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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.

  • Suboxone to be Paid Fee-For-Service for BestPractice

    August 28, 2020

    Medication-assisted treatment (MAT) with Suboxone will now be paid as fee-for-service for BestPractice providers.
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  • Clinical Editing for Modifier 78

    August 28, 2020

    Starting December 1, use of Modifier 78 will be processed through our clinical editor, instead of being adjusted on a post-payment basis. This will allow claims to process correctly. Here, we offer more information on Modifier 78.
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  • Updated Provider Inquiry Form

    August 28, 2020

    We have updated our Provider Inquiry form to ensure these forms are processed in an efficient and timely manner. Here, you can access the new form and learn more about the provider inquiry process.
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  • Medical Protocol Updates Available Online

    August 28, 2020

    We recently reviewed 50 medical protocols. These will be posted online on or before September 1, 2020 and will have an effective date of October 1, 2020, unless otherwise noted.
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  • New Drug Therapy Guidelines Effective October 1, 2020

    August 28, 2020

    Drug Therapy Guidelines were added or updated and will be posted on our website by September 1, 2020 and will be effective on October 1, 2020:
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  • Pregnancy During the COVID-19 Pandemic

    July 24, 2020

    For many pregnant women, the COVID-19 pandemic has raised new questions about how to get the care they need while staying healthy. According to the Centers for Disease Control and Prevention (CDC), pregnant women might be at a higher risk for severe illness or hospitalization if they contract COVID-19 and they may need additional support during these unprecedented times. Here, we offer guidance and resources for your pregnant patients.
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  • CDE-A Program Helps Diabetic Patients Lower A1C

    July 24, 2020

    Our Certified Diabetes Educator Ambassador (CDE-A) program has helped diabetic patients lower their A1C by one full point. As the COVID-19 pandemic continues to raise challenges for people with chronic conditions, this program helps your BlueCross BlueShield patients manage their diabetes and overall health at no cost to them. Find out how your patients can benefit from this supportive program.
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  • Reminder: Ancillary Claims Must Be Approved by Supervising Physician

    July 24, 2020

    To ensure proper processing and avoid denials or rejections, ancillary claims, lab orders, specialty pharmacy prescriptions, and referrals for your BlueCross BlueShield patients must be completed in full by the supervising physician of record.
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  • The Impact of COVID-19 on Diabetes in Our Community

    July 24, 2020

    It has been widely reported that people with diabetes are especially vulnerable to serious complications from COVID-19 infection. Our webinar, “The Impact of COVID-19 on Diabetes in Our Community” featured local thought leaders to address this concern and offer diabetes care resources to Western New York providers. Here you can view the recording and learn more.
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  • Drug Therapy Guidelines Updates July 2020

    July 24, 2020

    New drug therapy guidelines have been developed with the guidance of our Pharmacy and Therapeutics Committee. These guidelines will be posted by August 1 and will be effective September 1. Five medications will require preauthorization.
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