CommercialMedicare AdvantageNovember 1, 2024
November 2024 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageOctober 24, 2024
Time to prepare for HEDIS medical record review
CommercialOctober 23, 2024
Do you offer telehealth services? Let us know!
Medicare AdvantageOctober 15, 2024
Model of Care training reminder
CommercialOctober 21, 2024
Notification of authorization fax number changes
Administrative
CommercialNovember 1, 2024
More error types for corrected claims submitted through EDI now availableCommercialNovember 1, 2024
New claims requirement: add-on codes must include primary procedure starting December 2024CommercialNovember 1, 2024
Personalized Match updateMedicare AdvantageNovember 1, 2024
Streamlined medical services for SHBP retirees — Medicare Advantage plan from AnthemCommercialNovember 1, 2024
Adopting digital member ID cardsBehavioral Health
CommercialNovember 1, 2024
Introducing a new Applied Behavior Analysis Provider Resource GuidePolicy Updates
Medicare AdvantageOctober 16, 2024
Clarification to Carelon Medical Benefits Management, Inc. updates effective September 1, 2024Medicare AdvantageSeptember 25, 2024
Carelon Medical Benefits Management, Inc. updatesEffective October 26, 2024
CommercialNovember 1, 2024
Material adverse change
Precertification List Change Notification — November 1, 2024Codes J3393 and J3394
CommercialNovember 1, 2024
Material adverse change
Precertification List Change Notification — November 1, 2024Medicare AdvantageSeptember 24, 2024
Prior authorization requirement changesEffective February 1, 2025
CommercialNovember 1, 2024
Reimbursement policy reminder: Multiple Surgery — FacilityCommercialNovember 1, 2024
Material adverse change
Reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesProducts & Programs
CommercialNovember 1, 2024
2025 Individual ACA updates: Blue Value network expanding, Georgia moving to a state-based exchangeCommercialNovember 1, 2024
High Performing and Blue National Designated Providers may also be known as Anthem Diamond ProvidersMedicare AdvantageNovember 1, 2024
Improving patient outcomes: back to the basicsCommercialNovember 1, 2024
Material adverse change
Clinical Criteria updates for specialty pharmacy are availableGABCBS-CRCM-070449-24
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