CommercialMedicare AdvantageMedicaidNovember 1, 2024
November 2024 Provider Newsletter
Featured Articles
CommercialMedicare AdvantageMedicaidOctober 25, 2024
Time to prepare for HEDIS medical record review
CommercialOctober 23, 2024
Do you offer telehealth services? Let us know!
MedicaidOctober 23, 2024
Reminder: take action to protect infants from respiratory syncytial virus this season
Medicare AdvantageOctober 15, 2024
Model of Care training reminder
Administrative
CommercialNovember 1, 2024
New claims requirement: add-on codes must include primary procedure starting December 2024CommercialOctober 1, 2024
Physician Access/Appointment Availability StandardsCommercialNovember 1, 2024
More error types for corrected claims submitted through EDI now availableCommercialNovember 1, 2024
Personalized Match updateMedicaidNovember 1, 2024
Enhanced personalized match: making the care provider search more informed and personalizedCommercialNovember 1, 2024
Now live: view your fee schedule in Availity Essentials Payer SpacesBehavioral Health
CommercialNovember 1, 2024
Introducing a new Applied Behavior Analysis Provider Resource GuideEducation & Training
MedicaidNovember 1, 2024
After hours for primary care physiciansPolicy Updates
Medicare AdvantageOctober 16, 2024
Clarification to Carelon Medical Benefits Management, Inc. updates effective September 1, 2024MedicaidOctober 2, 2024
Clarification to Carelon Medical Benefits Management, Inc. updates effective September 1, 2024Medicare AdvantageSeptember 25, 2024
Carelon Medical Benefits Management, Inc. updatesEffective November 17, 2024
MedicaidSeptember 30, 2024
Carelon Medical Benefits Management, Inc. updatesEffective November 30, 2024
MedicaidOctober 2, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective November 3, 2024
CommercialNovember 1, 2024
Precertification List Change Notification — November 1, 2024Codes J3393 and J3394
CommercialNovember 1, 2024
Precertification List Change Notification — November 1, 2024Medicare AdvantageSeptember 24, 2024
Prior authorization requirement changesEffective February 1, 2025
CommercialNovember 1, 2024
Reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesProducts & Programs
CommercialNovember 1, 2024
High Performing and Blue National Designated Providers may also be known as Anthem Diamond ProvidersCommercialJuly 1, 2024
Correction: Specialty pharmacy updates — July 2024CommercialOctober 24, 2024
Specialty pharmacy updates — November 2024CommercialNovember 1, 2024
Clinical Criteria updates for specialty pharmacyMedicare AdvantageNovember 1, 2024
Improving patient outcomes: back to the basicsQuality Management
MedicaidOctober 24, 2024
Provider: CAHPS awarenessNYBCBS-CDCRCM-070463-24
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