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Blue Bulletin

Highmark Blue Shield of Northeastern New York strives to provide our network of provider practices and facilities with the most current health plan information in a quick and easily accessible manner.

  • All Patients to be on Highmark’s System by January 2023

    October 28, 2022

    On January 1, 2023, the last of your Highmark Blue Shield of Northeastern New York (Highmark BSNENY) patients will be moved onto Highmark’s system as we complete our phased integration with Highmark. This article provides an overview of what this means for your office, along with important reminders.
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  • New Electronic Provider Forms

    October 28, 2022

    To help simplify the provider enrollment process, we’ve introduced two new forms. Here, you can learn more and access these forms.
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  • 2023 Telehealth Billing and Coding

    October 28, 2022

    In 2023, we will be adopting Highmark’s telehealth reimbursement policy. This policy will be posted to the Provider Resource Center (PRC) and will be effective January 30, 2023. In this article, you can review proper coding and reimbursement changes.
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  • COVID-19 Vaccination and Treatment for Patients with HIV

    October 28, 2022

    The New York State Department of Health (NYSDOH) recently released treatment guidelines for HIV patients who become infected with COVID-19, including recommendations for medications and dosage. Vaccines and treatment for COVID-19 and its variants can help protect those with HIV against serious illness. Here, you can view the guidelines and access helpful resources.
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  • Population Health Clinical Practice Guidelines Available Online

    October 28, 2022

    We are adopting Highmark’s Preventive Health Guidelines. The guidelines are consistent with U.S. Preventive Services Task Force, Bright Futures, Woman’s Preventive Health, and ACIP guidelines. In this article, you can view the guidelines.
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  • Updated Drug Therapy Guidelines Available Online - October 2022

    October 28, 2022

    Drug Therapy Guidelines were recently updated for your patients on both the Highmark and legacy systems. Twenty-three (23) drug therapy guidelines were added or updated recently by a committee that includes local physicians, other prescribers, and pharmacists. Highmark’s recently reviewed and approved drug policy guidelines are now available through the Highmark Provider Resource Center.
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  • Medical Protocol Updates Available Online – October 2022

    October 28, 2022

    We recently reviewed 57 medical protocols. These will be posted online on or before November 1, 2022, and will have an effective date of December 1, 2022, unless otherwise noted. Highmark’s monthly Medical Policy Update Newsletter will be available online on or before October 31.
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  • Process and Authorization Requirement Changes Coming for MSK Procedures and Pain Management, Molecular and Genomic Testing and Radiation Oncology

    October 10, 2022

    Effective January 1, 2023, Highmark Blue Shield of Northeastern New York is making changes to our preauthorization requirements for some musculoskeletal (MSK) procedures and interventional pain management, molecular and genomic testing, and radiation oncology. New and continuing authorization requirements for these types of services will be managed by eviCore.
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  • Provider Resource Center to Replace Legacy Provider Website on February 1, 2023

    September 22, 2022

    Beginning on February 1, 2023, we will be redirecting those visiting our legacy provider website (bsneny.com/provider) to the Highmark Provider Resource Center (PRC). The timing of this transition will occur after all Highmark BSNENY 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.
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  • New Phone Self-Service Tools

    September 22, 2022

    To help reduce Provider Service call wait times, we’ve introduced new self-service phone tools. When you call Provider Service at 1-800-444-4552 or 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.
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