Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 31, 2023

June 2023 Provider Newsletter

Featured Articles

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialMay 31, 2023

Introducing Roster Automation to improve turnaround times and data accuracy

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMay 31, 2023

Notice of material change/amendment to contract

Notices of material changes/amendments to contract - June 2023

Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialMay 31, 2023

Correction: Federal Employee Program® Quality Reimbursement program update


Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMay 31, 2023

CAA: Have you reviewed your online provider directory information lately?

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2023

Consider a FIT kit for your patients aged 45 and older at average risk for colon cancer

Digital SolutionsAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 31, 2023

Introducing Roster Automation to improve turnaround times and data accuracy

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialMay 31, 2023

Provider data management capability on Availity coming for Anthem Blue Cross and Blue Shield

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialMay 31, 2023

Digital notifications are coming June 1, 2023

Digital SolutionsAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 31, 2023

Provider data management capability on Availity coming for AMH Health, LLC

Policy Updates

Policy UpdatesAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 19, 2023

MCG Care Guidelines 27th Edition

Policy UpdatesAnthem Blue Cross and Blue Shield | CommercialMay 19, 2023

Notice of material change/amendment to contract

MCG Care Guidelines 27th Edition

Policy UpdatesAnthem Blue Cross and Blue Shield | CommercialMay 31, 2023

HCPCS to revenue code alignment – Evaluation/Management

Policy UpdatesAMH Health, LLC | Medicare AdvantageMay 4, 2023

Clinical Criteria Updates December 2022

Policy UpdatesAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 22, 2023

Itemized Bill Review (IBR) Program

Policy UpdatesAMH Health, LLC | Medicare AdvantageMay 11, 2023

Clinical Criteria Updates February 2023

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialMay 31, 2023

Notice of material change/amendment to contract

Updates to Carelon Medical Benefits Management, Inc. Advanced Imaging, Sleep Disorder Management, and Spine Surgery Clinical Appropriateness Guidelines

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 16, 2023

Updates to Carelon Medical Benefits Management, Inc. Advanced Imaging, Sleep Disorder Management, and Spine Surgery Clinical Appropriateness Guidelines

Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialMay 31, 2023

Effective August 1, 2023, Carelon Medical Benefits Management, Inc. programs will expand

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialMay 31, 2023

Notice of material change/amendment to contract

Reimbursement Policy update: Bundled Services and Supplies policy – Professional

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialMay 31, 2023

Reimbursement policy update: Bundled Services and Supplies — Professional

Products & Programs

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialMay 31, 2023

Expansion of Back Pain Guide Program effective July 1, 2023

Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialMay 31, 2023

OBRA 93 claim filing for Federal Employee Program

PharmacyAnthem Blue Cross and Blue Shield | CommercialMay 31, 2023

Notice of material change/amendment to contract

Specialty pharmacy updates – June 2023

PharmacyAnthem Blue Cross and Blue Shield | CommercialMay 31, 2023

BioPlus provider FAQ

PharmacyAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2023

Pharmacy information available on our provider website

PharmacyAnthem Blue Cross and Blue Shield | CommercialMay 31, 2023

Notice of material change/amendment to contract

Clinical Criteria updates for specialty pharmacy

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 31, 2023

AMH Health, LLC expands specialty pharmacy precertification list
Notice of material change/amendment to contract.

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 31, 2023

New specialty pharmacy medical step therapy requirements
Notice of material change/amendment to contract.

Quality Management

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialMay 31, 2023

Skilled Nursing Facilities (SNF) Survey - Patient Safety

MEBCBS-CRCM-024893-23

* Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan. BioPlus Specialty Pharmacy is an independent company providing pharmacy services on behalf of the health plan.