CommercialMedicare AdvantageSeptember 1, 2024

September 2024 Provider Newsletter

Featured Articles

Digital SolutionsCommercialMedicare AdvantageAugust 28, 2024

Maximizing care with regular provider data attestation

AdministrativeCommercialMedicare AdvantageAugust 1, 2023

Clinical Laboratory Improvement Amendments


Administrative

AdministrativeMedicare AdvantageSeptember 1, 2024

Drug and biologic

Digital SolutionsCommercialMedicare AdvantageAugust 28, 2024

Advancing digital efficiency by discontinuing paper remittances

Digital SolutionsMedicare AdvantageAugust 8, 2024

Digital-only authorization case status notification coming to you

Digital SolutionsCommercialMedicare AdvantageSeptember 1, 2024

Save time and get better results with optimized CPT code search in Availity Essentials

Education & Training

Education & TrainingCommercialSeptember 1, 2024

New provider resource for family caregivers of members with cancer

Policy Updates

Medical Policy & Clinical GuidelinesCommercialSeptember 1, 2024

Material adverse change

Medical Policy and Clinical Utilization Management (UM) Guidelines update

Medical Policy & Clinical GuidelinesCommercialMedicare AdvantageSeptember 1, 2024

LabCorp: your single-source solution for lab testing needs

Prior AuthorizationCommercialSeptember 1, 2024

Material adverse change

Precertification List change notification

Prior AuthorizationMedicare AdvantageJuly 31, 2024

Prior authorization requirement changes

Effective December 1, 2024

Products & Programs

Federal Employee Program (FEP)CommercialJuly 31, 2024

FEP Quality Reimbursement Program for providers

Long-Term Services & SupportsCommercialSeptember 1, 2024

The Power of the Blues introducing the Blue National Physician Performance Dataset

PharmacyCommercialSeptember 1, 2024

Pharmacy information available on our provider website

PharmacyMedicare AdvantageAugust 12, 2024

Anthem expands specialty pharmacy precertification list

Code: J1599

PharmacyMedicare AdvantageAugust 27, 2024

Anthem expands specialty pharmacy precertification list

Codes: C9399, J9999 and J3590

PharmacyCommercialSeptember 1, 2024

Material adverse change

Specialty pharmacy updates — September 2024

PharmacyMedicare AdvantageSeptember 1, 2024

Real-time prescription benefit

Quality Management

Quality ManagementCommercialMedicare AdvantageAugust 13, 2024

Announcing the new HEDIS documentation library supporting coding excellence

COBCBS-CRCM-065268-24

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