Provider Resources
This is where you’ll find answers to your most common questions about WyoBlue Advantage and how it works. From policies and claims information to important forms, we offer a complete toolkit of resources for you to use.
Get the latest news for providers
General Resources
Contact Information
If you need to reach out and call us check out our contact page.
Provider Manual
Get up-to-date information on doing business with WyoBlue Advantage including plan policies, procedures, and requirements.
Access the Provider Portal
Login to Availity and search for our WyoBlue Advantage Payer space.
Medical Policies
WyoBlue Advantage medical policies provide clinical guidance, detailing services we consider medically necessary, not medically necessary, or investigational.
2026 Plan Benefit Details
Summary of Benefits
If you want to compare our individual Medicare Advantage plans and see their key features, you’ll want to look at a summary of benefits.
Essential and Enhanced PPO Evidence of Coverage
This book explains how our plan works.
Entrust PPO Evidence of Coverage
This book explains how our plan works.
LIS Premium Summary Chart
If you qualify for extra help paying for prescription drug coverage, you can use these charts to find out what you’ll pay each month for our plans.
Claims Resources
Claims Submission Guide
See where to submit electronic or paper claims.
Claims Supporting Documentation Submission Form
This form is designed to help providers submit medical records for specific claims. It is essential that all fields are completed for a timely response.
Payment Guidelines
See when EFTs are made and when paper checks are mailed.
Clinical Decision Support Resources
Local and National Coverage Determinations
Medical Policies follow Medicare Advantage Policy Guidelines to comply with the Centers for Medicare & Medicaid Services (CMS) Policy, National Coverage Determinations (NCDs) and/or Local Coverage Determinations (LCDs), as applicable. See the Medicare Coverage Database for the most current NCD, LCD, and Local Coverage Articles (LCAs) and CMS Online Manual System/Transmittals.
Prior Authorization Getting Started Quick Reference Guide
An easy guide to get you started submitting authorizations.
Inpatient and Post Acute Care Services
WyoBlue Advantage uses the nationally recognized medical necessity of InterQual for inpatient and post acute care prior authorization requests.
Services Requiring Prior Authorization
Prior Authorization Forms