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CommercialAugust 1, 2025
SUD confidentiality protections for membersCommercialAugust 1, 2025
Submitting MRI claims correctlyCommercialAugust 1, 2025
Facility diagnostic radiopharmaceuticals and contrast mediaCommercialAugust 1, 2025
Upcoming updates: medical claims edit system for self‑administered drugsCommercialAugust 1, 2025
New EMR messaging alerts aim to close gaps in care for ACA patientsCommercialMedicare AdvantageJuly 23, 2025
Enhance care provider data accuracy with updated roster toolsMedicare AdvantageJuly 21, 2025
Anthem Medicare Advantage Group Retiree Quick Reference GuideMedicare AdvantageJuly 1, 2025
Implementation of chargemaster‑based claims edit for ER levelingCommercialJuly 1, 2025
A quick guide to understanding JW and JZ modifiersMedicare AdvantageJuly 1, 2025
A quick guide to understanding JW and JZ modifiersCommercialJuly 1, 2025
Enroll with Availity to verify your provider dataCommercialJuly 1, 2025
Update: essential ICD‑10‑CM compliance for outpatient facility claimsCommercialMedicare AdvantageJuly 1, 2025
Update: National Drug Codes (NDCs) are required for professional and outpatient claimsMedicare AdvantageJune 23, 2025
Essential information for providers: understanding Medicare Advantage group retiree plansCommercialMedicare AdvantageJune 1, 2025
LabCorp and Quest Diagnostics are in-network — reminderCommercialJune 1, 2025
Update to claims system for global surgical procedures for professional providersCommercialJune 1, 2025
Provider manual updatesCommercialMedicare AdvantageJune 1, 2025
Electronic payments starting in mid-September 2025CommercialMedicare AdvantageJune 1, 2025
Electronic Explanation of Payment starting in mid-SeptemberCommercialMay 22, 2025
Action required: annual patient safety attestationMedicare AdvantageMay 1, 2025
Additional drug codes added to medical claims edit systemMedicare AdvantageApril 4, 2025
Professional provider fee schedule notificationCommercialMedicare AdvantageMarch 19, 2025
Technical difficulties: My Diverse PatientsCommercialMarch 1, 2025
Update: Drug claims edits to focus on FDA‑approved indicationsCommercialFebruary 4, 2025
Expansion of Carelon Medical Benefits Management, Inc. programsCommercialFebruary 1, 2025
Corrected claim guidance for the Federal Employee Program®CommercialMedicare AdvantageFebruary 1, 2025
New Communication Center added to Availity EssentialsCommercialFebruary 1, 2025
Medical records needed for accurate payment of certain facility inpatient claimsCommercialJanuary 16, 2025
Submitting authorization for NICU services facilitates accurate and timely claims processingMedicare AdvantageJanuary 1, 2025
D‑SNP members can earn rewards by participating in select healthcare activitiesCommercialJanuary 1, 2025
CAA: Providers required to verify online provider directory informationCommercialMedicare AdvantageDecember 30, 2024
Enhance patient coordination with Total Member ViewCommercialDecember 5, 2024
Update to anesthesia billed time units policyCommercialDecember 3, 2024
Outpatient system updates for 2025CommercialDecember 3, 2024
Professional system updates for 2025CommercialDecember 1, 2024
Case Management programCommercialDecember 1, 2024
PCP after‑hours access requirementsCommercialDecember 1, 2024
Coordination of careCommercialDecember 1, 2024
FEP excited to join PSHB program in 2025CommercialDecember 1, 2024
Clinical practice and preventive health guidelines available onlineCommercialDecember 1, 2024
Important information about utilization managementCommercialDecember 1, 2024
Members’ Rights and ResponsibilitiesMedicare AdvantageNovember 15, 2024
Connecticut 2025 Medicare Advantage plan changesMedicare AdvantageNovember 15, 2024
Skilled nursing facility — vaccine serum compensationCommercialNovember 1, 2024
Adopting digital member ID cardsCommercialNovember 1, 2024
New claims requirement: add-on codes must include primary procedure starting December 2024CommercialNovember 1, 2024
Reimbursement policy reminder: Multiple Surgery — FacilityCommercialNovember 1, 2024
Personalized Match updateCommercialOctober 23, 2024
Revisions to physical and occupational therapy code reimbursement