CommercialMedicare AdvantageMarch 1, 2025

March 2025 Provider Newsletter

Featured Articles

Digital SolutionsCommercialMedicare AdvantageMarch 1, 2025

Reminder: provider data attestation

Administrative

AdministrativeCommercialMarch 1, 2025

New coding guidelines: include the anatomic modifier

AdministrativeCommercialMarch 1, 2025

Update: Drug claims edits to focus on FDA‑approved indications

AdministrativeCommercialMarch 1, 2025

Certain modifiers for outpatient claims will receive prepayment coding review

Digital SolutionsCommercialNovember 1, 2024

Adopting digital member ID cards

Digital SolutionsCommercialFebruary 4, 2025

Expansion of Carelon Medical Benefits Management, Inc. programs

Education & Training

Education & TrainingCommercialMedicare AdvantageJanuary 1, 2025

Enhance billing and coding accuracy with new Payment Integrity training

WebinarsCommercialFebruary 21, 2025

Start 2025 with an easy way to earn continuing education credits

Policy Updates

Policy UpdatesMedicare AdvantageFebruary 14, 2025

Clinical Criteria updates

Effective March 24, 2025

Medical Policy & Clinical GuidelinesCommercialMarch 1, 2025

Georgia Medical Policy and Clinical Guidelines updates — June 1, 2025

Medical Policy & Clinical GuidelinesCommercialFebruary 18, 2025

MCG Care Guidelines 29th edition

Effective June 1, 2025

Medical Policy & Clinical GuidelinesMedicare AdvantageFebruary 20, 2025

MCG Care Guidelines 29th edition

Effective June 1, 2025

Prior AuthorizationCommercialMarch 1, 2025

Precertification list change notification March 1, 2025

Products & Programs

Federal Employee Program (FEP)CommercialMarch 1, 2025

Changes in Postal Service Health Benefits for 2025

PharmacyCommercialMarch 1, 2025

Clinical Criteria updates for specialty pharmacy are available

GABCBS-CRCM-078124-25 , CPN78072