Skip to main content

Blue Bulletin

BlueShield of Northeastern NY strives to provide our network of provider practices and facilities with the most current health plan information in a quick and easily accessible manner.

  • United Concordia to Handle Dental Claims and Customer Service

    October 07, 2021

    Highmark Blue Shield of Northeastern New York has selected United Concordia Dental (UCD) to administer claims and manage customer service for our dental plans. UCD will process claims for your patients who have been moved onto Highmark’s system beginning January 1, 2022. Throughout 2022, your Highmark BSNENY patients will gradually be moved onto UCD’s system.
    Continue Reading
  • Coadministration of COVID-19 and Flu Shots

    September 27, 2021

    As new COVID-19 variants emerge while we prepare for the 2021-22 flu season, it’s important to remind your patients about scheduling their annual flu shot. According to the Centers for Disease Control and Prevention (CDC), COVID-19 vaccines can be administered with other vaccines at the same time, including the annual flu shot. In this article, you can find CDC guidance and view additional resources.
    Continue Reading
  • Caring for FEP Members Moving onto Highmark’s System

    September 27, 2021

    On November 1, Federal Employee Program (FEP) members will be the first group to move onto Highmark’s system. If your practice cares for FEP members who are covered by Highmark Blue Shield of Northeastern New York, we want to provide some guidelines for working with us. Learn more about changes with certain processes including ID cards, preauthorization, and claims status/inquiry.
    Continue Reading
  • Behavioral Health Facility Changes for Patients on Highmark’s System

    September 27, 2021

    Proper use of modifiers is important in ensuring accurate reimbursement. Beginning November 1, 2021, all behavioral health providers who are overseen by the NYS Office of Mental Health (OMH) or NYS Office of Addiction Services and Supports (OASAS) and bill on a UB04 format will need to bill appropriate modifiers explained here.
    Continue Reading
  • Highmark Rebranding Update

    September 27, 2021

    As part of the Highmark affiliation, our local market name has changed to Highmark Blue Shield of Northeastern New York. You will start to see our new name and logo more often on communications, emails, webpages, and your patients’ ID cards.
    Continue Reading
  • New Vatica HRA Program

    September 27, 2021

    From October 1, 2021 through December 31, 2021, you can earn incentives for closing gaps in your patients’ care. Some of your Highmark Blue Shield of Northeastern New York commercial patients may be eligible for a Vatica Health Risk Assessment (HRA).
    Continue Reading
  • Performance Adjustment Factor (PAF) Updates for January 1, 2022

    September 27, 2021

    Performance Adjustment Factor (PAF) updates for primary care providers (PCPs) who have value-based contracts will be available on October 1.
    Continue Reading
  • Updated Maternity Collaborative Clinical Practice Guideline

    September 27, 2021

    The Maternity Collaborative Clinical Practice Guidelines have been reviewed, updated, and approved by our Quality Management Committee (QMC) and can be viewed online at bsneny.com/provider > Policies & Guidelines > Practice Guidelines.
    Continue Reading
  • Highmark Medical Policy Updates Available Online

    September 27, 2021

    Highmark’s monthly Medical Policy Update Newsletter will be available online on or before September 27.
    Continue Reading
  • Vision Claims Processing During the Highmark Affiliation

    September 21, 2021

    As part of our affiliation with Highmark, we will begin gradually moving your Highmark Blue Shield of Northeastern New York patients onto Highmark’s system starting January 1, 2022. In addition, these patients’ routine vision claims will need to be processed by Davis Vision as they move onto Highmark’s system.
    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