Key Updates
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 1, 2025
2025 Clinical Quality in Practice webinar series
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 28, 2025
FAMIS formulary and Preferred Drug List update
Recent Updates
Anthem Blue Cross and Blue Shield | CommercialFebruary 18, 2025
MCG Care Guidelines 29th editionHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 17, 2025
MCG Care Guidelines 29th editionAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 14, 2025
Clinical Criteria updatesEffective March 24, 2025
Anthem Blue Cross and Blue Shield | CommercialFebruary 11, 2025
Developmental screening in the first three years of lifeAnthem Blue Cross and Blue Shield | CommercialFebruary 11, 2025
Glycemic Status Assessment for Patients with Diabetes (GSD) 2025Anthem Blue Cross and Blue Shield | CommercialFebruary 11, 2025
Chlamydia Screening (CHL) 2025Anthem Blue Cross and Blue Shield | CommercialFebruary 10, 2025
Colorectal Cancer Screening (COL-E) 2025Anthem Blue Cross and Blue Shield | CommercialFebruary 4, 2025
Expansion of Carelon Medical Benefits Management, Inc. programsAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025
Corrected claim guidance for the Federal Employee Program®Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 1, 2025
New Communication Center added to Availity EssentialsAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025
Clinical Criteria updates for specialty pharmacy are availableHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 1, 2025
Quarterly pharmacy formulary change noticeAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025
Pharmacy information available on our provider websiteAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 1, 2025
2025 Clinical Quality in Practice webinar seriesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 1, 2025
Claims billing education: Medicaid secondary billing errorsAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025
Medical records needed for accurate payment of certain facility inpatient claimsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 31, 2025
Clinical Criteria updatesEffective March 7, 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 30, 2025
Important update: group billable status for FQHCs and RHCsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 28, 2025
FAMIS formulary and Preferred Drug List updateAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 28, 2025
Eye Exam for Patients with Diabetes (EED) 2025Anthem Blue Cross and Blue Shield | CommercialJanuary 27, 2025
Key formulary updates: effective January 1, 2025HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 23, 2025
You are invited: Provider coding educationAnthem Blue Cross and Blue Shield | CommercialJanuary 22, 2025
Breast Cancer Screening (BCS-E) 2025Anthem Blue Cross and Blue Shield | CommercialJanuary 22, 2025
Statin Therapy for Patients with Cardiovascular Disease (SPC) 2025Anthem Blue Cross and Blue Shield | CommercialJanuary 21, 2025
Eye Exam for Patients with Diabetes (EED) 2025Anthem Blue Cross and Blue Shield | CommercialJanuary 21, 2025
Controlling High Blood Pressure (CBP)Anthem Blue Cross and Blue Shield | CommercialJanuary 17, 2025
Adult Immunization Status (AIS‑E) 2025Anthem Blue Cross and Blue Shield | CommercialJanuary 16, 2025
Asthma Medication Ratio (AMR) 2025Anthem Blue Cross and Blue Shield | CommercialJanuary 16, 2025
Submitting authorization for NICU services facilitates accurate and timely claims processingAnthem Blue Cross and Blue Shield | CommercialJanuary 16, 2025
Kidney Health Evaluation for Patients With Diabetes (KED) 2025Anthem Blue Cross and Blue Shield | CommercialJanuary 14, 2025
Authorization for post‑acute care services for FEP membersAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 13, 2025
Statin Therapy for Patients with Cardiovascular Disease (SPC) 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 13, 2025
Colorectal Cancer Screening (COL‑E) 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 13, 2025
Kidney Health Evaluation for Patients With Diabetes (KED) 2025Anthem Blue Cross and Blue Shield | CommercialJanuary 13, 2025
Medication Adherence 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 12, 2025
Medication Adherence 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 9, 2025
Advanced Illness and Frailty 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 9, 2025
Transition of Care (TRC) 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 8, 2025
Breast Cancer Screening (BCS-E) 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 7, 2025
Follow‑up After Emergency Department Visit for Patients With Multiple High‑Risk Chronic Conditions (FMC) 2025HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 6, 2025
Prior authorization updates for medications billed under the medical benefitEffective March 1, 2025
Kisunla and Piasky
Anthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 6, 2025
Adult Immunization Status (AIS‑E) 2025Anthem Blue Cross and Blue Shield | CommercialJanuary 6, 2025
HEDIS Desktop Reference Guide for Commercial 2025Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 1, 2025
Enhance billing and coding accuracy with new Payment Integrity trainingAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 1, 2025
New year, new labs: LabCorp and Quest Diagnostics now in‑network for Virginia plansAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 1, 2025
Announcing Health Perks — earn rewards for your healthcare activitiesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 1, 2025
Updates to correct coding editingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 1, 2025
Important updates regarding COVID-19 vaccine and testing policiesAnthem Blue Cross and Blue Shield | CommercialJanuary 1, 2025
Introducing Coupe Health — quality care with clear pricing and no upfront paymentsAnthem Blue Cross and Blue Shield | CommercialJanuary 1, 2025
CAA: Providers required to verify online provider directory information