July 1, 2025
July 2025 Provider Newsletter
Filter By: AllCommercialMedicare AdvantageMedicaid
Featured Articles
CommercialJuly 1, 2025
Enroll with Availity to verify your provider data
CommercialMedicare AdvantageMedicaidJuly 1, 2025
Join the 2025 Clinical Quality in Practice webinar series
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 plansCommercialJuly 1, 2025
CMS drug fee schedule update effective August 1, 2025CommercialJuly 1, 2025
Update: essential ICD‑10‑CM compliance for outpatient facility claimsCommercialMedicare AdvantageMedicaidJuly 1, 2025
Seamless Provider Enrollment and Network Management through Availity Essentials optimizes the care provider experienceCommercialMedicare AdvantageMedicaidJuly 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
MedicaidJune 3, 2025
Medical Policies and Clinical Utilization Management Guidelines updateEffective July 9, 2025
CommercialJune 23, 2025
Precertification/Prior Authorization list change notification July 1, 2025CommercialJuly 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 2025Quality Management
MedicaidJuly 1, 2025
Important information about utilization managementMedicaidJuly 1, 2025
Member Rights and Responsibilities section is online in the provider manualNVBCBS-CDCRCM-085814-25-CPN85703
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