June 30, 2023
July 2023 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageMedicaidJune 30, 2023
Advancing health equity: Leveraging data to promote meaningful patient-provider relationships
CommercialMedicare AdvantageMedicaidJune 30, 2023
Get reliable claim status information without making a phone call: Introducing Claims Status enhancements for Anthem Blue Cross and Blue Shield member claim inquiries
Administrative
CommercialMedicare AdvantageJune 30, 2023
LabCorp non-participating lab referralsCommercialJune 30, 2023
Notification of NCCI review of medically unlikely editsCommercialMedicare AdvantageJune 30, 2023
Unspecified diagnosis code of site and lateralityMedicaidJune 30, 2023
Unspecified diagnosis code of site and lateralityCommercialJune 30, 2023
Drug fee schedule updateCommercialJune 30, 2023
Maintain your online provider directory informationMedicaidJune 30, 2023
Updates to the Anthem Blue Cross and Blue Shield Healthcare Solutions Provider Manual for Nevada MedicaidCommercialJune 30, 2023
Digitally file claim payment disputes for Anthem Commercial member claims beginning in JulyCommercialMedicare AdvantageMedicaidJune 30, 2023
Introducing Roster Automation to improve turnaround times and data accuracyCommercialMedicare AdvantageJune 15, 2023
We’re enhancing our data management system to streamline your demographic update processCommercialJune 30, 2023
Requests for Additional Information are now digitalEducation & Training
CommercialJune 22, 2023
Newborn authorizations and baby namesCommercialMedicare AdvantageJune 30, 2023
The BlueCard Provider Manual can answer your questions about the programMedicare AdvantageJune 30, 2023
Required training - Model of CarePolicy Updates
MedicaidJune 12, 2023
Clinical Criteria updates for February 2023CommercialJune 30, 2023
Carelon Medical Benefits Management, Inc. genetic testing CPT code list updateMedicaidJune 9, 2023
Clinical Criteria updates for December 2022Medicare AdvantageJune 9, 2023
Clinical Criteria updates February 2023CommercialJune 22, 2023
Expansion of Carelon Medical Benefits Management, Inc. Cardiology program clinical appropriateness review for Pacemakers programMedicare AdvantageJune 26, 2023
Medical Policies and Clinical Utilization Management Guidelines update for February 2023MedicaidJune 26, 2023
Medical Prior Authorization update Fylnetra, Rolvedon, and StimufendCommercialJune 30, 2023
Authorizations for post-acute care services for Commercial membersMedicaidMay 31, 2023
Cimerli Medical Prior Authorization updateMedicare AdvantageJune 6, 2023
Carelon Medical Benefits Management, Inc. genetic testing CPT code list updateMedicaidJune 30, 2023
Prior authorization update for select DMEMedicaidJune 1, 2023
Spevigo and Xenpozyme Medical Prior Authorization updateCommercialJune 30, 2023
Reimbursement policy update: Prolonged Services - ProfessionalCommercialJune 30, 2023
New reimbursement policy: Multiple Procedure Payment Reduction — ProfessionalProducts & Programs
Medicare AdvantageJune 26, 2023
Medicare Part B precert expansion may multiple drug alignmentNVBCBS-CDCRCM-027108-23
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