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Blue Bulletin

BlueCross BlueShield of WNY strives to provide our network of provider practices and facilities with the most current health plan information in a quick and easily accessible manner.

  • Getting to Know Highmark: What the Affiliation Means for Local Providers

    April 23, 2021

    When our affiliation with Highmark was announced in March, it completed a years-long search for the right partner -- one that could embrace the “localness” of BlueCross BlueShield of Western New York and offer the resources to patients and providers that only a larger organization could. Mike Edbauer, DO, who serves as President, Highmark Blue Cross Blue Shield of Western New York, appreciates the shared philosophy of the two plans. “Highmark has more advanced systems and is making major technological investments that will bring an entirely new level of meaningful clinical support,” Dr. Edbauer said.
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  • COVID-19 Vaccine Data Now Available in HEALTHeLINK

    April 23, 2021

    You can now view your patients’ COVID-19 vaccine status data in HEALTHeLINK. This feature can also be used to encourage your patients who have not yet been vaccinated to make their vaccine appointment. Read more for additional information and to register with HEALTHeLINK if you aren’t already registered.
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  • Substance Use Disorder and the Pandemic

    April 23, 2021

    Substance use rates, particularly alcohol use, have increased in our community during the COVID-19 pandemic. With this increase, it is important to discuss substance use with your patients and intervene earlier in substance use disorder cases. Here, you can view alcohol abuse screening recommendations, patient referral information, and additional resources to help your patients.
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  • Rise in STIs – Women of Color Disproportionately Impacted

    April 23, 2021

    Sexually transmitted infection (STI) cases are on the rise in New York State, disproportionality impacting women of color. These alarming trends make it even more critical to speak to your patients about their sexual health and encourage them to get tested. In this article, Dr. Hope Fisher explores the numbers behind these recent developments and provides an overview of STI testing recommendations.
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  • New Requirements for Member ID Cards

    April 23, 2021

    New state and federal regulations require that additional information be added to some of your BlueCross BlueShield patients’ member ID cards. Beginning May 1, 2021, we will be sending updated cards to some of your patients.
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  • Q1 2021 Updated Drug Therapy Guidelines and Medical Protocols Available Online

    April 23, 2021

    55 drug therapy guidelines were recently added or updated with a committee of local physicians, other prescribers, and pharmacists. We also recently reviewed 53 medical protocols.
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  • COVID-19 Impact: Addressing Food Insecurity

    March 26, 2021

    The COVID-19 pandemic has led to increased food insecurity in Western New York. If some of your patients are struggling, there are many organizations stepping up to help. Here we highlight local resources and BlueCross BlueShield health coaching services that can assist your patients in need.
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  • Mammography and COVID-19 Vaccination

    March 26, 2021

    Temporary swollen lymph nodes are an expected bodily response after receiving a COVID-19 vaccine. New guidelines suggest considering when your patients have had, or are scheduled for, their COVID-19 vaccine when scheduling routine screening mammography.
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  • The Benefits of Creating an Online Account

    March 26, 2021

    Do you want easy access to important payment and incentive information as well as patient benefits? Create an online account with us. We’ve outlined some of the resources found on our BlueCross BlueShield secure provider portal, along with instructions for creating an account with your own login and password.
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  • Coding for Early Intervention Services

    March 26, 2021

    Proper use of modifiers can help avoid claim denials and incorrect payments. As a reminder, Early Intervention Services (EIS) therapy claims must include the TL modifier on the claim in the first position.
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