Key Updates
CommercialMedicaidDecember 26, 2024
Availity Essentials maternity update for providers
CommercialDecember 1, 2024
The 32BJ Health Fund introduces new program through partnership with Lantern Surgery Care
CommercialMedicare AdvantageMedicaidOctober 25, 2024
Time to prepare for HEDIS medical record review
Recent Updates
CommercialMedicare AdvantageMedicaidDecember 30, 2024
Enhance patient coordination with Total Member ViewCommercialDecember 27, 2024
Weight management program overviewCommercialMedicaidDecember 26, 2024
Availity Essentials maternity update for providersCommercialDecember 26, 2024
HEDIS Well Child and Immunizations Coding Bulletin 2025CommercialDecember 23, 2024
HEDIS CAT II Coding Bulletin 2025Medicare AdvantageAMH - Medicare AdvantageDecember 23, 2024
Specialty pharmacy precertification list expansionMedicare AdvantageAMH - Medicare AdvantageDecember 23, 2024
Specialty Pharmacy Precertification and Step Therapy list expansionCommercialMedicaidDecember 19, 2024
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesMedicare AdvantageDecember 19, 2024
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesMedicare AdvantageAMH - Medicare AdvantageDecember 16, 2024
Shortage of repackaged bevacizumab for ophthalmic useCommercialMedicaidDecember 5, 2024
Update to anesthesia billed time units policyMedicare AdvantageDecember 4, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective January 5, 2024
CommercialDecember 3, 2024
Outpatient system updates for 2025CommercialDecember 3, 2024
Professional system updates for 2025CommercialDecember 1, 2024
Members’ Rights and ResponsibilitiesMedicaidDecember 1, 2024
You are invited: Learn how Availity creates better efficiencies for care providersCommercialDecember 1, 2024
The 32BJ Health Fund introduces new program through partnership with Lantern Surgery CareCommercialDecember 1, 2024
Physician Access/ Appointment Availability StandardsCommercialMedicare AdvantageDecember 1, 2024
Comprehensive, holistic care for obstructive sleep apneaCommercialDecember 1, 2024
Important information about utilization managementCommercialDecember 1, 2024
Clinical practice and preventive health guidelines available onlineCommercialDecember 1, 2024
FEP excited to join PSHB program in 2025CommercialDecember 1, 2024
New reimbursement policy: Trauma Activation — FacilityCommercialDecember 1, 2024
Kroger Specialty Pharmacy acquisitionCommercialDecember 1, 2024
Important update: Blue High Performance Network claims submission guidelines and provider informationCommercialDecember 1, 2024
Coordination of careCommercialDecember 1, 2024
Pharmacy information available onlineCommercialDecember 1, 2024
PCP after‑hours access requirementsCommercialDecember 1, 2024
Paragon Healthcare joins our medical specialty pharmacy provider network in 2025CommercialDecember 1, 2024
Case Management programMedicare AdvantageNovember 26, 2024
HEDIS Category II Coding Bulletin 2025CommercialNovember 25, 2024
Submitting authorization for NICU services facilitates accurate and timely claims processingCommercialNovember 21, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsCommercialNovember 20, 2024
Notification of authorization fax number changesFax numbers that will be turned off as of December 15, 2024
Medicare AdvantageNovember 18, 2024
New York 2025 Medicare Advantage plan changesCommercialNovember 18, 2024
Specialty pharmacy updates — December 2024Medicare AdvantageNovember 18, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsMedicare AdvantageNovember 18, 2024
Notice of change: Part D Rx HCCsMedicare AdvantageNovember 15, 2024
Skilled nursing facility — vaccine serum compensationMedicare AdvantageNovember 14, 2024
Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?MedicaidNovember 13, 2024
Assertive Community Treatment (ACT) Provider BulletinMedicaidNovember 5, 2024
Prior authorization updates for medications billed under the medical benefitCommercialMedicare AdvantageMedicaidNovember 1, 2024
Roster Automation updates: roster download functionalityCommercialNovember 1, 2024
Precertification List Change Notification — November 1, 2024CommercialNovember 1, 2024
High Performing and Blue National Designated Providers may also be known as Anthem Diamond ProvidersCommercialNovember 1, 2024
New claims requirement: add-on codes must include primary procedure starting December 2024CommercialNovember 1, 2024
Now live: view your fee schedule in Availity Essentials Payer Spaces