CommercialMedicare AdvantageJanuary 1, 2025
January 2025 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageJanuary 1, 2025
Enhance billing and coding accuracy with new Payment Integrity training
CommercialJanuary 1, 2025
Introducing Coupe Health — quality care with clear pricing and no upfront payments
Administrative
Medicare AdvantageJanuary 1, 2025
D‑SNP members can earn rewards by participating in select healthcare activitiesCommercialJanuary 1, 2025
CAA: Providers required to verify online provider directory informationCommercialMedicare AdvantageDecember 30, 2024
Enhance patient coordination with Total Member ViewEducation & Training
CommercialMedicare AdvantageJanuary 1, 2025
Enhance billing and coding accuracy with new Payment Integrity trainingPolicy Updates
CommercialMedicare AdvantageDecember 19, 2024
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesCommercialJanuary 1, 2025
Medical Policies and Clinical Guidelines updates — December 2024Medicare AdvantageDecember 4, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective January 5, 2024
Products & Programs
CommercialJanuary 1, 2025
2025 FEHB and PSHB information available onlineMedicare AdvantageDecember 23, 2024
Specialty pharmacy precertification list expansionEffective March 1, 2025
Medicare AdvantageDecember 31, 2024
Important information about specialty prescriptionsCommercialDecember 27, 2024
Weight management program overviewMedicare AdvantageJanuary 1, 2025
Kroger Specialty Pharmacy acquisitionMedicare AdvantageDecember 23, 2024
Specialty Pharmacy Precertification and Step Therapy list expansionEffective April 1, 2025
Medicare AdvantageDecember 16, 2024
Shortage of repackaged bevacizumab for ophthalmic useMOBCBS-CRCM-074629-24
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