Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageMay 1, 2024

May 2024 Provider Newsletter

Featured Articles

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMay 1, 2024

Notice of material change/amendment to contract

Notices of material changes/amendments to contract — May 2024

Digital SolutionsAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 1, 2024

Digital Request for Additional Information is now available for all lines of business

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageApril 10, 2024

CarelonRx, Inc. Mail changed to CarelonRx Pharmacy on January 1, 2024

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMay 1, 2024

Inaccurate laterality and diagnosis combination

AdministrativeAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 1, 2024

Inaccurate laterality and diagnosis combination

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMay 1, 2024

CAA: Maintain your online provider directory information

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageMay 1, 2024

Carelon Post Acute Solutions, LLC will begin operating as Carelon Medical Benefits Management, Inc.

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMay 1, 2024

Provider manual updates to become effective July 1, 2024

Digital SolutionsAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageMay 1, 2024

Personalized Match update

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageMay 1, 2024

Roster automation update

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialApril 23, 2024

Overview of the Preference Center on Availity Essentials

Digital SolutionsAnthem Blue Cross and Blue Shield | Medicare AdvantageApril 26, 2024

Introducing new functionality for non-medical providers

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageApril 15, 2024

Coming soon — Submit behavioral health authorizations through the Authorization application on Availity

Education & Training

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialApril 25, 2024

Instructions for donor claim billing

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 1, 2024

Rotary to ground educational message

Policy Updates

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialMay 1, 2024

Notice of material change/amendment to contract

Medical Policy and Clinical Guideline updates

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialApril 3, 2024

Reimbursement policy update: Laboratory and Venipuncture Services — Professional and Facility

Products & Programs

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialMay 1, 2024

Maine Travel Assistance Program

Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialMay 1, 2024

HEDIS tips: Adult Immunization Status (AIS-E)

PharmacyAnthem Blue Cross and Blue Shield | CommercialApril 24, 2024

Notice of material change/amendment to contract

Specialty pharmacy updates — May 2024

PharmacyAnthem Blue Cross and Blue Shield | CommercialMay 1, 2024

Notice of material change/amendment to contract

Clinical Criteria updates for specialty pharmacy

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageApril 22, 2024

Anthem expands specialty pharmacy precertification list

PharmacyAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2024

Pharmacy information available on our provider website

PharmacyAnthem Blue Cross and Blue Shield | CommercialApril 9, 2024

Acquisition of Paragon Healthcare

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageApril 8, 2024

Anthem expands specialty pharmacy precertification list

Quality Management

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialMay 1, 2024

Take action to improve adolescent immunizations rates

MEBCBS-CRCM-056140-24

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).