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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.

  • United Concordia to Handle Dental Claims and Customer Service

    October 07, 2021

    Highmark Blue Cross Blue Shield of Western New York has selected United Concordia Dental (UCD) to administer claims and manage customer service for our dental plans. UCD will process claims for your patients who have been moved onto Highmark’s system beginning January 1, 2022. Throughout 2022, your Highmark BCBSWNY patients will gradually be moved onto UCD’s system.
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  • Coadministration of COVID-19 and Flu Shots

    September 27, 2021

    As new COVID-19 variants emerge while we prepare for the 2021-22 flu season, it’s important to remind your patients about scheduling their annual flu shot. According to the Centers for Disease Control and Prevention (CDC), COVID-19 vaccines can be administered with other vaccines at the same time, including the annual flu shot. In this article, you can find CDC guidance and view additional resources.
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  • Caring for FEP Members Moving onto Highmark’s System

    September 27, 2021

    On November 1, Federal Employee Program (FEP) members will be the first group to move onto Highmark’s system. If your practice cares for FEP members who are covered by Highmark Blue Cross Blue Shield of Western New York, we want to provide some guidelines for working with us. Learn more about changes with certain processes including ID cards, preauthorization, and claims status/inquiry.
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  • Behavioral Health Facility Changes for Patients on Highmark’s System

    September 27, 2021

    Proper use of modifiers is important in ensuring accurate reimbursement. Beginning November 1, 2021, all behavioral health providers who are overseen by the NYS Office of Mental Health (OMH) or NYS Office of Addiction Services and Supports (OASAS) and bill on a UB04 format will need to bill appropriate modifiers explained here.
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  • Highmark Rebranding Update

    September 27, 2021

    As part of the Highmark affiliation, our local market name has changed to Highmark Blue Cross Blue Shield of Western New York. You will start to see our new name and logo more often on communications, emails, webpages, and your patients’ ID cards.
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  • New Patient Care Programs: Vatica HRA Program and Matrix House Call

    September 27, 2021

    Starting October 1, 2021, our partners Matrix Medical Network and Vatica Health are offering two new opportunities for you to close gaps and earn incentives for your eligible Highmark Blue Cross Blue Shield of Western New York (Highmark BCBSWNY) patients.
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  • BestPractice Performance Adjustment Factor Updates for January 1, 2022

    September 27, 2021

    BestPractice Performance Adjustment Factor (PAF) updates for January 1, 2022 will be available October 1 on our secure provider portal for primary care providers in BestPractice.
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  • Updated Maternity Collaborative Clinical Practice Guideline

    September 27, 2021

    The Maternity Collaborative Clinical Practice Guidelines have been reviewed, updated, and approved by our Quality Management Committee (QMC) and can be viewed online at bcbswny.com>>/provider > Policies & Guidelines > Practice Guidelines.
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  • Highmark Medical Policy Updates Available Online

    September 27, 2021

    Highmark’s monthly Medical Policy Update Newsletter will be available online on or before September 27.
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  • NYSDOH Health Advisory: Erie and Monroe Counties See Increase in HIV Cases

    September 27, 2021

    The New York State Department of Health (NYSDOH) has reported an increase in HIV cases across Erie and Monroe counties since early 2020. Cases have continued to rise throughout 2021.
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