July 1, 2025
July 2025 Provider Newsletter
Filter By: AllCommercialMedicare Advantage
Featured Articles
CommercialMedicare AdvantageJuly 1, 2025
Join the 2025 Clinical Quality in Practice webinar series
CommercialJuly 1, 2025
Enroll with Availity to verify your provider data
Administrative
Medicare AdvantageJuly 1, 2025
Implementation of chargemaster‑based claims edit for ER levelingCommercialJuly 1, 2025
A quick guide to understanding JW and JZ modifiersMedicare AdvantageJuly 1, 2025
A quick guide to understanding JW and JZ modifiersMedicare AdvantageJune 23, 2025
Essential information for providers: understanding Medicare Advantage group retiree plansCommercialMedicare AdvantageJune 11, 2025
Simplifying communication with direct access to provider supportCommercialJuly 1, 2025
Update: essential ICD‑10‑CM compliance for outpatient facility claimsCommercialMedicare AdvantageJuly 1, 2025
Seamless Provider Enrollment and Network Management through Availity Essentials optimizes the care provider experienceCommercialMedicare AdvantageJuly 1, 2025
Streamlining behavioral health authorizations via Availity EssentialsMedicare AdvantageJune 17, 2025
Specialty pharmacy precertification list expansion — key updatesEducation & Training
Medicare AdvantageJuly 1, 2025
Combat diabetes: Close the statin therapy gap for better heart healthPolicy Updates
CommercialJune 13, 2025
Streamlined claim submission process updateMedicare AdvantageJune 3, 2025
Precertification/prior authorization requirement changesEffective November 1, 2025
CommercialJuly 1, 2025
New reimbursement policy: Code and Clinical Editing Guidelines — Professional and FacilityCommercialJuly 1, 2025
Reimbursement policy update: Bundled Services and Supplies — ProfessionalProducts & Programs
CommercialJune 2, 2025
Specialty pharmacy updates: June 2025MOBCBS-CRCM-085810-25-CPN85703
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