CommercialMedicare AdvantageJanuary 1, 2024
January 2024 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageJanuary 1, 2024
Availity Essentials PDM application is now the intake channel for all provider demographic change requests, including roster uploads
CommercialDecember 26, 2023
Training for digital requests for additional information (Digital RFAI)
CommercialJanuary 1, 2024
Important information about your Anthem patients’ specialty prescriptions
CommercialNovember 20, 2023
Annual preventive care visits
Administrative
CommercialJanuary 1, 2024
Using and billing air ambulance services appropriatelyCommercialJanuary 1, 2024
Important Changes for Active Members of Northrop Grumman CorporationCommercialJanuary 1, 2024
CAA: Maintain your online provider directory informationMedicare AdvantageJanuary 1, 2024
Inappropriate primary diagnosisCommercialJanuary 1, 2024
Drug fee schedule updatePolicy Updates
CommercialDecember 19, 2023
Adopted Clinical Guidelines as of: January 1, 2024CommercialJanuary 1, 2024
Material adverse change
Medical Policies and Clinical Guidelines notification letterMedicare AdvantageDecember 1, 2023
Clinical Criteria updates — August 2023Medicare AdvantageJanuary 1, 2024
Genetic testing code list updateCommercialJanuary 1, 2024
Material adverse change
Carelon Medical Benefits Management, Inc. genetic testing CPT® code list updateCommercialDecember 28, 2023
Material adverse change
Transition to Carelon Medical Benefits Management, Inc. cardiology guidelinesMedicare AdvantageDecember 28, 2023
Transition to Carelon Medical Benefits Management, Inc. cardiology guidelinesMedicare AdvantageJanuary 1, 2024
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesCommercialJanuary 1, 2024
Material adverse change
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesCommercialJanuary 1, 2024
Material adverse change
Expansion of Carelon Medical Benefits Management programsMedicare AdvantageJanuary 10, 2024
Expansion of Carelon Medical Benefits Management, Inc. programs effective April 1, 2024Quality Management
Medicare AdvantageJanuary 1, 2024
Boost annual planned visit ratesCommercialMedicare AdvantageJanuary 1, 2024
HEDIS diabetes documentationCOBCBS-CRCM-047200-23
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