CommercialAdministrativeHigh impact
Claims Editing, Blue Circle of Excellence Designation & More
Blue Cross Blue Shield of Wyoming·WY·Provider Update
Effective date
Mar 1, 2023
We identified it
Jun 19, 2026
Summary
BCBSWY is implementing advanced claims editing tools beginning March 2023 to automatically review claims for coding accuracy. New duplicate services policy will deny duplicate technical components, professional components, and drug codes when billed by different providers for the same service and date.
Action Required
Before March 2023: Billing team must prepare for advanced claims editing implementation by reviewing current coding practices for accuracy. Immediately implement duplicate services policy by ensuring only one provider bills technical components, professional components, or drug codes per service date. Monitor BCBSWY communications over the next several months for specific error types the editing tools will target.