Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageFebruary 1, 2025

February 2025 Provider Newsletter

Featured Articles

AdministrativeAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025

Notice of material change/amendment to contract

Notices of material changes/amendments to contract — February 2025

Administrative

AdministrativeAnthem 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 claims

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 1, 2025

New Communication Center added to Availity Essentials

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJanuary 16, 2025

Submitting authorization for NICU services facilitates accurate and timely claims processing

Education & Training

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 1, 2025

Enhance billing and coding accuracy with new Payment Integrity training

Policy Updates

Reimbursement PoliciesAnthem 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 Facility

Products & Programs

Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025

Corrected claim guidance for the Federal Employee Program®

Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialJanuary 14, 2025

Authorization for post‑acute care services for FEP members

PharmacyAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025

Pharmacy information available on our provider website

PharmacyAnthem Blue Cross and Blue Shield | CommercialJanuary 27, 2025

Key formulary updates: effective January 1, 2025

PharmacyAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025

Notice of material change/amendment to contract

Clinical Criteria updates for specialty pharmacy

Effective May 1, 2025

Quality Management

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 1, 2025

2025 Clinical Quality in Practice webinar series

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025

Avoidance of Antibiotics Treatment for Acute Bronchitis/Bronchiolitis (AAB)

MEBCBS-CRCM-076697-25