Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023
August 2023 Provider Newsletter
Featured Articles
Anthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023
Looking to earn CME credits? Check out the CME Engagement Hub!
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2023
Reminder: Start using the Provider Data Management application now on Availity Essentials — retirement of previous intake channels October 1, 2023
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2023
Notices of material changes/amendments to contract – August 2023
Administrative
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2023
Anthem Blue Cross and Blue Shield appropriate coding helps provide a comprehensive picture of patients’ health and services providedAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2023
CAA: Review your online provider directory information regularlyAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2023
Federal Consolidated Appropriations Act (CAA) Gag ClauseAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 18, 2023
Urinary tract infection tool kits are on the wayAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023
Clinical Laboratory Improvement AmendmentsAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023
Clinical Laboratory Improvement AmendmentsPolicy Updates
AMH Health, LLC | Medicare AdvantageJune 29, 2023
Clinical Criteria Updates for March 2023Anthem Blue Cross and Blue Shield | Medicare AdvantageJune 22, 2023
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guidelines for joint surgery and MSK level of careAnthem Blue Cross and Blue Shield | CommercialJuly 18, 2023
Expansion of Carelon Medical Benefits Management, Inc. cardiology programs effective October 1, 2023Anthem Blue Cross and Blue Shield | CommercialJuly 21, 2023
Notice of material change/amendment to contract
Updates to Carelon Medical Benefits Management, Inc. Joint Surgery, Small Joint Surgery, and MSK Level of CareAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 25, 2023
Prior authorization requirement changes effective November 1, 2023Anthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023
Technology Assisted Surgical ProceduresProducts & Programs
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2023
Notice of material change/amendment to contract
Specialty pharmacy updates - August 2023Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2023
Notice of material change/amendment to contract
Specialty pharmacy updates - August 2023Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2023
Notice of material change/amendment to contract
Clinical Criteria updates for specialty pharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023
Why statin therapy is important in your patients with diabetesAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023
Medication adherence: Back to the basicsAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2023
Pharmacy information available on our provider websiteQuality Management
Anthem Blue Cross and Blue Shield | Medicare AdvantageJuly 14, 2023
Pharmacotherapy Management of COPD Exacerbation (PCE) HEDIS® MeasureAnthem Blue Cross and Blue Shield | CommercialJuly 14, 2023
Pharmacotherapy Management of COPD Exacerbation (PCE) HEDIS® MeasureMEBCBS-CRCM-030302-23
Availity, LLC is an independent company providing administrative support services on behalf of the health plan. Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan.
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