July 1, 2025
July 2025 Provider Newsletter
Filter By: AllCommercialMedicare AdvantageMedicaid
Featured Articles
Medicare AdvantageJune 17, 2025
2025 Medicare Advantage California EAE D‑SNP Fact Sheet
CommercialJuly 1, 2025
Enroll with Availity to verify your provider data
MedicaidJune 16, 2025
Timely access to care course and standards
CommercialMedicare AdvantageMedicaidJuly 1, 2025
Join the 2025 Clinical Quality in Practice webinar series
Administrative
Medicare AdvantageJuly 1, 2025
Implementation of chargemaster‑based claims edit for ER levelingMedicare AdvantageJuly 1, 2025
A quick guide to understanding JW and JZ modifiersCommercialJune 25, 2025
Self‑Insured Schools of California benefit reminderMedicaidJuly 1, 2025
Enhanced personalized match: improving the care provider search for membersMedicare AdvantageJune 23, 2025
Essential information for providers: understanding Medicare Advantage group retiree plansCommercialJune 26, 2025
Essential details on access to care surveys and our language assistance programCommercialJuly 1, 2025
Claim editing update: Alignment with AMA CPT® guidelines for anatomical modifiersCommercialMedicare AdvantageMedicaidJuly 1, 2025
Enhanced efficiency in dispute handlingCommercialJuly 1, 2025
Benefits of being a Direct HMO providerCommercialMedicare AdvantageMedicaidJuly 1, 2025
Seamless Provider Enrollment and Network Management through Availity Essentials optimizes the care provider experienceMedicare AdvantageJune 17, 2025
Specialty pharmacy precertification list expansion — key updatesCommercialMedicare AdvantageMedicaidJuly 1, 2025
Streamlining behavioral health authorizations via Availity EssentialsBehavioral Health
MedicaidJune 16, 2025
Policy update for transcranial magnetic stimulation codes — CPT 90867, 90868, 90869Education & Training
MedicaidJune 26, 2025
Gender‑affirming careCommercialJuly 1, 2025
Essential tips for accurate BlueCard claimsCommercialJuly 1, 2025
Streamline BlueCard claims: Get the latest tips and best practicesMedicare AdvantageJuly 1, 2025
Combat diabetes: Close the statin therapy gap for better heart healthPolicy Updates
Products & Programs
MedicaidJune 10, 2025
Prior authorization updates for medications billed under the medical benefitCABC-CDCRCM-085793-25-CPN85703
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