Commercial Insurance - New York State Chiropractic Association

Highmark Prior Authorization Program Updates

by Insurance Committee | Apr 26, 2024 | Commercial Insurance, Highmark, Insurance Updates, Members Only

As many of you have been aware, the NYSCA has been in communication with both Highmark and the NYS Department of Financial Services regarding of our member’s concerns, including Highmark’s implementation of a prior authorization program. NYSCA member...

Updates to Highmark’s Physical Medicine Management Page

by Insurance Committee | Mar 28, 2024 | Commercial Insurance, Highmark, Insurance Updates

On 3/27/24 Highmark updated the regional Physical Medicine Management page. The link for ‘Submitting a Prior Authorization for Chiropractic (Outpatient Therapy)’ is now active. As many had noted, this link previously resulted in an error message...

Highmark Effective Date moved to May 1

by Insurance Committee | Mar 26, 2024 | Commercial Insurance, Highmark, Insurance Updates, Members Only

On March 25th, Highmark of WNY and NE NY posted a Special Bulletin in their Provider Resource Center for each region of New York. In that notice, Highmark noted they have ‘decided to move back the effective date from April 1, as previously announced, to...

Highmark to Implement a Prior Authorization Program

by Insurance Committee | Mar 22, 2024 | Commercial Insurance, Highmark, Insurance Updates, Members Only

As noted in our previous communication, Highmark BCBS of Western NY and Northeastern NY is implementing a prior authorization program for certain services rendered by DCs, PTs, OTs and home care providers. This program only applies to Highmark’s commercial...

Urgent: WNY and Northeaster NY Highmark Prior Authorization

by Insurance Committee | Mar 12, 2024 | Commercial Insurance, Highmark, Insurance Updates, Members Only

As previously reported, Highmark is planning to implement a prior authorization program for chiropractic care, physical and occupational therapy, and home health care effective on April May 1, 2024. Highmark recently updated their provider...

How the Change Healthcare Breach Is Impacting Claims, Eligibility Checks, and Provider Payments

by Insurance Committee | Mar 5, 2024 | Commercial Insurance, Insurance Updates, Members Only, UHC

Are your payments at risk? Challenged with Eligibility? As some of you are aware, Change Healthcare – part of the Optum division of UnitedHealth Group – experienced a cybersecurity breach on 2/21/24. Change Healthcare is utilized by different...