Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 1, 2024
April 2024 Provider Newsletter
Featured Articles
Anthem Blue Cross and Blue Shield | CommercialApril 1, 2024
Blue High Performance Network
Administrative
Anthem Blue Cross and Blue Shield | CommercialApril 1, 2024
OP rehab reconsiderations moving to Carelon Medical Benefits Management, Inc.Anthem Blue Cross and Blue Shield | CommercialApril 1, 2024
Review your online provider directory informationAnthem Blue Cross and Blue Shield | CommercialApril 1, 2024
Emergency department protocol for Special Investigation Unit reviewAnthem Blue Cross and Blue Shield | CommercialMarch 22, 2024
Coming soon — digital-only authorization case status notificationsEducation & Training
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 1, 2024
April is National Minority Health Month and Stress Awareness MonthHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 1, 2024
New digital platform for eLearningAnthem Blue Cross and Blue Shield | CommercialMarch 12, 2024
Important reminder: The correct original claim number must be included if submitting a corrected claimGuideline Updates
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 18, 2024
Clinical Criteria updates — December 2023Anthem Blue Cross and Blue Shield | CommercialApril 1, 2024
Coding update effective July 1, 2024Anthem Blue Cross and Blue Shield | CommercialApril 1, 2024
Coverage and Clinical Guidelines update July 1, 2024Anthem Blue Cross and Blue Shield | Medicare AdvantageMarch 4, 2024
Medical Policies and Clinical Utilization Management Guidelines updateAnthem Blue Cross and Blue Shield | CommercialMarch 12, 2024
Anthem Blue Cross and Blue Shield and its affiliate HealthKeepers, Inc. Precertification List Change Notification for September 2023Anthem Blue Cross and Blue Shield | CommercialMarch 27, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 20, 2024
Carelon Medical Benefits Management, Inc. genetic testing code updatesAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 11, 2024
Prior authorization requirement changes effective July 1, 2024Products & Programs
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 1, 2024
Changes to prior authorization requirements for routine visit billing code 99509Anthem Blue Cross and Blue Shield | Medicare AdvantageMarch 22, 2024
Expansion of specialty pharmacy precertification listHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 20, 2024
Quarterly pharmacy formulary change noticeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 6, 2024
Prior authorization updates for medications billed under the medical benefitElfabrio, Epkinly, Qalsody, Vyjuvek, and Zynyz
Quality Management
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 8, 2024
HEDIS® 2024 documentation for Colorectal Cancer Screening (COL-E)HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 8, 2024
HEDIS® 2024 documentation for Colorectal Cancer Screening (COL-E)VABCBS-CDCRCM-053376-24
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