Skip to main content

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.

  • Improving Colorectal Cancer Screening Rates

    March 27, 2020

    While multiple medical and scientific panels recommend colorectal cancer screening, one in three Americans between the ages of 50 and 75 have never been screened as suggested. Here we offer alternate testing options that may help your patients complete this important health screening.
    Continue Reading
  • 2020 Population Health Management

    March 27, 2020

    Our 2020 Population Health Management programs help your BlueCross BlueShield patients manage acute or chronic illnesses to achieve better health outcomes. We review each patient’s case and plan benefits and connect them with one of our care managers who will help support your patient’s medical and psychosocial needs while reinforcing your care plan. You will be provided with updates on your patient when appropriate.
    Continue Reading
  • 2020 BestPractice Performance Adjustment Factor Updates Available

    March 27, 2020

    BestPractice Performance Adjustment Factor (PAF) updates for July 1, 2020 will be available to primary care providers on our secure provider portal beginning April 1.
    Continue Reading
  • CMS Expands Medicare Telehealth Policy

    March 26, 2020

    We are supporting the Centers for Medicare and Medicaid Services (CMS) 1135 waiver to expand Medicare telehealth services for your BlueCross BlueShield patients. This includes allowing you to conduct Annual Wellness Visits (AWVs) on your Medicare Advantage patients through non-HIPAA compliant platforms until CMS revokes the 1135 waiver.
    Continue Reading
  • Accredo is Our New Specialty Pharmacy

    February 20, 2020

    Beginning April 1, 2020, Accredo will become our preferred provider of specialty medications. Accredo will replace CVS in providing these specialty medications for your BlueCross BlueShield patients. Here we outline the process for transitioning self-administered and in-office medications.
    Continue Reading
  • Ensuring Timely Secondary Insurer Payments from BlueCross BlueShield

    February 20, 2020

    Electronically submitting Coordination of Benefits (COB) claims can ensure that they are processed quickly and efficiently. Here we also offer guidance on how to submit electronic Medicare crossover claims when we are the secondary insurer.
    Continue Reading
  • Annual HEDIS Campaign

    February 20, 2020

    February begins our annual HEDIS Medical Record Review campaign. As we do every year, we will be requesting medical records to support the care you provide to your BlueCross BlueShield patients.
    Continue Reading
  • Update to Drug Therapy Guidelines for Stelara and Rituximab

    February 20, 2020

    Updated drug therapy guidelines for Stelara and Rituximab will be posted by March 1, 2020 and effective on April 1, 2020.
    Continue Reading
  • Medical Protocol Updates Available Online

    February 20, 2020

    We recently reviewed 50 medical protocols. Updates will be posted online on or before February 28, 2020 and will have an effective date of April 1, 2020, unless otherwise noted.
    Continue Reading
  • Is Your Information Current?

    January 23, 2020

    Keeping your practice information updated is important so new patients can find you in 2020. Beginning January 2020, we are partnering with BetterDoctor to help us keep our network provider information current. Since BetterDoctor works with many payers in our region, this should make the process more streamlined for your practice.
    Continue Reading

Working with Us

Additional Resources

We want to hear from you! Have a topic request for the next Blue Bulletin? Email us

Stay in Touch! Sign up to receive emails for provider news and information