March 1, 2025
March 2025 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageMedicaidMarch 1, 2025
Reminder: provider data attestation
Administrative
CommercialMarch 1, 2025
Certain modifiers for outpatient claims will receive prepayment coding reviewCommercialMarch 1, 2025
Update: Drug claims edits to focus on FDA‑approved indicationsCommercialMarch 1, 2025
New coding guidelines: include the anatomic modifierCommercialNovember 1, 2024
Adopting digital member ID cardsCommercialFebruary 4, 2025
Expansion of Carelon Medical Benefits Management, Inc. programsEducation & Training
CommercialMedicare AdvantageMedicaidFebruary 1, 2025
Enhance billing and coding accuracy with new Payment Integrity trainingCommercialFebruary 21, 2025
Start 2025 with an easy way to earn continuing education creditsProducts & Programs
CommercialMarch 1, 2025
Changes in Postal Service Health Benefits for 2025MedicaidFebruary 19, 2025
Prior authorization updates for medications billed under the medical benefitEffective April 1, 2025
Anktiva, Hercessi, and Imdelltra
MedicaidFebruary 24, 2025
Prior authorization updates for medications billed under the medical benefitEffective April 1, 2025
Tevimbra and Tyenne
MedicaidFebruary 25, 2025
Prior authorization updates for medications billed under the medical benefitEffective April 1, 2025
Orencia and Avsola
NVBCBS-CDCRCM-078139-25 , CPN78072
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