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Medical Utilization Management Updates

We would like to share an overview with you regarding our standard medical Utilization Management (UM) Program updates coming soon. 

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Reminder: Refund Request Notification Process

We are writing to remind you of our automated notification process for requesting a refund on any claim we paid or overpaid in error.

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De-Implementing Temporary COVID-19 Hospital Contingencies

On June 26, 2020, the New York State Department of Financial Services (NYS DFS) issued Supplement No. 2 to its Insurance Circular Letter No. 8. The supplement provides guidance that permits health insurers, including Excellus BlueCross BlueShield, to resume preauthorization, concurrent and retrospective review, medical record requests and other requirements as of June 19, 2020.

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