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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.

  • Vaccine Update: COVID-19 and Monkeypox

    August 30, 2022

    With the ongoing COVID-19 pandemic and rising cases of Monkeypox in New York State, we know one of your top priorities is keeping your patients safe. We’ve outlined information about which vaccines are right for your patients according to the most recent CDC guidelines as well as how to access them.
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  • Updated Claims Adjustment Policy

    August 30, 2022

    We’ve updated our claims adjustment policy. Effective January 1, 2022, you will have 365 days from the date of service or date of discharge (for inpatient claims) to request an adjustment on a claim or to submit any corrections for your legacy and Highmark system patients.
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  • Member ID Card and Billing Reminders

    August 30, 2022

    If a patient’s last name is missing a letter on their member ID card, claims should still be submitted with the patient’s complete first and last name. Here, you can also view helpful billing reminders and claims submission guidance.
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  • Medical Protocol Updates Available Online – August 2022

    August 30, 2022

    We recently reviewed several medical protocols. These will be posted online on or before September 1, 2022, and will have an effective date of October 1, 2022, unless otherwise noted. Highmark’s monthly Medical Policy Update Newsletter will be available online on or before August 29.
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  • Updated Drug Therapy Guidelines Available Online - August 2022

    August 30, 2022

    Drug Therapy Guidelines were recently updated for your patients on both the Highmark and legacy systems. Thirty-four (34) 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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  • 2023 Anesthesia Reimbursement Change

    August 23, 2022

    Effective January 1, 2023, our reimbursement policy for anesthesia services will be changing to align with Highmark in accordance with CMS guidance and national standards
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  • 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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