CommercialPrior AuthHigh impact
Inpatient Prior Authorizations & Concurrent Review Using Availity
Blue Cross Blue Shield of Wyoming·WY·Prior Authorization
Effective date
Apr 1, 2021
We identified it
Jun 19, 2026
Summary
BCBSWY now requires all inpatient prior authorizations and concurrent reviews to be submitted through the Availity portal effective April 1st. Special procedures are outlined for newborn authorizations, and COVID-19 treatment cost-sharing waivers are extended through December 31, 2021.
Action Required
Immediately: Billing team must transition all BCBSWY inpatient prior authorization and concurrent review submissions to the Availity portal. For newborn authorizations requiring additional days beyond mother's stay, submit separate authorization under mother's name with clinical documentation specifying newborn care. For multiple births, call 1-800-251-1814 for authorization. Update workflow procedures to ensure all inpatient admissions follow new portal requirements.