Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2023
August 2023 Provider Newsletter
Featured Articles
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023
Looking to earn CME credits? Check out the CME Engagement Hub!
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023
Reminder: Start using the Provider Data Management application now on Availity Essentials — retirement of previous intake channels October 1, 2023
Administrative
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2023
Anthem Blue Cross and Blue Shield appropriate coding helps provide a comprehensive picture of patients’ health and services providedAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023
Clinical Laboratory Improvement AmendmentsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2023
Clinical Laboratory Improvement AmendmentsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2023
Provider orientation and trainingAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 18, 2023
Urinary tract infection tool kits are on the wayAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2023
Provider contract and fee schedule notifications via Availity EssentialsAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2023
CAA: Review your online provider directory information regularlyAnthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2023
Submitting prior authorizations is getting easierEducation & Training
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 21, 2023
Electronic visit verification for home health servicesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2023
Provider orientation and trainingGuideline Updates
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 17, 2023
Clinical Criteria Updates - March 2023Anthem Blue Cross and Blue Shield | Medicare AdvantageJune 29, 2023
Clinical Criteria Updates - March 2023Anthem Blue Cross and Blue Shield | CommercialJuly 21, 2023
Updates to Carelon Medical Benefits Management, Inc. Joint Surgery, Small Joint Surgery, and MSK Level of CareAnthem Blue Cross and Blue Shield | CommercialJuly 18, 2023
Expansion of Carelon Medical Benefits Management, Inc. cardiology programs effective October 1, 2023HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 3, 2023
Medical Policies and Clinical Utilization Management Guidelines Update (February 2023)HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2023
Fylnetra, Stimufend, and Rolvedon Medical Step Therapy NoticeAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 25, 2023
Prior authorization requirement changes effective November 1, 2023Anthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023
Technology Assisted Surgical ProceduresHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2023
Technology Assisted Surgical ProceduresHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 25, 2023
Change to DME bandages, dressings, gauze, tape, and preparation solutionsProducts & Programs
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2023
Specialty pharmacy updates - August 2023Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2023
Clinical Criteria updates for specialty pharmacy are availableAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2023
Specialty pharmacy updates - August 2023Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2023
Pharmacy information available on our provider websiteAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023
Medication adherence: Back to the basicsAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023
Why statin therapy is important in your patients with diabetesQuality Management
Anthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023
Healthy blood pressure recheck initiativeAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023
Healthy blood pressure recheck initiativeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2023
Complex Case Management programHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2023
Members’ Rights and ResponsibilitiesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2023
Important information about utilization managementHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 17, 2023
Pharmacotherapy Management of COPD Exacerbation (PCE) HEDIS® MeasureAnthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2023
Congenital syphilis is a sentinel health eventAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 14, 2023
Pharmacotherapy Management of COPD Exacerbation (PCE) HEDIS® MeasureVABCBS-CDCRCM-030309-23
Availity, LLC is an independent company providing administrative support services on behalf of the health plan. Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan.
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