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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.

  • New Apex Network to Debut January 2021

    September 24, 2020

    BlueCross BlueShield is offering a new plan to small groups for January 2021 that will include a network of high-performing provider practices.
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  • BestPractice Performance Adjustment Factor Updates for January 1, 2021

    September 24, 2020

    BestPractice Performance Adjustment Factor (PAF) updates for January 1, 2021 will be available October 1 on our secure provider portal for primary care providers in BestPractice.
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  • DFS Guidance for Personal Protective Equipment (PPE) Costs

    September 24, 2020

    In accordance with New York Department of Financial Services (DFS) Circular Letter 14 your BlueCross BlueShield patients should not be charged any fees for personal protective equipment (PPE). This includes High-Deductible Health Plan (HDHP) and HSA plan patients.
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  • Pandemic Makes Early, Widespread Flu Vaccinations a Necessity

    August 28, 2020

    As the COVID-19 pandemic continues, the Centers for Disease Control and Prevention (CDC) are encouraging early and widespread flu vaccinations. Health care professionals play a critical role in helping to ensure their patients get vaccinated. In this article, we provide updated CDC flu recommendations and resources, and offer comprehensive 2020-2021 flu vaccine information.
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  • Provider Insights with Cave Analytics Reports

    August 28, 2020

    BlueCross BlueShield has partnered with Cave Analytics to help us objectively share specialty provider quality and cost information with our network of providers. With this new partnership, we seek to offer transparency and information that benefits both providers and patients.
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  • Wellframe for Behavioral Health and Beyond

    August 28, 2020

    It’s important for patients to have behavioral health support when navigating stress caused by the pandemic. Wellframe is a digital care management solution that connects patients directly to a nurse, care manager, or health coach. This resource, offered by BlueCross BlueShield, can help your patients achieve better health outcomes with programs for behavioral health issues and over a dozen other health conditions.
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  • 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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