New and Updated Reimbursement Policies

Highmark Blue Cross Blue Shield of Western New York regularly issues new or updated reimbursement policies. Keep an eye on the Provider Resource Center homepage for eBulletins announcing new policies and the Reimbursement Policy page for policy updates.

Some recent Reimbursement Policies (RP) that have been updated and should be reviewed include:

• RP-011 – Procedure Codes Not Applicable to Commercial Products
• RP-016 – Physician Laboratory and Pathology Services
• RP-041 – Services Not Separately Reimbursed
• RP-051 – Multiple Procedure Payment Reduction for Therapy Services
• RP-064 – Government Supplied Vaccinations and Antibody Treatments
• RP-067 – Specific Service Daily Maximum

To access Highmark reimbursement policy bulletins, select CLAIMS, PAYMENT & REIMBURSEMENT from the Provider Resource Center main menu, and then click on REIMBURSEMENT POLICY.