CommercialMarch 1, 2023

March 2023 Anthem Provider News - Georgia

Administrative

AdministrativeCommercialMarch 1, 2023

Carelon Medical Benefits Management (formerly AIM Specialty Health) Radiology Clinical Appropriateness Guidelines CPT code list update (MAC)

Material adverse change (MAC)

AdministrativeCommercialMarch 1, 2023

New policy for EMR clinical data sharing and ADT notifications

AdministrativeCommercialMedicare AdvantageMarch 1, 2023

You are invited: Advancing Mental Health Equity for Youth & Young Adults

Register today for the Advancing Mental Health Equity for Youth & Young Adults forum hosted by Anthem Blue Cross and Blue Shield (Anthem) and Motivo* for Anthem providers on March 15, 2023.

AdministrativeCommercialMedicare AdvantageMarch 1, 2023

Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measures

AdministrativeCommercialMarch 1, 2023

Reminder - Updated Carelon Musculoskeletal Program effective April 1, 2023: monitored anesthesia care reviews

AdministrativeCommercialMarch 1, 2023

March is National Colorectal Cancer Awareness Month

AdministrativeCommercialMedicare AdvantageMarch 1, 2023

Time to prepare for HEDIS medical record review

AdministrativeCommercialMarch 1, 2023

Provider directory - annual audit for NCQA Accreditation

Policy Updates

Reimbursement PoliciesCommercialMarch 1, 2023

Reimbursement policy update: Modifiers 25 and 57 - Professional

Products & Programs

Products & ProgramsCommercialMedicare AdvantageMarch 1, 2023

Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023

PharmacyCommercialMarch 1, 2023

Pharmacy information available on our provider website

PharmacyCommercialMarch 1, 2023

Specialty pharmacy updates for March 2023

PharmacyCommercialMarch 1, 2023

Clinical Criteria updates for specialty pharmacy are available

PharmacyCommercialMarch 1, 2023

Clinical Criteria updates for specialty pharmacy