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

Administrative

AdministrativeCommercialMedicare AdvantageMay 1, 2024

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

AdministrativeCommercialMay 1, 2024

CAA: Maintain your online provider directory information

AdministrativeCommercialMay 1, 2024

Inaccurate laterality and diagnosis combination

AdministrativeMedicare AdvantageMay 1, 2024

Inaccurate laterality and diagnosis combination

AdministrativeCommercialMay 1, 2024

Provider manual updates effective August 1, 2024

Digital SolutionsCommercialMedicare AdvantageApril 15, 2024

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

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

Education & Training

Education & TrainingCommercialApril 25, 2024

Instructions for donor claim billing

Education & TrainingCommercialMedicare AdvantageMay 1, 2024

Rotary to ground educational message

Policy Updates

Medical Policy & Clinical GuidelinesCommercialMay 1, 2024

Medical Policy and Clinical Guideline 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)

PharmacyCommercialApril 24, 2024

Specialty pharmacy updates — May 2024

PharmacyCommercialMay 1, 2024

Clinical Criteria updates for specialty pharmacy

PharmacyCommercialMarch 1, 2024

Pharmacy information available on our provider website

PharmacyMedicare AdvantageApril 8, 2024

Anthem expands specialty pharmacy precertification list

PharmacyCommercialApril 9, 2024

Acquisition of Paragon Healthcare

Quality Management

Quality ManagementCommercialMay 1, 2024

Take action to improve adolescent immunizations rates

CTBCBS-CRCM-056134-24

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