CommercialMedicare AdvantageJune 30, 2023

July 2023 Provider Newsletter

Featured Articles

Administrative

AdministrativeCommercialMedicare AdvantageJune 30, 2023

Unspecified diagnosis code of site and laterality

AdministrativeCommercialJune 30, 2023

Introducing myHealthBenefitFinder.com

AdministrativeCommercialMedicare AdvantageJune 30, 2023

LabCorp non-participating lab referrals

AdministrativeCommercialJune 30, 2023

Maintain your online provider directory information

AdministrativeCommercialJune 30, 2023

Drug fee schedule update

Digital SolutionsCommercialJune 30, 2023

Requests for Additional Information are now digital

Digital SolutionsCommercialJune 30, 2023

Digitally file claim payment disputes for Anthem Commercial member claims beginning in July

Digital SolutionsCommercialMedicare AdvantageJune 16, 2023

We’re enhancing our data management system to streamline your demographic update process

Education & Training

Education & TrainingCommercialJune 22, 2023

Newborn authorizations and baby names

Education & TrainingCommercialMedicare AdvantageJune 30, 2023

The BlueCard Provider Manual can answer your questions about the program

WebinarsMedicare AdvantageJune 30, 2023

Required training - Model of Care

Policy Updates

Medical Policy & Clinical GuidelinesCommercialJune 30, 2023

Expansion of Carelon Medical Benefits Management, Inc. Cardiology program clinical appropriateness review for Pacemakers program (MAC)
Material Adverse Change (MAC)

Medical Policy & Clinical GuidelinesMedicare AdvantageJune 26, 2023

Medical Policies and Clinical Utilization Management Guidelines update for February 2023

Prior AuthorizationCommercialJune 30, 2023

Material adverse change

Authorizations for post-acute care services for Commercial members
Material Adverse Change

Prior AuthorizationCommercialJune 30, 2023

Material adverse change

Carelon Medical Benefits Management, Inc. genetic testing CPT code list update

Prior AuthorizationMedicare AdvantageJune 6, 2023

Carelon Medical Benefits Management, Inc. genetic testing CPT code list update

Reimbursement PoliciesCommercialJune 30, 2023

New reimbursement policy: Multiple Procedure Payment Reduction — Professional

Reimbursement PoliciesCommercialJune 30, 2023

Material adverse change

Notification of NCCI review of medically unlikely edits

Reimbursement PoliciesCommercialJune 30, 2023

Material adverse change

Reimbursement policy update: Prolonged Services — Professional

Products & Programs

PharmacyMedicare AdvantageJune 26, 2023

Medicare Part B precert expansion may multiple drug alignment

COBCBS-CRCM-027099-23