CommercialMedicare AdvantageMay 31, 2023
June 2023 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageMay 31, 2023
Introducing Roster Automation to improve turnaround times and data accuracy
CommercialMay 31, 2023
Correction: Federal Employee Program® Quality Reimbursement program update
Administrative
CommercialMay 31, 2023
CAA: Have you reviewed your online provider directory information lately?CommercialSeptember 1, 2023
Consider a FIT kit for your patients aged 45 and older at average risk for colon cancerCommercialMay 31, 2023
Digital notifications are coming June 1, 2023CommercialMay 31, 2023
Submitting prior authorizations is getting easierEducation & Training
CommercialMay 31, 2023
Building Vaccine Confidence – A webinar hosted by PfizerPolicy Updates
CommercialMay 31, 2023
MCG Care Guidelines 27th EditionMedicare AdvantageMay 31, 2023
MCG Care Guidelines 27th EditionCommercialMay 31, 2023
HCPCS to revenue code alignment – Evaluation/ManagementMedicare AdvantageMay 11, 2023
Clinical Criteria Updates February 2023Medicare AdvantageMay 4, 2023
Clinical Criteria Updates December 2022CommercialMay 31, 2023
Updates to Carelon Medical Benefits Management, Inc. Advanced Imaging, Sleep Disorder Management, and Spine Surgery Clinical Appropriateness Guidelines (MAC)CommercialMay 31, 2023
Effective August 1, 2023, Carelon Medical Benefits Management, Inc. programs will expandMedicare AdvantageMay 31, 2023
Medicare Part B Step Therapy VegzelmaMedicare AdvantageMay 31, 2023
Medicare Part B Precert Expansion Briumvi LeqembiCommercialMay 31, 2023
Precertification list change notification for September 1, 2023CommercialMay 31, 2023
Reimbursement policy update: Bundled Services and Supplies policy – Professional (MAC)CommercialMay 31, 2023
Reimbursement policy update: Bundled Services and Supplies — ProfessionalCommercialMay 31, 2023
New reimbursement policy: Provider Preventable Conditions – Professional and Facility (MAC)Products & Programs
CommercialMay 31, 2023
Expansion of Back Pain Guide Program effective July 1, 2023CommercialMay 31, 2023
OBRA 93 claim filing for Federal Employee ProgramCommercialMay 31, 2023
BioPlus provider FAQCommercialMarch 1, 2023
Pharmacy information available on our provider websiteCommercialMay 31, 2023
Clinical Criteria updates for specialty pharmacy are available (MAC)Quality Management
CommercialMedicare AdvantageMay 31, 2023
Patient Safety Skilled Nursing Facility (SNF) SurveyMedicare AdvantageMay 2, 2023
Colorectal Cancer Screening (COL) and Care for Older Adults (COA) for HEDISMedicare AdvantageMay 22, 2023
SPC ExclusionsGABCBS-CRCM-024890-23
* Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan. BioPlus Specialty Pharmacy is an independent company providing pharmacy services on behalf of the health plan.
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