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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 quality and cost information – based on claims data – with our network of providers. With this new partnership, we seek to offer transparency and information that benefits both providers and patients.   

About Cave 

Cave Consulting Group, Inc. (CCGroup, Inc.) is an independent company focused on improving effectiveness (quality-of-care) and efficiency (cost-of-care) in the health care delivery system. Health plans throughout the nation use their comprehensive analytical tools to generate practice-level reports. 

Cave Specialty Care Reports

Cave produces reports that analyze our claims data to provide you with a better understanding of area specialty provider quality and cost. The reports give specialty providers insights into the care they’re providing and help PCPs make informed referral decisions for their patients. 

Specialists can request their reports by calling Provider Service at 1-800-950-0051.

Please click the link below to learn more about Cave reports. 

Recent Articles

  • Provider Resource Center to Replace Legacy Provider Website on February 1, 2023
    Beginning on February 1, 2023, we will be redirecting those visiting our legacy provider website ( to the Highmark Provider Resource Center (PRC). The timing of this transition will occur after all Highmark BCBSWNY patients have been moved onto Highmark’s system in January 2023. In this article, you can learn more about this change and how to access important resources on the PRC.
  • New Phone Self-Service Tools
    To help reduce Provider Service call wait times, we’ve introduced new self-service phone tools. When you call Provider Service at 1-800-950-0051, you will hear new voice prompts to help you access patient information, including claims status, eligibility, and benefits without speaking to a representative.
  • Virtual CME Opportunities
    As you consider how to complete required Continuing Medical Education (CME) before the end of the year, we are happy to offer some new CME opportunities. You can earn up to 6 CME credits online at no cost through Highmark’s Population Health University and Coding and Quality Knowledge College. In this article, you can register for online modules, as well as an October webinar.
  • 2023 Vatica Incentive Payment Changes
    Starting January 1, 2023, incentive payments for Vatica Annual Wellness Visits (AWV) will be paid directly from Vatica Health. Payments will be made monthly. This change creates a more streamlined process and eliminates the possibility of incentive payment discrepancies. Here, you can access updated billing grids and view coding guidance.
  • Utilization Management: Coverage and Denial Processes
    Understanding coverage and denial decisions and knowing the right steps to take after an authorization is denied will help your patient get the right care at the right time. This article provides further guidance on the appeal process after an authorization denial.

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