Anthem Blue Cross and Blue Shield | CommercialMarch 31, 2023

April 2023 Provider News - Virginia

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMarch 31, 2023

CAA: Maintain your online provider directory information

AdministrativeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 31, 2023

Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measures

AdministrativeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 31, 2023

Update use of modifier 25 for billing for visits that include preventive and problem-oriented evaluation and management services

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMarch 31, 2023

Genetic testing CPT code list update for Carelon Medical Benefits Management (formerly AIM Specialty Health)

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMarch 31, 2023

Helping to reduce delays when submitting attachments

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMarch 31, 2023

New guideline for electronic medical record; clinical data sharing; and admission, discharge, and transfer notifications

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMarch 31, 2023

Medical Oncology Program ProviderPortal case entry enhancements

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialMarch 31, 2023

Durable medical equipment Availity Essentials instructions

Digital SolutionsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 31, 2023

Provider Pathways - Doing Business with Anthem HealthKeepers Plus eLearning is here!

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 31, 2023

Survey for all skilled nursing facilities

Education & Training

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 31, 2023

Ready, set, renew!

Guideline Updates

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 31, 2023

Genetic Testing claim edits

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialMarch 31, 2023

Reimbursement policy update: Bundled Services and Supplies - Professional

Products & Programs

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialMarch 31, 2023

Let’s Vaccinate

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 31, 2023

Pay Doctor Bill (provider payment option) - General FAQ

Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialMarch 31, 2023

HEDIS 2023 Federal Employee Program medical record request requirements

Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialMarch 31, 2023

FEP Quality Reimbursement Program update

PharmacyAnthem Blue Cross and Blue Shield | CommercialMarch 31, 2023

Pharmacy information available on our provider website

State & Federal

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 31, 2023

Correct coding for hospital outpatient clinic visits for Medicaid

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 31, 2023

Family planning and long-acting reversible contraception

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 31, 2023

Keep up with Medicaid news - March 2023
  • Clinical Criteria updates
  • Prior authorization requirement changes
  • Provider orientation and training
  • Change to vaccine age limitations

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 31, 2023

E-visits

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 31, 2023

Keep up with Medicare news - April 2023
  • Clinical Criteria updates
  • Clinical Criteria updates
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
  • Blue Cross and Blue Shield expands specialty pharmacy precertification list
  • New specialty pharmacy medical step therapy requirements
  • Genetic testing CPT code list update for Carelon Medical Benefits Management (formerly AIM Specialty Health)