About BlueCross BlueShield of Western New York

We strive to provide better healthcare to our members, offer greater value to our customers, and improve the health of our communities.

Our Commitment

Since 1936, we have helped millions of people live healthier lives. Our goal is to improve individual and community health, strength, and well-being by:

  • Delivering high quality, affordable health benefits products and services
  • Developing innovative solutions and services that support health, create transparency,
    increase efficiencies and improve every aspect of our service
  • Providing exceptional customer care
  • Participating in initiatives and supporting organizations that seek to improve
    health and empower people throughout our community

We proactively build relationships with doctors and hospitals, working together to improve the quality and delivery of care.

And we empower our members by teaching them about health care options and how to make the right choices for themselves and their families.

Health care organizations subject to Section 6032 of the federal Deficit Reduction Act of 2005 (the “DRA”) are required to educate their providers and contractors about the False Claims Act as well as the organization’s policies and programs for detecting and preventing fraud, waste and abuse. The following documents are intended to satisfy BlueCross BlueShield of Western New York’s obligations under the DRA.

We know you share BlueCross BlueShield’s goal of ensuring that all clinical and business activities are conducted in full compliance with applicable laws and government program requirements. Accordingly, we look forward to your cooperation in applying BlueCross BlueShield’s fraud prevention and detection policies and programs in connection with the services you provide to our members.

If you have any questions regarding these documents, please do not hesitate to contact BlueCross BlueShield’s fraud prevention program at 716-887-8451, 1-800-333-8451 or  reportfraud@bcbswny.com.

Fraud Waste and Abuse Laws in Health Care
Fraud, Waste, or Abuse (Whistleblower) Policy
Code of Conduct
Code of Conduct Supplement
Special Investigations Unit

We have a responsibility to our members, providers, subscribers, suppliers, stakeholders, co-workers and beneficiaries to conduct business with respect, honesty and integrity.  As such we have a Code of Conduct & Compliance program to ensure that appropriate procedures, with respect to ethics and legal matters, are in place and enforced throughout our Company.  For questions related to compliance, contact our anonymous compliance hotline at 1-800-798-1453, available 24 hours a day, 7 days a week.  

Code of Conduct

The increasing cost of healthcare is an important concern for all of us.  There are many contributing factors that lead to the increase in healthcare costs.  One of the most prevalent factors is fraud and abuse by healthcare providers and members.  For questions or concerns regarding fraud, waste, and abuse contact our fraud prevention program at 716-887-8451, 1-800-333-8451 or reportfraud@bcbswny.com.

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OUR BROKERS

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We have new reasons for our brokers to say “yes!”


This year, the first wave of Baby Boomers is turning 65. In the next decade, 1 of every 10 Americans becomes Medicare eligible. And we make it easy for you to market Medicare products to this rapidly growing demographic.
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OUR PROVIDERS

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You’re not just a provider…you’re a partner.

That’s why thousands of healthcare professionals just like you from across New York State have contracted with us. Together, we can work to deliver the highest quality of care possible to member patients.
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NYS DEPT. OF FINANCIAL SERVICES

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We're committed to keeping you informed.


On January 18, 2013, BlueCross BlueShield of Western New York filed proposed changes to our rates with the New York State Department of Financial Services (DFS).

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