CommercialMarch 31, 2023
April 2023 Provider News - New York
Administrative
CommercialMarch 31, 2023
Update to Claim Payment Dispute processCommercialMarch 31, 2023
Medical Oncology Program ProviderPortal case entry enhancementsCommercialMarch 31, 2023
Expansion of Carelon Medical Benefits Management, Inc. cardiology, genetic testing, and radiology programs effective August 1, 2023MedicaidMarch 31, 2023
Update use of modifier 25 for billing for visits that include preventive and problem-oriented evaluation and management servicesCommercialMarch 31, 2023
Helping to reduce delays when submitting attachmentsCommercialMarch 31, 2023
CAA: Maintain your online provider directory informationCommercialMarch 31, 2023
Genetic testing CPT code list update for Carelon Medical Benefits Management (formerly AIM Specialty Health)CommercialMedicaidMarch 31, 2023
Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measuresCommercialMarch 31, 2023
Notification Regarding Reimbursement Changes to COVID-19 Vaccine AdministrationMaterial Adverse Change (MAC)
CommercialMarch 31, 2023
Submitting prior authorizations is getting easierCommercialMedicare AdvantageMedicaidMarch 31, 2023
Survey for all skilled nursing facilitiesEducation & Training
MedicaidMarch 31, 2023
Provider Pathways - Doing business with Empire BlueCross BlueShield HealthPlus (Empire) eLearning is here!MedicaidMarch 31, 2023
Ready, set, renew!Policy Updates
Products & Programs
CommercialMarch 31, 2023
Let’s VaccinateCommercialMarch 31, 2023
HEDIS 2023 Federal Employee Program medical record request requirementsCommercialMarch 31, 2023
FEP Quality Reimbursement Program updateCommercialMarch 31, 2023
Pharmacy information available on our provider websiteState & Federal
MedicaidMarch 31, 2023
Correct coding for hospital outpatient clinic visits for MedicaidMedicare AdvantageMarch 31, 2023
Authorizations for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) services for consumers with individual, group retiree solutions (GRS), and dual-eligible plans from Medicare AdvantageMedicare AdvantageMarch 31, 2023
E-visitsMedicare AdvantageMarch 31, 2023
IBEW Local 25, New York moves to the Retiree Solutions Medicare Advantage Plan from Empire BlueCross BlueShieldMedicare AdvantageMarch 31, 2023
Keep up with Medicare news - April 2023View these Medicare articles:
- Clinical Criteria updates
- Clinical Criteria updates
- Empire BlueCross BlueShield expands specialty pharmacy precertification list (Imjudo, Pedmark, Tecvayli, Tzield, Vegzelma)
- Empire BlueCross expands specialty pharmacy precertification list (Elahere)
- New specialty pharmacy medical step therapy requirements (Beovu, Macugen)
- Genetic testing CPT code list update for Carelon Medical Benefits Management (formerly AIM Specialty Health)*
- Pay Doctor Bill (provider payment option) — General FAQ
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