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CommercialPrior AuthMedium impact

Claim Reprocessing Requests; Mental Health and Substance Abuse

Blue Cross Blue Shield of Wyoming·WY · Psychiatry·Prior Authorization
Effective date
Not stated
We identified it
Jun 19, 2026
Days to comply
—

Summary

BCBSWY now recommends resubmitting authorization requests for denied claims instead of appeals, promising 30-day turnaround versus significantly longer appeal times. Additionally, BCBSWY will no longer accept consolidation codes G2087 and G2088 for mental health and substance abuse services - providers must bill individual service codes instead.

Action Required

Action needed
Immediately: 1) Billing team must update workflow to resubmit authorization requests (not appeals) for BCBSWY claims denied for 'no authorization' - include claim number on cover page or fax. 2) Stop billing consolidation codes G2087 and G2088 for mental health/substance abuse services. 3) Update billing system to use individual service codes instead of consolidation codes for mental health and substance abuse claims.

Affected Billing Codes

G2087
G2088

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