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Site Section: Providers

Prior Authorization Requests

As we transition to a new utilization management system, you may experience a longer than usual wait time for prior authorization approvals including preadmission reviews. One of the coming enhancements is a new fax system that will allow PAR requests to be received digitally and automated into our new system. In the future, this will significantly reduce the response time on authorization requests.

Some important things to note that will help expedite requests:

  • NEW! Authorization Request form available at: BCBSWY.com/docs/providers/precertification.pdf and attached to this email.
  • NEW! Fax Number effective 9/17/18 fax authorization requests to 307-432-2917
  • Autofax Response an automatic fax response when a determination is made, followed by mail confirmation.

We know this is an inconvenience for the immediate future and we appreciate your patience. We’re working to add other changes to our system that will make the prior authorization process easier, faster and more efficient for providers.

New and Updated Medical Policies

Effective September 1, 2018, BCBSWY has updated, and added new medical policies. These updated policies will offer clarification to authorization requests or claims denials and are necessary to support our new claims processing system. You can access our updated medical policies through the BCBSWY Availity payer space or by clicking here.

For the time being, updated policies will be available to view in THOR. In the near future, medical policies will be available through Availity or BCBSWY.com in an easy-to-search format.

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