CommercialMedicare AdvantageMedicaidJuly 1, 2024
July 2024 Provider Newsletter
Featured Articles
Medicare AdvantageMedicaidJuly 1, 2024
Admission, discharge, and transfer information is now available for Medicare Advantage and Medicaid members
Administrative
MedicaidJuly 1, 2024
Anatomical modifiersCommercialJuly 1, 2024
Recovery room — facility editing updateCommercialJuly 1, 2024
Anesthesia modifiers — professional editing updateCommercialJuly 1, 2024
Timely receipt of other carrier EOB or rejection helps avoid timely filing denialsCommercialJuly 1, 2024
Drugs and biologicCommercialMedicare AdvantageMedicaidJune 18, 2024
Phoenix Sepsis Criteria for coding and billing pediatric sepsisCommercialJuly 1, 2024
CAA: Maintain your online provider directory informationCommercialJune 20, 2024
Digital-only authorization case status notification coming to youEducation & Training
CommercialJune 13, 2024
Faster notification of EDI corrected claims errorsMedicaidJune 21, 2024
Human papillomavirus vaccinations factsCommercialMedicare AdvantageMedicaidJuly 1, 2024
July is Disability Awareness MonthCommercialMarch 12, 2024
Important reminder: The correct original claim number must be included if submitting a corrected claimMedicaidJune 4, 2024
Childhood immunization status (CIS)MedicaidJune 4, 2024
Immunizations for Adolescents (IMA)Policy Updates
Medicare AdvantageJune 3, 2024
Clinical Criteria updates — November 2023MedicaidJune 4, 2024
Carelon Medical Benefits Management, Inc. updatesMedicare AdvantageMay 29, 2024
Carelon Medical Benefits Management, Inc. updatesMedicare AdvantageJune 21, 2024
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesCommercialMedicaidJune 28, 2024
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesCommercialJuly 1, 2024
Medical Policy and Clinical Guideline updatesMedicare AdvantageMay 30, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective July 1, 2024
MedicaidJune 12, 2024
MCG Care Guidelines 28th editionCommercialJune 19, 2024
Carelon Medical Benefits Management, Inc. genetic testing code updatesCommercialJuly 1, 2024
Precertification list change notificationCommercialJuly 1, 2024
Precertification list change notification July 1, 2024CommercialMay 7, 2024
Anthem Precertification List Change Notification for July 1, 2024CommercialJuly 1, 2024
Reimbursement policy update: Incident to Services — ProfessionalCommercialJuly 1, 2024
Reimbursement policy update: Frequency Editing — ProfessionalProducts & Programs
CommercialJuly 1, 2024
Antidepressant Medication Management (AMM)MedicaidJune 18, 2024
Prior authorization updates for medications billed under the medical benefitMedicare AdvantageJune 20, 2024
Anthem expands specialty pharmacy precertification listCommercialJuly 1, 2024
Correction: Specialty pharmacy updates — July 2024Quality Management
Medicare AdvantageJuly 1, 2024
Understanding your role in the Health Outcomes SurveyMedicaidJuly 1, 2024
Complex Case Management programMedicaidJuly 1, 2024
Important information about utilization managementMedicaidJuly 1, 2024
Member Rights and Responsibilities statementNYBCBS-CDCRCM-061285-24
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