Highlights

Key Updates

AdministrativeAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 19, 2024

Aligned enrollment for Virginia D-SNP members starting January 1, 2025

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 7, 2024

Important update: vaccine billing policy reversed — check your affected claims

Administrative Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 1, 2024

Roster Automation updates: roster download functionality

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 25, 2024

Time to prepare for HEDIS medical record review

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 23, 2024

Reminder: take action to protect infants from respiratory syncytial virus this season

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 23, 2024

Updated place of service code requirements for telehealth billing

AdministrativeAnthem Blue Cross and Blue Shield | CommercialOctober 23, 2024

Do you offer telehealth services? Let us know!

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 16, 2024

Virginia healthcare providers: enhance your skill set in healthcare for people with intellectual and developmental disabilities

Education & TrainingAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 15, 2024

Model of Care training reminder


What's New

Recent Updates

AdministrativeAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 21, 2024

Anthem Blue Cross and Blue Shield and its affiliate HealthKeepers, Inc. will delegate care management to Carelon Health, Inc.

Administrative Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialNovember 20, 2024

Notification of authorization fax number changes

AdministrativeAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 19, 2024

Aligned enrollment for Virginia D-SNP members starting January 1, 2025

AdministrativeAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 18, 2024

Virginia 2025 Medicare Advantage plan changes

Administrative Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialNovember 18, 2024

Expansion of Carelon Medical Benefits Management, Inc. programs

Products & Programs PharmacyAnthem Blue Cross and Blue Shield | CommercialNovember 18, 2024

Specialty pharmacy updates — December 2024

Administrative Digital SolutionsAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 18, 2024

Expansion of Carelon Medical Benefits Management, Inc. programs

Education & TrainingAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 18, 2024

Notice of change: Part D Rx HCCs

Administrative Digital SolutionsAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 18, 2024

Expansion of digital-only authorization case status notifications

AdministrativeAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 15, 2024

Skilled nursing facility — vaccine serum compensation

Guideline UpdatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 15, 2024

Clinical Criteria updates

Effective December 18, 2024

Products & Programs PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 14, 2024

Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 12, 2024

ABA claim denials for codes 97152, 97153, and 97154

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 7, 2024

Provider alert: understanding claim payment disputes and appeals

Guideline UpdatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 7, 2024

Clinical Criteria updates

Effective December 11, 2024

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 7, 2024

Important update: vaccine billing policy reversed — check your affected claims

Administrative Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 1, 2024

Roster Automation updates: roster download functionality

Administrative Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Adopting digital member ID cards

AdministrativeAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Personalized Match update

Guideline Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Precertification List Change Notification — November 1, 2024

Guideline Updates Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Precertification List Change Notification — November 1, 2024

Codes J3393 and J3394

Products & Programs PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 1, 2024

Improving patient outcomes: back to the basics

AdministrativeAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

More error types for corrected claims submitted through EDI now available

Products & Programs Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Submit corrected claims electronically for the Federal Employee Program®

Guideline Updates Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 1, 2024

Expand access to specialty care with virtual consults — now available in Virginia

AdministrativeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 1, 2024

New claims edits system enhances drug safety

Products & Programs PharmacyAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Clinical Criteria updates for specialty pharmacy are available

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

High Performing and Blue National Designated Providers may also be known as Anthem Diamond Providers

Behavioral HealthAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Introducing a new Applied Behavior Analysis Provider Resource Guide

Behavioral HealthHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 1, 2024

LAI injectable antipsychotics can improve clinical outcomes in serious mental illness population

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Important information about billing colonoscopy and related anesthesia services

Administrative Digital SolutionsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 1, 2024

Enhanced personalized match: making the care provider search more informed and personalized

Guideline UpdatesAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 30, 2024

Clinical Criteria updates

Effective December 2, 2024

Quality ManagementAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 29, 2024

HEDIS Measure Tips — Appropriate Treatment for Upper Respiratory Infection (URI) 2025

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 25, 2024

Time to prepare for HEDIS medical record review

Products & Programs PharmacyAnthem Blue Cross and Blue Shield | CommercialOctober 24, 2024

Specialty pharmacy updates — November 2024

Quality ManagementHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 24, 2024

Provider: CAHPS awareness

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 23, 2024

Reminder: take action to protect infants from respiratory syncytial virus this season

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 23, 2024

Updated place of service code requirements for telehealth billing

Quality Management Optimizing HEDIS & STARSAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 23, 2024

HEDIS Measure Tips — Appropriate Testing for Pharyngitis (CWP) 2025

AdministrativeAnthem Blue Cross and Blue Shield | CommercialOctober 23, 2024

Do you offer telehealth services? Let us know!

Quality Management Optimizing HEDIS & STARSAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 22, 2024

HEDIS Measure Tips — Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis (AAB) 2025

Guideline UpdatesAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 16, 2024

Clarification to Carelon Medical Benefits Management, Inc. updates effective September 1, 2024

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 16, 2024

Virginia healthcare providers: enhance your skill set in healthcare for people with intellectual and developmental disabilities

Education & TrainingAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 15, 2024

Model of Care training reminder

Guideline Updates Prior AuthorizationHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 10, 2024

Prior authorization requirement changes

Effective December 1, 2024

Products & Programs PharmacyHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 8, 2024

State communication: Virginia’s Medicaid Preferred Drug List (PDL)/ Common Core Formulary (10/1/24)

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialOctober 8, 2024

HEDIS Measure Tips — Weight Assessment and Counseling for Nutrition and Physical Activity for Children/Adolescents (WCC) 2025

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 7, 2024

HEDIS Measure Tips — Cardiac Rehabilitation (CRE) 2025

Quality Management Optimizing HEDIS & STARSAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 4, 2024

HEDIS Measure Tips — Adults’ Access to Preventive/Ambulatory Health Services (AAP) 2025