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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.

  • Right Start Prenatal Program Transition for 2023

    August 17, 2022

    Beginning January 1, 2023, Right Start prenatal and home visiting programs for high-risk pregnancies will no longer be continuing for your Highmark Blue Shield of Northeastern New York patients. Your Highmark BSNENY patients that are enrolled in Right Start and still need support into 2023 will be transitioned into our High-Risk Maternity Specialty Case Management program.
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  • Improving Patient Satisfaction with CAHPS and HOS Surveys

    July 26, 2022

    The Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Medicare Health Outcomes Survey (HOS) are patient surveys that affect CMS star ratings – for you and for us. Improving patient experience leads to better health outcomes for your patients and helps support gap closure programs. In this article, you can find tips to help your office improve patient satisfaction, as well as additional information about these surveys.
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  • Reminder: Working with BetterDoctor

    July 26, 2022

    Highmark Blue Shield of Northeastern New York partnered with BetterDoctor in 2020 to help keep our network provider information current. As part of our network, you can expect to receive emails from BetterDoctor and should not hesitate to respond to their outreach.
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  • Congratulations to New York State HPV Vaccination Honor Roll Award Winners

    July 26, 2022

    We want to congratulate several provider offices for achieving superior youth human papillomavirus (HPV) vaccination completion rates in their practice. Despite strong education efforts, youth HPV vaccination rates continue to remain low. According to the NYS HPV Coalition, at least 30% of adolescents in New York State are not fully vaccinated against HPV. Here, you can view the winners and find additional information about HPV vaccination.
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  • Diabetes Prevention Program for Medicare Advantage Patients - 2022

    July 26, 2022

    As a reminder, the Medicare Diabetes Prevention Program (M-DPP) is a no-cost program to help your Highmark Blue Shield of Northeastern New York Medicare Advantage patients with prediabetes manage their condition. This evidence-based, CDC-recognized program helps educate and offer support for older adults diagnosed with prediabetes or who are at high risk for developing Type 2 diabetes. In this article, you can learn more about the program and refer your eligible patients.
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  • Medical Protocol Updates Available Online – July 2022

    July 26, 2022

    Highmark’s monthly Medical Policy Update Newsletter will be available online on or before July 25.
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  • Reminder: Proper Billing for Behavioral Health Providers

    July 25, 2022

    As a reminder, behavioral health providers must include the correct taxonomy and performing provider information (when applicable) on 837P and CMS 1500 claims for Legacy and Highmark system patients. Doing so ensures your claims are processed correctly.
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  • LabCorp Update for Highmark Patients

    July 20, 2022

    We are aware of a recent document distributed by LabCorp indicating that they are a participating lab for Highmark patients in Upstate New York. Please note: LabCorp is considered out-of-network for ALL Highmark patients regardless of where their plan is based (this includes Delaware, Pennsylvania, New York, and West Virginia).
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  • Dental and Oral Surgery Claims to be Processed by United Concordia Dental (UCD)

    June 30, 2022

    Dental and oral surgery claims for your Highmark Blue Shield of Northeastern New York patients who are on Highmark’s system, need to be sent directly to United Concordia Dental (UCD). This includes any oral surgery claim that uses a code beginning with “D.”
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  • Introducing Kayvin Robertson, Vice President, Provider Contracting and Relations

    June 28, 2022

    We are excited to introduce our newly appointed Vice President, Provider Contracting and Relations at Highmark Blue Shield of Northeastern New York, Kayvin Robertson. Robertson will be working with our network providers and managing provider agreements. In addition, he’ll develop innovative provider reimbursement programs that will allow our providers to deliver the best health care to their patients. In this article, you can learn more about Robertson, including his background and vision for provider partnerships in the Capital Region.
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