July 1, 2025
July 2025 Provider Newsletter
Filter By: AllCommercialMedicare Advantage
Featured Articles
CommercialJuly 1, 2025
Enroll with Availity to verify your provider data
CommercialMedicare AdvantageJuly 1, 2025
Join the 2025 Clinical Quality in Practice webinar series
Administrative
Medicare 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 modifiersMedicare AdvantageJune 23, 2025
Essential information for providers: understanding Medicare Advantage group retiree plansCommercialJuly 1, 2025
Opportunity for providers: Establish your own facility in GeorgiaCommercialJuly 1, 2025
Update: essential ICD‑10‑CM compliance for outpatient facility claimsCommercialMedicare AdvantageJuly 1, 2025
Seamless Provider Enrollment and Network Management through Availity Essentials optimizes the care provider experienceCommercialMedicare AdvantageJuly 1, 2025
Streamlining behavioral health authorizations via Availity EssentialsMedicare AdvantageJune 17, 2025
Specialty pharmacy precertification list expansion — key updatesEducation & Training
Medicare AdvantageJuly 1, 2025
Combat diabetes: Close the statin therapy gap for better heart healthPolicy Updates
CommercialJuly 1, 2025
GA Precertification/Prior Authorization list change notification July 1, 2025Medicare AdvantageJune 3, 2025
Precertification/prior authorization requirement changesEffective November 1, 2025
CommercialJuly 1, 2025
New reimbursement policy: Code and Clinical Editing Guidelines — Professional and FacilityCommercialJuly 1, 2025
Reimbursement policy update: Bundled Services and Supplies — ProfessionalProducts & Programs
CommercialMay 30, 2025
Key updates to the Designated Medical Specialty Pharmacy Drug ListCommercialJune 2, 2025
Specialty pharmacy updates: June 2025GABCBS-CRCM-085800-25-CPN85703
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