CommercialMedicare AdvantageJune 30, 2023

July 2023 Provider Newsletter

Administrative

AdministrativeCommercialMedicare AdvantageJune 30, 2023

Unspecified diagnosis code of site and laterality

AdministrativeCommercialJune 30, 2023

Notification of NCCI review of medically unlikely edits

AdministrativeCommercialJune 30, 2023

Maintain your online provider directory information

Education & Training

Education & TrainingCommercialJune 22, 2023

Newborn authorizations and baby names

Education & TrainingCommercialMedicare AdvantageJune 30, 2023

The BlueCard Provider Manual can answer your questions about the program

WebinarsMedicare AdvantageJune 30, 2023

Required training - Model of Care

Policy Updates

Policy UpdatesCommercialJune 30, 2023

Medical Policy and Clinical Guideline Updates June 28, 2023

Prior AuthorizationCommercialJune 30, 2023

Authorizations for post-acute care services for Commercial members

Prior AuthorizationCommercialJune 6, 2023

Where to send expedited appeals

Prior AuthorizationCommercialJune 30, 2023

Precertification list change notification June 1, 2023

Prior AuthorizationMedicare AdvantageJune 6, 2023

Carelon Medical Benefits Management, Inc. genetic testing CPT code list update

Reimbursement PoliciesCommercialJune 30, 2023

Reimbursement Policy update: Prolonged Services โ€” Professional (MAC)
Material adverse change (MAC)

Products & Programs

Products & ProgramsCommercialMedicare AdvantageJune 30, 2023

Advancing health equity: Leveraging data to promote meaningful patient-provider relationships

PharmacyMedicare AdvantageJune 26, 2023

Medicare Part B precert expansion may multiple drug alignment

GABCBS-CRCM-027102-23