CommercialPrior AuthMedium impact
Introducing CarePath: What Providers Need to Know
Blue Cross Blue Shield of Wyoming·WY · Orthopedics·Prior Authorization
Effective date
Aug 1, 2026
We identified it
Jun 19, 2026
Summary
BCBSWY is launching CarePath, a new Site of Care program requiring prior authorization for Total Knee surgeries starting August 2026, directing patients to cost-effective care settings. Additionally, a no-cost electronic payment option is now available through Zelis, and providers are reminded that WyoBlue Advantage claim offsets are processed automatically.
Action Required
By June 24, 2025: Register for the CarePath webinar at 10:00 a.m. MST to learn implementation details for the August 2026 Total Knee surgery prior authorization requirements. Immediately: Contact Zelis Provider Support at 855-774-4392 to switch to no-cost electronic payments if currently experiencing ACH fees. Stop sending paper checks for WyoBlue Advantage claim offsets as these are processed automatically.