July 1, 2025

July 2025 Provider Newsletter

Filter By: AllCommercialMedicare Advantage

Featured Articles

AdministrativeCommercialJuly 1, 2025

Enroll with Availity to verify your provider data

WebinarsCommercialMedicare AdvantageJuly 1, 2025

Join the 2025 Clinical Quality in Practice webinar series


Administrative

AdministrativeMedicare AdvantageJuly 1, 2025

Implementation of chargemaster‑based claims edit for ER leveling

AdministrativeCommercialJuly 1, 2025

A quick guide to understanding JW and JZ modifiers

AdministrativeMedicare AdvantageJuly 1, 2025

A quick guide to understanding JW and JZ modifiers

Digital SolutionsCommercialMedicare AdvantageJuly 1, 2025

Streamlining behavioral health authorizations via Availity Essentials

Digital SolutionsMedicare AdvantageJune 17, 2025

Specialty pharmacy precertification list expansion — key updates

Education & Training

Education & TrainingMedicare AdvantageJuly 1, 2025

Combat diabetes: Close the statin therapy gap for better heart health

Policy Updates

Policy UpdatesMedicare AdvantageJune 2, 2025

Clinical Criteria updates

Effective July 6, 2025

Prior AuthorizationMedicare AdvantageJune 3, 2025

Precertification/prior authorization requirement changes

Effective November 1, 2025

Products & Programs

PharmacyCommercialJune 2, 2025

Specialty pharmacy updates: June 2025

GABCBS-CRCM-085800-25-CPN85703