CommercialMedicare AdvantageMedicaid Managed CareJune 30, 2023
July 2023 Provider News
Featured Articles
CommercialMedicare AdvantageJune 30, 2023
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Provider data management capability now available on Availity Essentials โ retirement of previous intake channels October 1, 2023
CommercialMedicare AdvantageJune 30, 2023
Advancing health equity: Leveraging data to promote meaningful patient-provider relationships
Administrative
Medicare AdvantageMedicaid Managed CareJune 30, 2023
Unspecified diagnosis code of site and lateralityMedicaid Managed CareJune 22, 2023
Hospice Billing for Nursing Facility Room and Board (T2046), Health Care Isolation Centers and Ventilator Weaning ServicesCommercialJune 30, 2023
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Notification of NCCI review of medically unlikely editsMedicaid Managed CareMay 9, 2023
Provider Orientation Dates Summer 2023CommercialJune 30, 2023
Maintain your online provider directory informationCommercialJune 30, 2023
Requests for Additional Information are now digitalCommercialMedicare AdvantageMedicaid Managed CareJune 30, 2023
Get reliable claim status information without making a phone call: Introducing Claims Status enhancements for Anthem Blue Cross and Blue Shield member claim inquiriesBehavioral Health
Medicaid Managed CareJune 30, 2023
You're invited: Connections Application WebinarCommercialMedicare AdvantageMedicaid Managed CareJune 30, 2023
Important information regarding the recent Carelon Behavioral Health, Inc. assignment mailingEducation & Training
CommercialJune 22, 2023
Newborn authorizations and baby namesCommercialMedicare AdvantageJune 30, 2023
The BlueCard Provider Manual can answer your questions about the programMedicare AdvantageJune 30, 2023
Required training - Model of CarePolicy Updates
Medicare AdvantageJune 26, 2023
Medical Policies and Clinical Utilization Management Guidelines update for February 2023CommercialJune 22, 2023
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Expansion of Carelon Medical Benefits Management, Inc. Cardiology program clinical appropriateness review for Pacemakers programMedicaid Managed CareJune 30, 2023
Floor to SNF for in-network skilled nursing facilitiesCommercialJune 30, 2023
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Carelon Medical Benefits Management, Inc. genetic testing CPT code list updateMedicare AdvantageJune 6, 2023
Carelon Medical Benefits Management, Inc. genetic testing CPT code list updateCommercialJune 30, 2023
New reimbursement policy: Multiple Procedure Payment Reduction โ ProfessionalCommercialJune 30, 2023
Notice of Material Amendments to Contract and/or Change to Prior Authorization Requirements
Reimbursement policy update: Prolonged Services โ ProfessionalProducts & Programs
Medicare AdvantageJune 26, 2023
Medicare Part B precert expansion may multiple drug alignmentOHBCBS-CDCRCM-027111-23
To view this publication online:
Visit https://providernews.anthem.com/ohio/publications/july-2023-provider-news-1716
Or scan this QR code with your phone