July 1, 2025

July 2025 Provider Newsletter

Filter By: AllCommercialMedicare AdvantageMedicaid

Featured Articles

Education & TrainingMedicare AdvantageJune 17, 2025

2025 Medicare Advantage California EAE D‑SNP Fact Sheet

AdministrativeCommercialJuly 1, 2025

Enroll with Availity to verify your provider data

Medical Policy & Clinical GuidelinesMedicaidJune 16, 2025

Timely access to care course and standards

WebinarsCommercialMedicare AdvantageMedicaidJuly 1, 2025

Join the 2025 Clinical Quality in Practice webinar series


Administrative

AdministrativeMedicare AdvantageJuly 1, 2025

Implementation of chargemaster‑based claims edit for ER leveling

AdministrativeMedicare AdvantageJuly 1, 2025

A quick guide to understanding JW and JZ modifiers

AdministrativeCommercialJune 25, 2025

Self‑Insured Schools of California benefit reminder

AdministrativeCommercialMedicare AdvantageMedicaidJuly 1, 2025

Enhanced efficiency in dispute handling

AdministrativeCommercialJuly 1, 2025

Benefits of being a Direct HMO provider

Digital SolutionsMedicare AdvantageJune 17, 2025

Specialty pharmacy precertification list expansion — key updates

Digital SolutionsCommercialMedicare AdvantageMedicaidJuly 1, 2025

Streamlining behavioral health authorizations via Availity Essentials

Behavioral Health

Education & Training

Education & TrainingMedicaidJune 26, 2025

Gender‑affirming care

Education & TrainingCommercialJuly 1, 2025

Essential tips for accurate BlueCard claims

Education & TrainingCommercialJuly 1, 2025

Streamline BlueCard claims: Get the latest tips and best practices

Education & TrainingMedicare AdvantageJuly 1, 2025

Combat diabetes: Close the statin therapy gap for better heart health

Policy Updates

Policy UpdatesMedicare AdvantageJune 3, 2025

Clinical Criteria updates

Effective July 6, 2025

Policy UpdatesMedicaidMay 28, 2025

Clinical Criteria updates

Effective August 29, 2025

Products & Programs


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