Medical Policy Update
Medical Policy Update is a monthly newsletter for the health care providers who participate in our networks and submit claims to Highmark Blue Shield of Northeastern New York (Highmark BSNENY) using the appropriate HIPAA transactions or claim forms as required by Highmark BSNENY. 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 BSNENY, be sure to read Provider News.
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For providers with Highmark BSNENY members who remain on the BSNENY Legacy System (i.e. have not yet moved to the information systems of Highmark Health and/or its subsidiaries/affiliates (Highmark System)), certain BSNENY Legacy System medical protocols (found at bsneny.com) shall apply and control until the earlier of such time as such member is no longer on the BSNENY Legacy System or Highmark BSNENY communicates otherwise to you.
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Disease\u003c/li\u003e\n\u003c/ul\u003e","longDescription":null,"visible":false,"archive":false,"liveStatus":2},{"id":36146,"versionId":16559,"title":"October 2021","type":2,"subType":null,"childSubType":"","date":"11/5/2021","endDate":null,"additionalDate":null,"imageUrl":"https://content.highmarkprc.com/Files/Region/hbsneny/NewsletterNotices/MPU/2xmpu-oct-2021-neny-30-day.png","url":"https://content.highmarkprc.com/Files/Region/hbsneny/NewsletterNotices/MPU/mpu-oct-2021-neny-30-day.pdf","baseUrl":null,"urlText":"Read","description":"\u003cp\u003eThis document includes a list and description of the following, including effective dates:\u003c/p\u003e\n\u003cul\u003e\n\u003cli\u003eNew medical policies\u003c/li\u003e\n\u003cli\u003eMedical policies without guidline changes\u003c/li\u003e\n\u003cli\u003eMedical policies with guideline changes\u003c/li\u003e\n\u003c/ul\u003e","longDescription":null,"visible":false,"archive":false,"liveStatus":2},{"id":36067,"versionId":16559,"title":"October 2021","type":2,"subType":null,"childSubType":"","date":"10/25/2021","endDate":null,"additionalDate":null,"imageUrl":"https://content.highmarkprc.com/Files/Region/hbsneny/NewsletterNotices/MPU/2xmpu-oct-2021-neny.png","url":"https://content.highmarkprc.com/Files/Region/hbsneny/NewsletterNotices/MPU/mpu-oct-2021-neny.pdf","baseUrl":null,"urlText":"Read","description":"\u003cul\u003e\n\u003cli\u003eCriteria Revised for Arthrex Bovine Collagen\u003c/li\u003e\n\u003cli\u003eCriteria Revision for Non-spinal Bone Growth Stimulation\u003c/li\u003e\n\u003cli\u003ePolicy Established for Amivantamab-vmjw (Rybrevant)\u003c/li\u003e\n\u003c/ul\u003e","longDescription":null,"visible":false,"archive":false,"liveStatus":2},{"id":32344,"versionId":16559,"title":"September 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(Camptosar)\u003c/li\u003e\n\u003cli\u003eCriteria Revised for Panitumumab (Vectibix)\u003c/li\u003e\n\u003cli\u003eRevised Criteria for Aqueous Shunts and Stents for Glaucoma\u003c/li\u003e\n\u003cli\u003eCriteria Revised for Posterior Tibial Nerve Stimulation\u003c/li\u003e\n\u003c/ul\u003e","longDescription":null,"visible":false,"archive":false,"liveStatus":2}]
{{policy.formatDate(itm.date)}}
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