BlueCross BlueShield of Western New York
Welcome to the BlueCross BlueShield of Western New York page. Here you can download clinical guidelines, policies and procedures specific to both ordering providers and radiation oncology facilities. These include quick reference guides and FAQs. You can also view information designed to assist you in using the RadMD Web site to obtain and check authorizations.
Radiation Oncology Benefits Management
Clinical Guideline
Treatment Plan Checklists
- Anal Cancer (PDF 307K)
- Bone Metastatic Cancer (PDF 390K)
- Bone Primary Cancer (PDF 303K)
- Breast Cancer (PDF 310K)
- Central Nervous System (CNS) Metastatic Cancer (PDF 393K)
- Central Nervous System (CNS) Primary Cancer (PDF 394K)
- Cervical Cancer (PDF 307K)
- Colon Cancer (PDF 307K)
- Endometrial Cancer (PDF 306K)
- Gastric Cancer (PDF 307K)
- Head and Neck Cancer (PDF 311K)
- Hodgkins Lymphoma (PDF 311K)
- Non-Hodgkins Lymphoma (PDF 383K)
- Lung Cancer (Non-Small Cell) (PDF 385K)
- Lung Cancer (Small Cell) (PDF 307K)
- Other Condition (PDF 309K)
- Other Metastatic Cancer (PDF 307K)
- Pancreas Cancer (PDF 304K)
- Prophylactic Cranial Irradiation (PDF 364K)
- Prostate Cancer (PDF 387K)
- Rectal Cancer (PDF 307K)
- Skin Cancer (PDF 222K)
CPT4 Codes and Covered Procedures
- BlueCross BlueShield of Western New York Radiation Oncology Claims Resolution Matrix 2019
- BlueCross BlueShield of Western New York Claims Resolution Matrix - 2019
Program and Provider Education
- BlueCross BlueShield of Western New York Quick Reference Guide (PDF 51K)
- BlueCross BlueShield of Western New York Frequently Asked Questions (PDF 187K)
- BlueCross BlueShield of Western New York Provider Education Presentation (PPT 8,362K)
- BlueCross BlueShield of Western New York Training Evaluation Form (PDF 32K)
- BlueCross BlueShield of Western New York Radiation Therapy Treatment Notification Form (PDF 118K)
RadMD User References
- RadMD Benefits and Logon (PDF 221K)
- RadMD Quick Start Guide (PDF 59K)
Radiology Benefits Management Program
RadMD User References
- RadMD Benefits and Logon (PDF 78K)
Clinical Guideline
- Clinical Guidelines
- Refer to the Utilization Review Matrix document to view specific codes managed by NIA