CommercialMedicare AdvantageMay 1, 2024

May 2024 Provider Newsletter

Featured Articles

Digital SolutionsCommercialMedicare AdvantageMay 1, 2024

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

Medical Policy & Clinical GuidelinesCommercialApril 9, 2024

American Society of Addiction Medicine updated criteria

Administrative

AdministrativeCommercialMay 1, 2024

Inaccurate laterality and diagnosis combination

AdministrativeMedicare AdvantageMay 1, 2024

Inaccurate laterality and diagnosis combination

AdministrativeCommercialMay 1, 2024

CAA: Maintain your online provider directory information

AdministrativeCommercialMedicare AdvantageMay 1, 2024

Carelon Post Acute Solutions, LLC will begin operating as Carelon Medical Benefits Management, Inc.

AdministrativeCommercialMay 1, 2024

Colorado requires collection of diversity and cultural competency training

Digital SolutionsCommercialMedicare AdvantageMay 1, 2024

Roster automation update

Digital SolutionsCommercialApril 23, 2024

Overview of the Preference Center on Availity Essentials

Digital SolutionsMedicare AdvantageApril 25, 2024

Introducing new functionality for non-medical providers

Digital SolutionsMedicare AdvantageMay 1, 2024

Personalized Match update

Digital SolutionsCommercialMedicare AdvantageApril 15, 2024

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

Education & Training

Education & TrainingCommercialApril 25, 2024

Instructions for donor claim billing

Education & TrainingCommercialMedicare AdvantageMay 1, 2024

Rotary to ground educational message

Policy Updates

Reimbursement PoliciesCommercialApril 3, 2024

Reimbursement policy update: Laboratory and Venipuncture Services — Professional and Facility

Products & Programs

Federal Employee Program (FEP)CommercialMay 1, 2024

HEDIS tips: Adult Immunization Status (AIS-E)

PharmacyCommercialMarch 1, 2024

Pharmacy information available on our provider website

PharmacyCommercialMay 1, 2024

Material adverse change

Prior authorization updates for specialty pharmacy

PharmacyCommercialMay 1, 2024

Material adverse change

Prior authorization updates for specialty pharmacy

Amtagvi, iDoseTR, and Nexobrid  

PharmacyCommercialApril 9, 2024

Acquisition of Paragon Healthcare

PharmacyMedicare AdvantageApril 8, 2024

Anthem expands specialty pharmacy precertification list

Quality Management

Quality ManagementCommercialMay 1, 2024

Take action to improve adolescent immunizations rates

COBCBS-CRCM-056133-24

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