CommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJune 30, 2023
July 2023 Provider Newsletter
Featured Articles
CommercialJune 30, 2023
Learn about disease management programs available to your patients
CommercialMedicare AdvantageJune 30, 2023
Provider data management capability now available on Availity Essentials — retirement of previous intake channels October 1, 2023
CommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJune 30, 2023
Advancing health equity: Leveraging data to promote meaningful patient-provider relationships
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJune 30, 2023
Statin Therapy Exclusions for Patients With Cardiovascular HEDIS measures
Administrative
CommercialMedicare AdvantageJune 30, 2023
Unspecified diagnosis code of site and lateralityCommercialJune 30, 2023
Change to Prior Authorization Requirements
Notification of NCCI review of medically unlikely editsCommercialJune 30, 2023
Maintain your online provider directory informationCommercialJune 30, 2023
Requests for Additional Information are now digitalBehavioral Health
CommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJune 30, 2023
Important information regarding the recent Carelon Behavioral Health, Inc. assignment mailingEducation & Training
CommercialJune 22, 2023
Newborn authorizations and baby namesCommercialMedicare AdvantageJune 30, 2023
The BlueCard Provider Manual can answer your questions about the programMedicare AdvantageJune 30, 2023
Required training - Model of CarePolicy Updates
Medicare AdvantageJune 26, 2023
Medical Policies and Clinical Utilization Management Guidelines update for February 2023CommercialJune 22, 2023
Change to Prior Authorization Requirements
Expansion of Carelon Medical Benefits Management, Inc. Cardiology program clinical appropriateness review for Pacemakers programMedicare AdvantageJune 6, 2023
Carelon Medical Benefits Management, Inc. genetic testing CPT code list updateHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJune 22, 2023
Carelon Medical Benefits Management, Inc. lumbar infusion updateHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJune 12, 2023
Cimerli Medical Prior Authorization updateHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJune 9, 2023
Carelon genetic testing CPT code list updateCommercialJune 30, 2023
Change to Prior Authorization Requirements
Carelon Medical Benefits Management, Inc. genetic testing CPT code list updateCommercialJune 30, 2023
Change to Prior Authorization Requirements
Reimbursement policy update: Prolonged Services - ProfessionalCommercialJune 30, 2023
New reimbursement policy: Multiple Procedure Payment Reduction — ProfessionalProducts & Programs
Medicare AdvantageJune 26, 2023
Medicare Part B precert expansion may multiple drug alignmentQuality Management
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJune 30, 2023
Important information about utilization managementHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJune 30, 2023
Member’s Rights and ResponsibilitiesINBCBS-CDCRCM-027103-23
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