Bluecross Blueshield of Western New York Home

Medicaid & CHP Providers

Welcome, providers!

Resources that help health care professionals do what they do best — care for our members.

At BlueCross BlueShield of Western New York (BlueCross BlueShield), we value you as a provider in our network. That is why we have designed the provider site to make it more useful for you and easier to use.

Interested in joining our provider network? We look forward to working with you to provide quality services to our members.

COVID-19 information

BlueCross BlueShield is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners.

Availity access

The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.

At Availity, you can:

Request authorizations
Submit claims
Confirm eligibility

Don’t have an Availity account?

Provider news

The latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.

Provider updates

Update: Notice of changes to the AIM Musculoskeletal Program

Effective November 1, 2020, according to the AIM Level of Care guideline, it is generally appropriate to perform joint codes (CPT® codes 27130, 29871, 29892) and four spine codes (CPT codes 22633, 22634, 63265 and 63267) in a hospital outpatient setting.

 

Personal protective equipment billing to members

In accordance with New York State Insurance Circular Letter No. 14, released on August 5, 2020, BlueCross BlueShield reminds participating providers that they are unable to bill patients for the providers’ use of personal protective equipment (PPE) during in-person visits for covered services.

AIM advanced imaging clinical appropriateness guideline updates

Updates will apply to the AIM Specialty Health® advanced imaging of the chest, vascular imaging and AIM oncologic imaging clinical appropriateness guidelines.

AIM musculoskeletal program clinical appropriateness guideline updates

Updates will apply to the AIM Specialty Health® musculoskeletal program joint surgery, spine surgery and interventional pain clinical appropriateness guidelines.

August 2020 Provider Newsletter

The latest Provider Newsletter from BlueCross BlueShield of Western New York.

Featured resources

Pharmacy Information

Search for up-to-date drug information, including hundreds of brand-name and generic medications.

Maternal child program

We offer a proactive case management program for expectant mothers and their newborns. The My Advocate™ program provides pregnant women with proactive outreach and education through interactive voice response (IVR), text or smartphone application.

Behavioral health provider

We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts, and other resources to meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.

Provider tools and resources

Interested in becoming a provider in the BlueCross BlueShield network?

We look forward to working with you to provide quality service for our members.