CommercialCoverageMedium impact
A Word from BCBSWY CMO Joseph Horam M.D.
Blue Cross Blue Shield of Wyoming·WY·Prior Authorization
We identified it
Jun 19, 2026
Summary
BCBS Wyoming CMO provides guidance on COVID-19 testing coverage, confirming PCR testing has no cost share, while clarifying that antibody testing benefits do not apply to surveillance, return to work, or asymptomatic screening purposes.
Action Required
Immediately: Billing team should verify that antibody testing claims are only submitted for diagnostic purposes with symptomatic patients. Do not bill antibody testing for surveillance, return-to-work, or asymptomatic screening as these will not be covered. Ensure respiratory panel testing is individualized rather than routine.