.com for more details.

Designation as a Wyoming Blue Circle of Excellence Center differentiates you among peers in your community and around the state. From staff and referring physicians to patients and prospective employees, this highly respected designation affirms your program’s expertise in delivering higher quality and more affordable health care for their knee and hip replacement needs. 

BCBSWY is committed to providing consumers and physicians with increased transparency on provider quality and cost. Wyoming Blue Circle of Excellence designations provide consumers and their referring physicians with the information they need to select a provider recognized for delivering quality, cost-efficient specialty care.

Employers also adopt many tactics to help improve the quality of health care for their employees, while also managing cost. Some of these tactics may include offering richer benefits to employees who use designated WY Blue Circle of Excellence providers.

After an initial award, successful applicants must reapply 90-days before the award expiration to continuously remain in the program. The Wyoming Blue Circle of Excellence program award period is three years after the initial award date. Reapplication is required for on-going participation. This process allows all providers to be evaluated against the same selection criteria.

The evaluation process for Blue Circle of Excellence is a win-win proposition for providers. Whether they meet the program selection criteria or not, every provider evaluated receives a customized report providing useful and critical insights into its performance.

Upon completion of the Participation Agreement a toolkit of promotional resources will be made available. Including a sample press release template, social media posts, artwork, and information about how the ASC can promote the designation. BCBSWY will also assist with coordination of the announcement to help amplify this designation to members and employers.  

If you are not accepted into the program, you will receive a report that can provide a foundation for internal discussions with your executive management or medical staff. This report can be used as a tool to assess and improve your program’s quality and cost performance through comparisons to national benchmarks. Applicants may reapply six months after an unsuccessful application or after application issues have been resolved, whichever is later.

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OPEN ENROLLMENT TIME IS HERE!

Find a plan that’s right for you! Now through January 15, 2022.

Employer News

Let us help keep you up-to-speed with large group employer updates and news.

Large Group Employer Updates Coming Soon!

April 2022:

 

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October 2022:

 

January 2023:

Employer FAQ

The Employer FAQ answers questions about accessing your employer account, billing issues, and products from BCBSWY.

Employer Toolkit

The Employer Toolkit features resources and materials to help your employees understand the health care coverage.

Employer Forms

Download and print commonly used Employer forms.

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Employer News

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Blue Cross Blue Shield of Wyoming offers dental and vision only benefits for your business.

Our comprehensive vision coverage lets you focus on your employees with clear coverage from any provider.

Our comprehensive dental coverage gives your employees and their families something to smile about.

For details about Dental and Vision products download the plan brochure:

Ready to Make Blue Work for You?

Our staff will help you build a benefit plan that meets your requirements and fits within your budget.

Call us: 1-800-851-2227

Comprehensive Dental and Vision Coverage

Extensive nationwide network
Optional orthodontia
toothbrush, dental, clean, tooth, medical, brush, teeth
Annual exams
Extensive nationwide network
Out-of-network allowance
Annual exams

Extensive Dental and Vision Network in Wyoming, across the country, and around the world.

With BCBSWY, you have access to...
More than 200 local dental providers in Wyoming
More than 80,000 participating dental providers nationwide
More than 102,000 participating eye care providers nationwide​

This outline does not cover all information contained in the benefit document. Limitations and exclusions do exist. This outline is not a contract.  For exact plan benefits and limitations, please request a copy of the benefit document.

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Employer Toolkits

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We're here to help, Monday - Friday 8:00am to 5:00pm

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How to Register for Your Member Site

How to Access YTD Accum Information

Employer Site Training Guide

Member Site Flyer

Member Site Poster

Understand Your HDHP and HSA

Rx Tools

Find important information on your prescriptions, including how to select a pharmacy, request prescription benefits, and more.

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Employer FAQ

Frequently Asked Questions

The answers you need about accessing your employer account, billing issues, and products from BCBSWY.

FAQ Content

Employer Site

Tell me more about the employer site?

Your employer site enhances how you manage your company’s BCBSWY health plan.
You’re able to:

  • View a summary of your group’s plan(s)
  • Enroll, cancel and reinstate employees and their family members
  • Experience real-time enrollment processing and 24-hour turnaround
  • See enrollment status and history for each employee
  • Make updates to employee information
  • Monitor a census of employees
  • Collect Medicare status
  • Manage COBRA members
  • See your bill and make a payment
  • Get SBCs and Benefit Booklets
  • See your group master agreement
  • Provide support to employees with benefit information, forms and more*
  • Access wellness tools
  • Maintain a record of employees with other coverage
  • View claims (if designated by BCBSWY)
  • Find employer resources including forms and administration guides

What training resources are available for employers?

We think you’ll find the employer site to be intuitive and easy to use. However, if you need additional assistance you can download and print this Employer Site Training Guide.

What materials are available to distribute to my employees?

If you would like to distribute information, you can download and print this Member Site Flyer to give to your employees.

How do I get access to the new employer site?

You need to complete a site authorization form to gain access to the employer site. Contact your BCBSWY agent to complete the form. You will receive an email from BCBSWY online services with a link to finalize the registration.

Billing

Fully Insured Groups

What billing changes can I expect?

After you complete the employer site registration process you can log in to the site and access the enhanced e-Bill feature, which allows you to make electronic payments, see invoices and view billing reports. Invoices are generated on the 5th of every month and due on the 1st of the following month. The e-Bill system can automatically notify you when your invoice is available or if a payment is returned.

Can I still pay my invoice mailing a check or money order?

We recommend payment electronically thru EFT using e-Bill in the employer site. If you prefer to mail a check or money order, please note the new mailing address below:

Blue Cross Blue Shield of Wyoming
PO Box 173704
Denver, CO 80217-3704

Be sure to include the remit coupon with your payment to avoid delay in processing your payment.
Tell me more about the new billing reports?

We’re excited to offer new supplemental billing reports to help you understand the costs of your health plan.

For more information see:

Self-Funded Groups

What billing changes can I expect?

After you complete the employer site registration you can log in to the site and access the enhanced e-Bill feature, which is where you will go to make electronic payments, see invoices and view billing reports. The new e-Bill system will automatically notify you when your invoice is available and the status of each payment transaction.

Claims invoicing occurs each week on Wednesday, and payment is due 24 hours after invoice notification. The invoice includes paid claim expenses from the prior Saturday through close of business Friday.

Administrative expenses will generally be invoiced on the last Wednesday of every month.

View the 2022 Billing Calendar

Tell me more about the new billing reports?

We’re excited to offer new supplemental billing reports to help you understand the costs of your health plan.

For more information see:

Self-Funded Billing Guide

Products

Dental

Tell me more about Dental benefits?

BCBSWY offers a wide array of dental products. For some of these products, we have a claims processing service using United Concordia Dental (UC). Dental benefits are BCBSWY products, and BCBSWY develops, prices, markets and assumes risk for these Blue Dental products. Our members select dental benefits through BCBSWY.

The BCBSWY dental network remains the same, but members also gain access to the Advantage Plus  network. This arrangement allows us to leverage the experience of a national expert with 8.5 million members nationwide, while maintaining a local brand. 

Vision

Tell me more about Vision benefits?

BCBSWY uses Davis Vision as our claims processing service for our vision services products. Vision benefits are BCBSWY products, and BCBSWY develops, prices, markets and assumes risk for these Blue Vision products. Our members select vision benefits through BCBSWY and members have a single membership card and member ID number. Davis Vision provides claims administration services and makes its line of products and materials available to our members.

Davis Vision is a national provider network of ophthalmologists, optometrists and retailers with more than 70,000 points of access in both private practice and retail settings. Our members have access to a national network of eye care providers, which is important for many of our employer groups with employees who live outside of the state of Wyoming.

This arrangement allows us to leverage the experience of a national vendor with 85 million members nationwide, and more than 60 years’ experience in the industry.

Life and Disability Insurance

Tell me about Group Life and Disability Insurance?

BCBSWY uses Dearborn National to support group life and/or disability insurance for administration, billing, and premium collection services for our clients. This means clients have access to the Dearborn National Benefits Manager Portal. The portal offers one-stop access to view a summary of life and disability claim history, submit AD&D claims directly online, add new employees and dependents in real-time, download and pay bills electronically and more.   

Dearborn National invoices clients directly. Premium payments should be directed to:

Dearborn National Life Insurance Company
36788 Eagle Way
Chicago, IL 60678-1367

Spending Accounts

Overview
Tell me more about spending accounts?

BCBSWY uses FurtherSM as the administrator of our spending account products. This relationship helps us offer leading technology for the growing number of consumers choosing spending account products. Further brings 29 years of expertise with proven industry best practices to the spending account arena.

What are the hours of operation of the Further customer service center?

Members will enjoy 24/7 customer service access thru the online Further Member Service Center. You can also reach Further by calling (800-859-2144) Monday-Friday from 6:00 am – 7:00 pm MT.

Contract Questions
What should I expect next in the contracting process?

Further will contact you when needing a new service agreement.

What administrative changes can I expect?

Further processes claims and expenses daily and clients will receive an invoice weekly directly from Further. You also have access to an online site with all the tools you’ll need to manage member enrollment and eligibility, run reports, see group specific product information, and get banking information for claim reimbursement invoices, administrative fee invoices, and contribution files.

Further does not hold FSA/DCAP or HRA payroll elections for groups.

What if I am an existing group that is renewing?

You will complete the Further Change Renewal form only if you have plan design changes, the form is not necessary if no 2020 plan design changes are being made. Please contact your BCBSWY agent for this form. You may also access this form on Learn.HelloFurther.com

Further Portal

How can employers access the Further employer portal?

You will be asked to identify designated contact(s) for the group. Those who have been identified will receive an auto generated email with steps to log in to the portal.

If I have not received an email from Further with instructions on how to sign on to the portal, what should I do?

The designated contact for the group will receive an auto generated email with steps to sign in to the portal. If you have not received this email, ensure the plan design guide has been fully completed and the email has not gone to your spam folder. If you still have not received the email, contact your BCBSWY agent or call the Further Group Leader line at 888-460-4013.

Employee Support

How can employees get more information about their new spending account regulations and guidelines?

Further offers a Learning Center with resources that you can provide your employees to guide them on spending account regulations at Learn.HelloFurther.com

What will employees receive when a new spending account is open?

Employees can expect to receive a welcome letter and verification form in the mail 5-7 days after they are enrolled. It will include the spending account identification number, which can be used to create a member profile at HelloFurther.com.

COBRA Administration

Tell me about COBRA administration?

BCBSWY uses Lifetime Benefit Solutions (LBS) to support COBRA administrative, billing, and premium collection services for our clients. LBS provides the required COBRA notifications to qualified beneficiaries, ensuring compliance with all applicable COBRA laws and requirements.

Our arrangement with LBS provides convenient online access for billing, enrollment, and online payment, including automatic direct debit from bank accounts, through LBS’s Member Web Portal. COBRA groups and members will receive the most up-to-date information regarding initial notices for new hires and qualifying life event notifications and/or extensions.

Not Finding What You're Looking For?

We're here to help, Monday - Friday 8:00am to 5:00pm

1-800-851-2227

Rx Tools

Find important information on your prescriptions, including how to select a pharmacy, request prescription benefits, and more.

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Wellness Programs

Encourage a culture of health in your organization

If your organization is like most, unhealthy employees outnumber those who are healthy. That takes its toll in terms of absenteeism and lost productivity.

We make it easier for your employees to live healthier lifestyles with:

Health Assessment and Fun Wellness Tools

Your employees can get a picture of their health and find tips and fun tools to make choices that are good for them.

A simple online questionnaire will ask about nutrition, weight management, physical activity, stress, and other health related topics. Based on the answers, each employee will be given tailored tips to help make healthy improvements.

They’ll also find fun wellness tools like a symptom checker, healthy recipes, wellness videos and slideshows, healthy calculators, and much more.

Encourage your employees to check it out by logging into their account at YourWyoBlue.com and getting started with the Health Assessment.

Preventative Care

BCBSWY benefits for wellness and preventive services.

Ready to Make Blue Work for You?

Our staff will help you build a benefit plan that meets your requirements and fits within your budget.

Call us: 1-800-851-2227

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Contact Us

Employer Questions, Answered.

You’re in the right place.

Please complete the form below.  Information is confidential and will not be shared with individuals outside of BCBSWY.

Contact BCBSWY
Find an Agent

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BlueSelect for Small Business

50 or Fewer Employees

More than health insurance, BlueSelect gives you and your employees services and programs that can’t be found anywhere else. With choices that give you the level of coverage you want, BlueSelect will help your employees get the best care.

For details about BlueSelect for Small Groups, download the plan brochure:

Ready to Make Blue Work for You?

Our staff will help you build a benefit plan that meets your requirements and fits within your budget.

Call us: 1-800-851-2227

Comprehensive Coverage

checklist-paper-list-checking-check mark-business and finance
Multiple deductible levels
HSA-eligible, high-deductible plan
a
Prescription drug coverage
Maternity care
toothbrush, dental, clean, tooth, medical, brush, teeth
Pediatric dental and vision
Preventative care

Extensive Provider Network in Wyoming, across the country, and around the world.

With BCBSWY, you have access to...
Over 98% of Wyoming providers
100% of Wyoming hospitals
Over 96% of hospitals nationwide
Over 98% of physicians nationwide

Access to doctors and hospitals in over 170 countries and territories around the world.

Access to more than 55,000 pharmacies in Wyoming and nationwide.

Supplemental Products

  • Flexible Spending Account (FSA)
  • High Deductible Health Plans that are Health Savings Account (HSA) eligible
  • Health Reimbursement Arrangement (HRA)
  • Premium Only Plan (POP)
  • Voluntary Life Coverage
  • Accidental Death Coverage
  • Short and Long Term Disability
  • Dental Only Plans
  • Vision Only Plans

Administrative Services

  • Automatic claims filing
  • Cost containment programs
  • Pre-admission review
  • Utilization review
  • Catastrophic case management
  • Coordination of benefits
  • COBRA administration

This outline does not cover all information contained in the benefit document. Limitations and exclusions do exist. This outline is not a contract.  For exact plan benefits and limitations, please request a copy of the benefit document.

Rx Tools

Find important information on your prescriptions, including how to select a pharmacy, request prescription benefits, and more.

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Administrative Services

for Self-Funded, Large Groups (over 50 Employees)

Our commitment to value starts with...

Industry-leading discounts

for health care services

The largest provider networks

across the country and around the world

Nine local offices across Wyoming

to serve you and your employees

We provide...

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  • Brand Recognition – the most widely recognized and accepted health care card
  • Plan flexibility and customization
  • Analysis and stop-loss reinsurance/procurement
  • Analytical & Underwriting support
  • Cash flow protection
  • Dedicated Account Executives and Service Coordinators
  • Lower out-of-pocket costs for your employees
  • Seamless claims processing – direct claims filing by network providers
  • Managed Care Services
  • Membership maintenance via online tools
  • Site visits and employee meetings
  • Prescription drug formulary management

Umatched Provider Networks

You and your employees will have access to provider networks unmatched by any other insurance company. We deliver:

  • Nationwide discounts across in network claims dollars
  • The largest number of providers (depth) and specialists (breadth) supported by a system of other Blue Plans and Blue Cross Blue Shield providers across the country and around the world
  • Freedom of choice with substantial savings
  • Over 90% of Wyoming providers participate
  • Access to doctors and hospitals in nearly 200 countries and territories around the world

Ready to Make Blue Work for You?

Our staff will help you build a benefit plan that meets your requirements and fits within your budget.

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