CommercialPrior AuthHigh impact
Prior Authorization Update
Blue Cross Blue Shield of Wyoming·WY·Prior Authorization
We identified it
Jun 19, 2026
Summary
BCBSWY has added two new lists of procedure codes requiring prior authorization on their website - one list always requires prior auth, and another is subject to BCBSWY medical policies. The policy also clarifies that CO252 reject codes with N706 remarks generally don't require medical record submissions.
Action Required
Immediately: Bookmark the BCBSWY prior authorization lists webpage and check it regularly for updates. Update workflow to verify prior authorization requirements using these lists before scheduling procedures. Train staff to recognize CO252 reject codes with N706 remarks and review remittance advice lines for specific requirements rather than automatically submitting medical records. Failure to obtain required prior authorizations will result in claim denials for medical necessity, experimental procedures, or missing authorization.