July 1, 2025

July 2025 Provider Newsletter

Filter By: AllCommercialMedicare AdvantageMedicaid

Featured Articles

AdministrativeCommercialJuly 1, 2025

Enroll with Availity to verify your provider data

Digital SolutionsCommercialJuly 1, 2025

Adopting digital member ID cards

Education & TrainingCommercialJuly 1, 2025

Reduce delays when confirming appeal attachments

WebinarsCommercialMedicare AdvantageMedicaidJuly 1, 2025

Join the 2025 Clinical Quality in Practice webinar series


Administrative

AdministrativeCommercialDecember 1, 2024

Physician Access/Appointment Availability Standards

AdministrativeMedicare AdvantageJuly 1, 2025

Implementation of chargemaster‑based claims edit for ER leveling

AdministrativeCommercialJuly 1, 2025

A quick guide to understanding JW and JZ modifiers

AdministrativeMedicare AdvantageJuly 1, 2025

A quick guide to understanding JW and JZ modifiers

AdministrativeMedicaidApril 1, 2025

After hours for primary care physicians

AdministrativeCommercialJuly 1, 2025

Modifier FB: key changes in reimbursement policy

Digital SolutionsMedicare AdvantageJune 17, 2025

Specialty pharmacy precertification list expansion — key updates

Digital SolutionsCommercialMedicare AdvantageMedicaidJuly 1, 2025

Streamlining behavioral health authorizations via Availity Essentials

Education & Training

Education & TrainingMedicaidJuly 1, 2025

You are invited: provider coding education

Education & TrainingMedicare AdvantageJuly 1, 2025

Combat diabetes: Close the statin therapy gap for better heart health

Policy Updates

Policy UpdatesMedicaidMay 28, 2025

Clinical Criteria updates

Effective June 30, 2025

Policy UpdatesMedicare AdvantageJune 2, 2025

Clinical Criteria updates

Effective July 6, 2025

Medical Policy & Clinical GuidelinesCommercialJuly 1, 2025

Medical Policy and Clinical Guideline updates

Prior AuthorizationMedicaidJune 9, 2025

Prior authorization requirement changes

Effective August 1, 2025

Products & Programs

PharmacyCommercialJune 2, 2025

Specialty pharmacy updates: June 2025

NYBCBS-CDCRCM-085815-25-CPN85703