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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.

  • Medical Protocol Updates Available Online – May 2022

    May 26, 2022

    Highmark’s monthly Medical Policy Update Newsletter will be available online on or before May 30. These medical protocol updates may impact your patients who have moved onto Highmark’s system.
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  • Billing Preventive and Diagnostic Services for Highmark System Patients

    April 27, 2022

    Previously, we aligned our preventive lab services to include only U.S. Preventive Services Task Force (USPSTF) recommendations for your patients who have moved onto Highmark’s system. We’ve made the decision to continue with our 2021 preventive reimbursement schedule for preventive labs throughout 2022, which will allow providers the opportunity to adjust to these changes. Labs and screenings that may have previously denied will be adjusted as appropriate for both providers and patients. In this article, you can view the affected preventive labs as well as coding guidance for diagnostic services.
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  • Keep Your Information Current with BetterDoctor

    April 27, 2022

    It’s important that you respond and attest to BetterDoctor’s quarterly outreach. When you update your demographic information with us, you will need to also contact BetterDoctor’s Customer Service team to let them know about any changes. In this article, you can learn how to submit updates.
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  • NYS Advisory: Increase in Syphilis Infection Rates

    April 27, 2022

    In June 2021, the New York State Department of Health (NYSDOH) Office of Sexual Health and Epidemiology issued a health advisory about an increase of congenital syphilis in New York State. Today, cases of syphilis and congenital syphilis continue to rise across the state. Here, you can review the advisory and guidelines for syphilis screening and prevention.
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  • Medical Protocol Updates Available Online – April 2022

    April 27, 2022

    We recently reviewed 48 medical protocols. These protocols will be posted online on or before May 1, 2022, and will have an effective date of June 1, 2022, unless otherwise noted. Highmark’s monthly Medical Policy Update Newsletter will be available online on or before April 25, 2022.
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  • Using the Highmark Provider Resource Center (PRC)

    March 29, 2022

    The Highmark PRC is the central source for all provider-related information for patients who have moved onto Highmark’s system. Since our affiliation with Highmark, we’ve been directing you to the PRC in our webpages and email communications. There are many tools and resources on the PRC to answer your questions, help reduce administrative burden and assist with processes related to these patients.
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  • Colorectal Cancer Screening

    March 29, 2022

    Age is one of the most important risk factors for colorectal cancer. In 2021, the U.S. Preventive Services Task Force (USPSTF) updated their colorectal cancer screening recommendations for people of average risk from 50 to 45 years of age. Please speak with your patients who are 45 or older about the importance of colorectal cancer screening and help them determine the right test for them. In this article, you can review screening options and risk factors.
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  • Immunization Schedule Updates for 2022

    March 29, 2022

    The Advisory Committee on Immunization Practices (ACIP) at The Centers for Disease Control and Prevention (CDC) has released updated vaccination schedules. To help you keep your patients healthy, we want to highlight new recommendations for Shingles (Zoster), Pneumonia, and Dengue vaccines. Here, you can also access ACIP vaccination schedules.
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  • NYS Mandate: Billing for Early Intervention Services

    March 29, 2022

    In accordance with a recent New York State mandate beginning January 1, 2022, Highmark Blue Shield of Northeastern New York will no longer pay claims for early intervention services (EIS). In this article, you can find out where to send claims and what to do to request payment.
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  • New Forms for Medical Providers – Available Online Now

    March 29, 2022

    To streamline our provider information management system and comply with the No Surprises Act (NSA) that took effect January 1, 2022, new provider change forms are now available on our provider forms page. Here, you can view these new forms.
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