Key Updates
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageMarch 19, 2025
Technical difficulties: My Diverse Patients
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 28, 2025
Availity launches enhanced provider enrollment features for improved efficiency
Recent Updates
Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageMarch 19, 2025
Medicare Part B preapproval expands with new drug additionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageMarch 19, 2025
Technical difficulties: My Diverse PatientsAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageMarch 14, 2025
Glycemic Status Assessment for Patients with Diabetes (GSD) 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageMarch 14, 2025
Controlling High Blood Pressure (CBP) 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageMarch 11, 2025
Care for Older Adults (COA) 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageMarch 11, 2025
Medical Policies and Clinical Utilization Management Guidelines updateEffective April 12, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageMarch 6, 2025
Prior authorization requirement changesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 1, 2025
Reminder: provider data attestationAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2025
Notice of material change/amendment to contract
Notices of material changes/amendments to contract — March 2025Anthem Blue Cross and Blue Shield | CommercialMarch 1, 2025
Certain modifiers for outpatient claims will receive prepayment coding reviewAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2025
Update: Drug claims edits to focus on FDA‑approved indicationsAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2025
Notice of material change/amendment to contract
Precertification list change notification March 1, 2025Anthem Blue Cross and Blue Shield | CommercialMarch 1, 2025
New coding guidelines: include the anatomic modifierAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2025
Changes in Postal Service Health Benefits for 2025Anthem Blue Cross and Blue Shield | CommercialMarch 1, 2025
Clarification to reimbursement policy: Incident to Services and Billing — ProfessionalAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2025
New reimbursement policy: Place of Service — ProfessionalAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageMarch 1, 2025
Electronic payments and Explanation of Payment starting in JuneAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageMarch 1, 2025
Electronic payments starting in June 2025Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageFebruary 28, 2025
Resources to support diverse patients and communitiesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 28, 2025
Availity launches enhanced provider enrollment features for improved efficiencyAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageFebruary 27, 2025
Clinical Criteria updatesEffective March 28, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageFebruary 21, 2025
Advanced Illness and Frailty Exclusions 2025Anthem Blue Cross and Blue Shield | CommercialFebruary 21, 2025
Start 2025 with an easy way to earn continuing education creditsAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 20, 2025
MCG Care Guidelines 29th editionEffective June 1, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageFebruary 14, 2025
Clinical Criteria updatesEffective March 24, 2025
Anthem Blue Cross and Blue Shield | CommercialFebruary 11, 2025
Developmental screening in the first three years of lifeAnthem Blue Cross and Blue Shield | CommercialFebruary 11, 2025
Glycemic Status Assessment for Patients with Diabetes (GSD) 2025Anthem Blue Cross and Blue Shield | CommercialFebruary 11, 2025
Chlamydia Screening (CHL) 2025Anthem Blue Cross and Blue Shield | CommercialFebruary 10, 2025
Colorectal Cancer Screening (COL-E) 2025Anthem Blue Cross and Blue Shield | CommercialFebruary 4, 2025
Expansion of Carelon Medical Benefits Management, Inc. programsAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025
Avoidance of Antibiotics Treatment for Acute Bronchitis/Bronchiolitis (AAB)Anthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025
Notice of material change/amendment to contract
Reimbursement policy update: Diagnostic Radiopharmaceuticals and Contrast Materials — Professional and FacilityAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025
Notice of material change/amendment to contract
Notices of material changes/amendments to contract — February 2025Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 1, 2025
2025 Clinical Quality in Practice webinar seriesAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025
Pharmacy information available on our provider websiteAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025
Notice of material change/amendment to contract
Medical records needed for accurate payment of certain facility inpatient claimsAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025
Notice of material change/amendment to contract
Clinical Criteria updates for specialty pharmacyEffective May 1, 2025
Anthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025
Corrected claim guidance for the Federal Employee Program®Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 1, 2025
New Communication Center added to Availity EssentialsAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJanuary 28, 2025
Eye Exam for Patients with Diabetes (EED) 2025Anthem Blue Cross and Blue Shield | CommercialJanuary 27, 2025
Key formulary updates: effective January 1, 2025Anthem Blue Cross and Blue Shield | CommercialJanuary 22, 2025
Breast Cancer Screening (BCS-E) 2025Anthem Blue Cross and Blue Shield | CommercialJanuary 22, 2025
Statin Therapy for Patients with Cardiovascular Disease (SPC) 2025Anthem Blue Cross and Blue Shield | CommercialJanuary 21, 2025
Eye Exam for Patients with Diabetes (EED) 2025Anthem Blue Cross and Blue Shield | CommercialJanuary 21, 2025
Controlling High Blood Pressure (CBP)Anthem Blue Cross and Blue Shield | CommercialJanuary 17, 2025
Adult Immunization Status (AIS‑E) 2025Anthem Blue Cross and Blue Shield | CommercialJanuary 16, 2025
Asthma Medication Ratio (AMR) 2025Anthem Blue Cross and Blue Shield | CommercialJanuary 16, 2025
Submitting authorization for NICU services facilitates accurate and timely claims processingAnthem Blue Cross and Blue Shield | CommercialJanuary 16, 2025
Kidney Health Evaluation for Patients With Diabetes (KED) 2025Anthem Blue Cross and Blue Shield | CommercialJanuary 14, 2025
Authorization for post‑acute care services for FEP members