Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJuly 1, 2024
July 2024 Provider Newsletter
Featured Articles
Anthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
Notice of material change/amendment to contract
Notices of material changes/amendments to contract — July 2024
Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJuly 1, 2024
Admission, discharge, and transfer information is now available for Medicare Advantage members
Administrative
Anthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
Notice of material change/amendment to contract
Drugs and biologicAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
Timely receipt of other carrier EOB or rejection helps avoid timely filing denialsAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
Anesthesia modifiers — professional editing updateAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
Recovery room — facility editing updateAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJune 12, 2024
Phoenix Sepsis Criteria for coding and billing pediatric sepsisAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
CAA: Maintain your online provider directory informationAnthem Blue Cross and Blue Shield | CommercialJune 13, 2024
Digital-only authorization case status notification coming to youEducation & Training
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2024
July is Disability Awareness MonthAnthem Blue Cross and Blue Shield | CommercialMarch 12, 2024
Important reminder: The correct original claim number must be included if submitting a corrected claimAnthem Blue Cross and Blue Shield | CommercialJune 13, 2024
Faster notification of EDI corrected claims errorsPolicy Updates
Anthem Blue Cross and Blue Shield | Medicare AdvantageJune 4, 2024
Clinical Criteria updatesEffective July 6, 2024
AMH Health, LLC | Medicare AdvantageJune 3, 2024
Clinical Criteria updates — November 2023Anthem Blue Cross and Blue Shield | Medicare AdvantageJune 3, 2024
Clinical Criteria updates — November 2023Anthem Blue Cross and Blue Shield | Medicare AdvantageMay 29, 2024
Carelon Medical Benefits Management, Inc. updatesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 28, 2024
Notice of material change/amendment to contract
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
Notice of material change/amendment to contract
Medical Policy and Clinical Guideline updatesAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 30, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective July 1, 2024
Anthem Blue Cross and Blue Shield | CommercialJune 21, 2024
Notice of material change/amendment to contract
Carelon Medical Benefits Management, Inc. genetic testing code updatesAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
Program implementation announcement: Authorizations for post-acute care services by Carelon Medical Benefits Management, Inc.Anthem Blue Cross and Blue Shield | CommercialMay 13, 2024
Notice of material change/amendment to contract
Anthem Precertification List Change Notification for July 1, 2024Anthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
Notice of material change/amendment to contract
Precertification list change notification July 1, 2024Anthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
Notice of material change/amendment to contract
New reimbursement policy: Diagnostic Radiopharmaceuticals and Contrast Materials — Professional and FacilityAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
Notice of material change/amendment to contract
Reimbursement policy update: Incident to Services — ProfessionalAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
Reimbursement policy update: Modifiers 26 and TC — ProfessionalAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
Notice of material change/amendment to contract
Reimbursement policy update: Frequency Editing — ProfessionalProducts & Programs
Anthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
Antidepressant Medication Management (AMM)Anthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
Notice of material change/amendment to contract
Correction: Specialty pharmacy updates — July 2024Anthem Blue Cross and Blue Shield | Medicare AdvantageJune 20, 2024
Anthem expands specialty pharmacy precertification listQuality Management
Anthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJuly 1, 2024
Understanding your role in the Health Outcomes SurveyMEBCBS-CRCM-061277-24
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