Highmark Blue Cross Blue Shield Wny policy updates
Track new and updated Highmark Blue Cross Blue Shield Wny policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Preventive Medicine and Sick Visits on the Same Day | Highmark Blue Cross Blue Shield Wny | Reimbursement | — | Modified | Aug 1, 2026 |
| Genetic Testing: Once per Lifetime | Highmark Blue Cross Blue Shield Wny | Reimbursement | — | Modified | Jul 1, 2026 |
| Reimbursement Policy — DME Modifiers for New, Rented, and Used | Highmark Blue Cross Blue Shield Wny | Reimbursement | — | Modified | Mar 26, 2026 |
| Reimbursement Policy Modifier 76 | Highmark Blue Cross Blue Shield Wny | Reimbursement | — | Modified | Jan 26, 2026 |
| Modifier 77 repeat procedure reimbursement | Highmark Blue Cross Blue Shield Wny | Reimbursement | — | Modified | Jan 26, 2026 |
| Multiple and Bilateral Surgery Reimbursement | Highmark Blue Cross Blue Shield Wny | Reimbursement | — | Modified | Dec 18, 2025 |
| Maximum Units Per Day | Highmark Blue Cross Blue Shield Wny | Reimbursement | — | Modified | Dec 2, 2025 |
| Reimbursement Policy Consultations | Highmark Blue Cross Blue Shield Wny | Reimbursement | — | Modified | Dec 2, 2025 |
| Reimbursement Policy Professional Anesthesia Services | Highmark Blue Cross Blue Shield Wny | Reimbursement | Anesthesiology | Modified | Nov 14, 2025 |
| Reimbursement Policy Drug Screen Testing | Highmark Blue Cross Blue Shield Wny | Reimbursement | Laboratory/Pathology | Modified | Nov 14, 2025 |
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
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Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.