CommercialPrior AuthMedium impact
Claims Submission and Billing Practices
Blue Cross Blue Shield of Wyoming·WY·Prior Authorization
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Summary
Blue Cross Blue Shield of Wyoming reinforces that contracted providers must submit claims on behalf of members and prohibits pass-through billing, which violates provider agreements. A new Gold Carding Program launches January 1, 2026, to streamline prior authorization for providers with high approval rates.
Action Required
Immediately: Ensure all claims are submitted directly on behalf of BCBS Wyoming members - do not use pass-through billing as this violates provider agreements. By January 1, 2026: Eligible providers with ≥5 prior auth requests and ≥90% approval rates for specific CPT/HCPCS codes should watch for Gold Carding Program notifications to streamline prior authorization processes. Contact Provider Relations at 1-888-666-5188 with questions.