Medical Policy Update is a monthly newsletter for the health care providers who participate in our networks and submit claims to Highmark Blue Cross Blue Shield of Western New York (Highmark BCBSWNY) using the appropriate HIPAA transactions or claim forms as required by Highmark BCBSWNY. This publication focuses only on medical policy and claims administration updates, including coding guidelines and procedure code revisions, and is the sole source for this information. For other important news, information, and updates from Highmark BCBSWNY, be sure to read Provider News.
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For providers with Highmark BCBSWNY members who remain on the BCBSWNY Legacy System (i.e. have not yet moved to the information systems of Highmark Health and/or its subsidiaries/affiliates (Highmark System)), certain BCBSWNY Legacy System medical protocols (found at bcbswny.com) shall apply and control until the earlier of such time as such member is no longer on the BCBSWNY Legacy System or Highmark BCBSWNY communicates otherwise to you.