Key Updates
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageAugust 1, 2025
You are invited: immunization measures webinar
Anthem Blue Cross and Blue Shield | CommercialJuly 24, 2025
Specialty pharmacy updates — August 2025
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJuly 23, 2025
Enhance care provider data accuracy with updated roster tools
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJuly 1, 2025
Benefits of utilization management attestations: a guide for care providers
Recent Updates
Anthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2025
Expanded specialty pharmacy precertification listAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Changes to Federal Employees Health Benefits program and Postal Service Health Benefits program telemedicine servicesAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
SUD confidentiality protections for membersAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Support your patients with the CarelonRx, Inc. and Lark Weight Management ProgramAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Notice of material change/amendment to contract
Notices of material changes/amendments to contract — August 2025Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageAugust 1, 2025
You are invited: immunization measures webinarAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Notice of material change/amendment to contract
Facility diagnostic radiopharmaceuticals and contrast mediaAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2025
Compatibility in care: sharing REL data to improve member healthAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Upcoming updates: medical claims edit system for self‑administered drugsAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
New EMR messaging alerts aim to close gaps in care for ACA patientsAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Notice of material change/amendment to contract
Medical Policy and Clinical Guideline updatesEffective November 1, 2025
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Introducing a new Applied Behavior Analysis Provider Resource GuideAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Notice of material change/amendment to contract
Clinical Criteria updates for specialty pharmacyEffective November 1, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJuly 28, 2025
Clinical Criteria updatesEffective September 4, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJuly 25, 2025
Medical Policies and Clinical Utilization Management Guidelines updateEffective August 28, 2025
Anthem Blue Cross and Blue Shield | CommercialJuly 24, 2025
Specialty pharmacy updates — August 2025Anthem Blue Cross and Blue Shield | CommercialJuly 23, 2025
Reminder: Take action to protect infants from the respiratory syncytial virus this seasonAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJuly 23, 2025
Enhance care provider data accuracy with updated roster toolsAnthem Blue Cross and Blue Shield | CommercialJuly 22, 2025
July formulary deletionsAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 21, 2025
Anthem Medicare Advantage Group Retiree Quick Reference GuideAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 18, 2025
New mandatory fields in roster templateAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJuly 1, 2025
Benefits of utilization management attestations: a guide for care providersAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025
Notice of material change/amendment to contract
New reimbursement policy: Code and Clinical Editing Guidelines — Professional and FacilityAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025
Access our updated provider manual for July 1, 2025, changesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2025
Join the 2025 Clinical Quality in Practice webinar seriesAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2025
Combat diabetes: Close the statin therapy gap for better heart healthAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025
Notice of material change/amendment to contract
Notices of material changes/amendments to contract — July 2025Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJuly 1, 2025
Streamlining behavioral health authorizations via Availity EssentialsAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025
Update: essential ICD‑10‑CM compliance for outpatient facility claimsAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025
Notice of material change/amendment to contract
Medical Policy and Clinical Guideline updatesAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025
Notice of material change/amendment to contract
Precertification/Prior Authorization list change notification July 1, 2025Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2025
Seamless Provider Enrollment and Network Management through Availity Essentials optimizes the care provider experienceAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2025
A quick guide to understanding JW and JZ modifiersAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025
A quick guide to understanding JW and JZ modifiersAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2025
Implementation of chargemaster‑based claims edit for ER levelingAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025
Notice of material change/amendment to contract
Reimbursement policy update: Bundled Services and Supplies — ProfessionalAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025
Enroll with Availity to verify your provider dataAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2025
Update: National Drug Codes (NDCs) are required for professional and outpatient claimsAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJune 27, 2025
Specialty pharmacy precertification list expandedEffective November 1, 2025
Axtle, Bizengri, and Bynfezia pen
Anthem Blue Cross and Blue Shield | Medicare AdvantageJune 23, 2025
Essential information for providers: understanding Medicare Advantage group retiree plansAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 17, 2025
Specialty pharmacy precertification list expansion — key updatesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 6, 2025
National Drug Codes (NDCs) are required for outpatient claimsAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJune 2, 2025
Clinical Criteria updatesEffective July 6, 2025
Anthem Blue Cross and Blue Shield | CommercialJune 2, 2025
Notice of material change/amendment to contract
Specialty pharmacy updates: June 2025Anthem Blue Cross and Blue Shield | CommercialJune 1, 2025
Availity Essentials Provider Overpayments application launchAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJune 1, 2025
Claims guidance: updating inpatient and outpatient bill typesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 1, 2025
Registration is now available for our upcoming CME webinar on Integrating Cancer CareAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 1, 2025
Bridging the gap: enhancing medication adherence for better health outcomesAnthem Blue Cross and Blue Shield | CommercialJune 1, 2025
Notice of material change/amendment to contract
Clinical Criteria updates for specialty pharmacyAnthem Blue Cross and Blue Shield | CommercialJune 1, 2025
Update to claims system for global surgical procedures for professional providers