CommercialMedicare AdvantageMedicaidMay 1, 2024

May 2024 Provider Newsletter

Featured Articles

Digital SolutionsCommercialMedicare AdvantageMedicaidMay 1, 2024

Digital Request for Additional Information is now available for all lines of business


Administrative

AdministrativeCommercialApril 24, 2024

Required — 2024 consumer grievance and appeals attestation

AdministrativeMedicare AdvantageMay 1, 2024

Inaccurate laterality and diagnosis combination

AdministrativeCommercialApril 26, 2024

Tell us: Is your practice open or closed to new patients?

AdministrativeMedicare AdvantageMay 1, 2024

County of Sonoma moves to Medicare Advantage with Anthem

AdministrativeCommercialMay 1, 2024

CAA: Maintain your online provider directory information

AdministrativeCommercialMay 1, 2024

Self-Insured Schools of California benefit plan reminder

Digital SolutionsCommercialMedicare AdvantageMedicaidMay 1, 2024

Roster automation update

Digital SolutionsMedicare AdvantageMedicaidApril 26, 2024

Introducing new functionality for non-medical providers

Digital SolutionsMedicare AdvantageMay 1, 2024

Personalized Match update

Digital SolutionsCommercialMedicare AdvantageMedicaidApril 15, 2024

Coming soon — Submit behavioral health authorizations through the Authorization application on Availity

Education & Training

Education & TrainingMedicaidMarch 31, 2023

Ready, set, renew!

Education & TrainingCommercialApril 25, 2024

Instructions for donor claim billing

Education & TrainingCommercialMedicare AdvantageMedicaidMay 1, 2024

Rotary to ground educational message

Policy Updates

Policy UpdatesMedicaidApril 24, 2024

Clinical Criteria updates — November 2023

Policy UpdatesCommercialApril 5, 2024

Cost transparency

Policy UpdatesCommercialApril 4, 2024

Provider transparency update

Products & Programs

Federal Employee Program (FEP)CommercialMay 1, 2024

HEDIS tips: Adult Immunization Status (AIS-E)

PharmacyMedicaidApril 16, 2024

Prior authorization updates for medications billed under the medical benefit

Columvi, Izervay, Rystiggo, Vyvgart Hytrulo, and Eylea HD

PharmacyCommercialApril 9, 2024

Acquisition of Paragon Healthcare

PharmacyMedicare AdvantageApril 8, 2024

Anthem expands specialty pharmacy precertification list

Quality Management

Quality ManagementCommercialMedicaidMay 1, 2024

Take action to improve adolescent immunizations rates

CABC-CDCRCM-056132-24

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).