Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 1, 2023

November 2023 Provider Newsletter

Featured Articles

AdministrativeAnthem Blue Cross and Blue Shield | CommercialOctober 31, 2023

Notice of material change/amendment to contract

Notices of material changes/amendments to contract – November 2023

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2023

Digital RFAI process improvements

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialOctober 31, 2023

Practitioners’ rights during credentialing process

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

On November 13, 2023, your requests for additional information will be sent digitally

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 31, 2023

Usage of liability modifiers

AdministrativeAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 31, 2023

2024 Medicare Advantage service area and benefit updates

AdministrativeAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2023

CAA: Maintain your online provider directory information

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

Improvements to secure messaging through Availity Essentials

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

Introducing enhanced Claim Status feature for Availity Essentials

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2023

Filing digital claims disputes: Transparent and trackable

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

Improvements to secure messaging through Availity Essentials

Policy Updates

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

Carelon Medical Benefits Management, Inc. updates - November 2023

Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 19, 2023

Expansion of Carelon Medical Benefits Management, Inc. programs

Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 16, 2023

RETRACTION: Prior authorization requirement changes effective February 1, 2024 

Codes 32274 and 32275

Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialSeptember 28, 2023

Notice of material change/amendment to contract

Expansion of Carelon Medical Benefits Management, Inc. programs, effective April 1, 2024

Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 3, 2023

Prior authorization requirement changes effective February 1, 2024 - code J1411

Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 5, 2023

Program Delay Announcement Authorizations for post-acute care services by Carelon Post Acute Solutions

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

Reimbursement policy update: Pharmaceutical Waste – Professional and Facility

Products & Programs

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

Introducing the High Performing Provider designation

Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialNovember 1, 2023

Notice of material change/amendment to contract

Federal Employee Program specialty pharmacy prior authorization review

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

Notice of material change/amendment to contract

FEP® Specialty Pharmacy prior authorization list

PharmacyAnthem Blue Cross and Blue Shield | CommercialOctober 31, 2023

Notice of material change/amendment to contract

Clinical Criteria updates for specialty pharmacy

PharmacyAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2023

Pharmacy information available on our provider website

Quality Management

Quality ManagementAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 1, 2023

Controlling high blood pressure and HEDIS

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 25, 2023

HEDIS measurement year 2023 documentation for Childhood Immunization Status (CIS)

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

Notice of material change/amendment to contract

Specialty pharmacy updates

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 15, 2023

HEDIS medical record submission made easier with our Remote EMR Access Service

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 1, 2023

HEDIS measurement year 2023 documentation for Transitions of Care (TRC)

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 27, 2023

Be Antibiotics Aware: Protect your patients

Quality ManagementAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 31, 2023

Statin therapy end of year best practices

MEBCBS-CRCM-041564-23

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