Key Updates
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageNovember 1, 2024
Roster Automation updates: roster download functionality
Anthem Blue Cross and Blue Shield | CommercialOctober 23, 2024
Do you offer telehealth services? Let us know!
Recent Updates
Anthem Blue Cross and Blue Shield | CommercialNovember 21, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageNovember 18, 2024
Maine 2025 Medicare Advantage plan changesAnthem Blue Cross and Blue Shield | CommercialNovember 18, 2024
Notice of material change/amendment to contract
Specialty pharmacy updates — December 2024Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageNovember 18, 2024
Notice of change: Part D Rx HCCsAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageNovember 18, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageNovember 15, 2024
Skilled nursing facility — vaccine serum compensationAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 14, 2024
Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageNovember 1, 2024
Roster Automation updates: roster download functionalityAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024
Notice of material change/amendment to contract
Notices of material changes/amendments to contract — November 2024Anthem Blue Cross and Blue Shield | CommercialNovember 1, 2024
Introducing a new Applied Behavior Analysis Provider Resource GuideAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024
Change in precertification penaltyAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024
High Performing and Blue National Designated Providers may also be known as Anthem Diamond ProvidersAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024
Notice of material change/amendment to contract
Reimbursement policy update: Modifiers 59 and XE, XP, XS, and XU: Distinct Procedural Service — ProfessionalAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024
Adopting digital member ID cardsAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024
New claims requirement: add-on codes must include primary procedure starting December 2024Anthem Blue Cross and Blue Shield | CommercialNovember 1, 2024
Notice of material change/amendment to contract
Precertification List Change Notification — November 1, 2024Anthem Blue Cross and Blue Shield | CommercialNovember 1, 2024
Submit corrected claims electronically for the Federal Employee Program®Anthem Blue Cross and Blue Shield | CommercialNovember 1, 2024
Notice of material change/amendment to contract
Precertification List Change Notification — November 1, 2024Codes J3393 and J3394
Anthem Blue Cross and Blue Shield | CommercialNovember 1, 2024
More error types for corrected claims submitted through EDI now availableAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 1, 2024
Improving patient outcomes: back to the basicsAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024
Personalized Match updateAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageOctober 30, 2024
Clinical Criteria updatesEffective December 2, 2024
Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageOctober 29, 2024
HEDIS Measure Tips — Appropriate Treatment for Upper Respiratory Infection (URI) 2025Anthem Blue Cross and Blue Shield | CommercialOctober 24, 2024
Notice of material change/amendment to contract
Specialty pharmacy updates — November 2024Anthem Blue Cross and Blue Shield | CommercialOctober 23, 2024
Do you offer telehealth services? Let us know!Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageOctober 23, 2024
HEDIS Measure Tips — Appropriate Testing for Pharyngitis (CWP) 2025Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageOctober 22, 2024
HEDIS Measure Tips — Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (AAB) 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageOctober 16, 2024
Clarification to Carelon Medical Benefits Management, Inc. updates effective September 1, 2024Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageOctober 16, 2024
Carelon Medical Benefits Management, Inc. updatesEffective November 17, 2024
AMH Health, LLC | Medicare AdvantageOctober 15, 2024
Model of Care training reminderAnthem Blue Cross and Blue Shield | CommercialOctober 8, 2024
HEDIS Measure Tips — Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageOctober 7, 2024
HEDIS Measure Tips — Cardiac Rehabilitation (CRE) 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageOctober 4, 2024
HEDIS Measure Tips — Adults’ Access to Preventive/Ambulatory Health Services (AAP) 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageOctober 3, 2024
Blood Pressure Control for Patients With Diabetes (BPD) 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageOctober 2, 2024
Pharmacotherapy Management of COPD Exacerbation (PCE) 2025Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
Notice of material change/amendment to contract
Reimbursement policy update: Modifier FB — Professional and FacilityAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
Introduction of the HPP designation program for individual member (Exchange) commercial networksAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
National Accounts 2025 precertification listAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageOctober 1, 2024
HEDIS medical record submission made easier with our Remote EMR Access serviceAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
Pharmacy information available on our provider websiteAMH Health, LLC | Medicare AdvantageOctober 1, 2024
Clarification to reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageOctober 1, 2024
Introducing the Care Provider Recognition ProgramAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
Now live: view your fee schedule in Availity Essentials Payer SpacesAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageOctober 1, 2024
Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageOctober 1, 2024
Prevent flu and COVID-19: drive the change through vaccinationAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
Notice of material change/amendment to contract
Notices of material changes/amendments to contract — October 2024Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
Notice of material change/amendment to contract
Clinical Criteria updates for specialty pharmacyAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
Notice of material change/amendment to contract
Medical Policy and Clinical Guideline updatesAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
Introduction of the Specialty High Performing Provider designation program for commercial networksAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 24, 2024
Prior authorization requirement changesEffective February 1, 2025