CommercialMedicare AdvantageMedicaidNovember 1, 2023
November 2023 Provider Newsletter
Featured Articles
CommercialNovember 1, 2023
Digital RFAI process improvements
CommercialMedicare AdvantageMedicaidNovember 1, 2023
Reminder: Start using PDM capability available on Symphony Provider Directory and Availity Essentials prior to retirement of previous intake channels
CommercialMedicaidNovember 1, 2023
Practitioners’ rights during credentialing process
Administrative
CommercialNovember 1, 2023
Medical practices: Keeping something from us?Medicare AdvantageNovember 1, 2023
Usage of liability modifiersCommercialNovember 1, 2023
CAA: Maintain your online provider directory informationCommercialNovember 1, 2023
Digitally file claim payment disputes for Commercial member claims beginning in NovemberCommercialMedicare AdvantageMedicaidNovember 1, 2023
Changes to our data management system help streamline your demographic update processPolicy Updates
Medicare AdvantageNovember 1, 2023
Carelon Medical Benefits Management, Inc. updates - November 2023MedicaidOctober 24, 2023
Prior authorization update - Lamzede, Lunsumio, Rebyota, etc.Medicare AdvantageOctober 19, 2023
Expansion of Carelon Medical Benefits Management, Inc. programsMedicare AdvantageOctober 13, 2023
RETRACTION: Prior authorization requirement changes effective February 1, 2024Codes 32274 and 32275
Medicare AdvantageOctober 3, 2023
Prior authorization requirement changes effective February 1, 2024 - code J1411Products & Programs
CommercialNovember 1, 2023
Pharmacy information available on our provider websiteQuality Management
CommercialMedicare AdvantageMedicaidOctober 25, 2023
HEDIS measurement year 2023 documentation for Childhood Immunization Status (CIS)CommercialMedicare AdvantageMedicaidSeptember 27, 2023
Be Antibiotics Aware: Protect your PatientsCommercialMedicare AdvantageMedicaidNovember 1, 2023
Controlling high blood pressure and HEDISCommercialMedicare AdvantageMedicaidNovember 1, 2023
HEDIS measurement year 2023 documentation for Transitions of Care (TRC)CommercialMedicare AdvantageMedicaidOctober 15, 2023
HEDIS medical record submission made easier with our Remote EMR Access ServiceCommercialNovember 1, 2023
CPT category II codes on claims and encounter data can improve HEDIS resultsMedicare AdvantageNovember 1, 2023
Statin therapy end of year best practicesCABC-CDCRCM-041558-23
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