June 1, 2025

June 2025 Provider Newsletter

Filter By: AllCommercialMedicare Advantage

Featured Articles

Education & TrainingMedicare AdvantageMay 27, 2025

Learn about annual Model of Care training for special needs plans

Education & TrainingCommercialMedicare AdvantageMay 27, 2025

Boost your roster submission skills with Availity Essentials

Education & TrainingCommercialJune 1, 2025

Availity Essentials Provider Overpayments application launch


Administrative

AdministrativeCommercialMedicare AdvantageJune 1, 2025

LabCorp and Quest Diagnostics are in-network โ€” reminder

Digital SolutionsCommercialMedicare AdvantageMarch 1, 2025

Reminder: provider data attestation

Education & Training

Education & TrainingMedicare AdvantageJune 1, 2025

Bridging the gap: enhancing medication adherence for better health outcomes

Education & TrainingMedicare AdvantageJune 1, 2025

Claims guidance: updating inpatient and outpatient bill types

WebinarsCommercialMedicare AdvantageJune 1, 2025

Registration is now available for our upcoming CME webinar on Integrating Cancer Care

Policy Updates

Policy UpdatesMedicare AdvantageMay 13, 2025

Clinical Criteria updates

Effective June 20, 2025

Medical Policy & Clinical GuidelinesCommercialMay 28, 2025

Material adverse change

Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guidelines

Products & Programs

PharmacyCommercialJune 1, 2025

Material adverse change

Drug list updates โ€” designated medical specialty pharmacy

PharmacyMedicare AdvantageMay 22, 2025

New specialty pharmacy medical step therapy requirements

Effective July 1, 2025
Pavblu, Ahzantive, Enzeevu, Opuviz, and Yesafili


COBCBS-CRCM-083861-25-CPN83757