When you visit providerpublic.mybcbswny.com/provider (and any other registered domains of Highmark BCBSWNY) or send e-mails to us, you are communicating with us electronically. You consent to receive communications from us electronically. We will communicate with you by e-mail or by posting notices on this site. You agree that all agreements, notices, disclosures and other communications that we provide to you electronically satisfy any legal requirement that such communications be in writing.
Use of material
The contents of this web site contain Personal Health Information as defined under the Health Insurance Portability and Accountability Act (HIPAA) of 1996 and any applicable amendments. By accessing this information, the user agrees to abide by the applicable state and federal laws and regulations as well as any health plan policies and procedures governing privacy.
All content included on this site, such as text, graphics, logos, button icons, images, audio clips, digital downloads, data compilations and software, is the property of Highmark BCBSWNY or its content suppliers and protected by United States and international copyright laws. The compilation of all content on this site is the exclusive property of Highmark BCBSWNY and protected by all applicable U.S. and international copyright laws. All software used on this site is the property of Highmark BCBSWNY or its software suppliers and protected by United States and international copyright laws as applicable.
License and site access
Highmark BCBSWNY grants you a limited license to access and make use of this site and not to download (other than page caching) or modify it, or any portion of it, except with express written consent of Highmark BCBSWNY. This license does not include any derivative use of this site or its contents; any downloading or copying of account information for the benefit of another; or any use of data mining, robots, or similar data gathering and extraction tools. This site or any portion of this site may not be reproduced, duplicated, copied, sold, resold, visited or otherwise exploited for any purposes other than those intended between the provider and applicable Highmark BCBSWNY entity without express written consent of Highmark BCBSWNY. You may not frame or utilize framing techniques to enclose any trademark, logo, or other proprietary information (including images, text, page layout, or form) of Highmark BCBSWNY and our affiliates without express written consent. You may not use any meta tags or any other "hidden text" utilizing the Highmark BCBSWNY name or trademarks without the express written consent of Highmark BCBSWNY. Highmark BCBSWNY granting access to this site to you shall not be construed as granting to you any license under any trademark, copyright, or invention controlled by Highmark BCBSWNY. Any unauthorized use terminates the permission or license granted by Highmark BCBSWNY. You are granted a limited, revocable, and nonexclusive right to create a hyperlink to the home page of Highmark BCBSWNY so long as the link does not portray Highmark BCBSWNY, its affiliates, or their products or services in a false, misleading, derogatory, or otherwise offensive matter. You may not use any Highmark BCBSWNY logo or other proprietary graphic or trademark as part of the link without express written permission.
If you use this site, you are responsible for maintaining the confidentiality of your account and password and for restricting access to your computer, and you agree to accept responsibility for all activities that occur under your account or password. Highmark BCBSWNY reserves the right to refuse service, terminate accounts, remove or edit content, in their sole discretion.
Content of materials
The materials included within this website, with the exception of information already located within the public domain, include copyrighted material, trademarks, and other proprietary information. In the event that certain information contained within the website is provided by third parties. For such third-party information, Highmark BCBSWNY cannot represent or guarantee the truthfulness, accuracy or reliability of the information.
Highmark BCBSWNY cannot warrant that the website will operate error free. There is no representation by Highmark BCBSWNY that this website and underlying server are free of computer viruses and other harmful goods. Highmark BCBSWNY does not warrant that this site will always be available, accessible, uninterrupted, timely, secure, accurate, complete or error-free, nor Highmark BCBSWNY warrant any connection to or transmission from the internet.
Parties other than Highmark BCBSWNY provide services. In addition, we may provide links to the sites of affiliated companies and certain other businesses. We are not responsible for examining or evaluating, and we do not warrant the offerings of, any of these businesses or individuals or the content of their Web sites. Highmark BCBSWNY does not assume any responsibility or liability for the actions, product, and content of all these and any other third parties. You should carefully review their privacy statements and other conditions of use.
Fraud and abuse
All authorized users agree that the website and information will not be used in violation of any laws including without limitation, those laws or regulations relating to fraud and abuse, anti-kickback provisions of Medicare and Medicaid laws.
User agrees to indemnify and hold Highmark BCBSWNY and its officers, directors, agents, subsidiaries, and employees harmless from any claim or demand (including attorneys' fees) made or incurred by any third party due to or arising out of your use of this web site or your violation of any law or the rights of a third party relating to your use of the web site.
Any dispute among the parties hereto shall be governed by and construed in accordance with the laws of the Commonwealth of Virginia, without regard to conflict of laws principles. Each party hereby irrevocably consents, in any dispute, action, litigation or other proceeding to the jurisdiction of the state and federal courts wherein lies venue for the City of Virginia Beach, Virginia, and irrevocably waives, to the fullest extent permitted by law, the defense of an inconvenient forum to the maintenance of such suit, action or proceeding in such court and further waives the right to object, with respect to such suit, action or proceeding, that such court does not have jurisdiction over such party or that venue is improper.
Provider tools and resources
- Log in to Availity
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- Learn about Availity
- Precertification lookup tool
- Precertification requirements
- Claims overview
- Member eligibility & pharmacy overview
- Provider manual and guides
- Training Academy
- Pharmacy information
- Electronic Data Interchange (EDI)