CommercialAdministrativeHigh impact
Reminders and Helpful Tips - May 2, 2019
Blue Cross Blue Shield of Wyoming·WY·Prior Authorization
Effective date
May 2, 2019
We identified it
Jun 19, 2026
Summary
Blue Cross Blue Shield Wyoming has implemented several billing system updates including mandatory taxonomy codes in box 24j with 'ZZ' indicator, new prior authorization requirements for inpatient stays regardless of procedure authorization, NCCI compliance requiring specific modifiers, and updated member ID prefixes. The policy also provides corrected fax numbers and emphasizes using organization billing NPI instead of physician NPI for eligibility inquiries.
Action Required
Immediately: Billing team must update claim forms to include taxonomy codes in box 24j with 'ZZ' indicator in box 24i. Update prior authorization workflows to require separate hospital stay authorization even when procedure authorization exists. Verify all claims use organization billing NPI, not physician NPI. Update member ID recognition systems for new prefixes (ZSK, ZSC, ZSM, etc.). Review NCCI compliance and add required modifiers to prevent claim returns. Update fax distribution lists with new authorization (307-432-2917), concurrent review (307-432-2756), appeals (307-432-2942), and medical records (307-635-9366) numbers.