Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2024
August 2024 Provider Newsletter
Featured Articles
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2024
MCG Care Guidelines 28th edition
Administrative
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2024
Mutually exclusive places of serviceAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2024
CAA: Providers required to verify their online provider directory informationAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2024
ICD-10-CM Excludes1 notesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2024
Save time and get better results with optimized CPT code search in Availity EssentialsAnthem Blue Cross and Blue Shield | CommercialJuly 24, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 16, 2024
Expansion of Carelon Medical Benefits Management, Inc. programsAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2024
Coming soon: View your fee schedule in Availity Essentials Payer SpacesEducation & Training
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2024
Coming soon: Provider e-Learning Resource Center for Payment IntegrityHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 12, 2024
Rate changes effective July 1, 2024Anthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 1, 2023
LabCorp is the exclusive clinical reference laboratory provider for Anthem HealthKeepers/HealthKeepers Plus HMO membersAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2024
August is National Breastfeeding MonthHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2024
Important information regarding legally responsible individuals and related responsibilities for respite careGuideline Updates
Anthem Blue Cross and Blue Shield | Medicare AdvantageJuly 10, 2024
Clinical Criteria updatesEffective August 12, 2024
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 27, 2024
Carelon Medical Benefits Management, Inc. updates effective October 20, 2024Anthem Blue Cross and Blue Shield | Medicare AdvantageJuly 11, 2024
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesEffective for dates of service on and after November 17, 2024
Anthem Blue Cross and Blue Shield | CommercialJune 25, 2024
Updates to Carelon Medical Benefits Management Clinical Appropriateness GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 5, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective August 8, 2024
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2024
Coverage and Clinical Guidelines updateEffective November 1, 2024
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2024
Notification of authorization fax number changesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 27, 2024
Prior authorization requirement changesEffective August 1, 2024
Code L5615
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 23, 2024
Prior authorization requirement changesEffective September 1, 2024
Codes 33263, 33264, 64582, C2616, and S2095
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 5, 2024
Prior authorization requirement changesEffective September 1, 2024
Codes L7510 and L7520
Anthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2024
Reimbursement policy update: Modifier 78Anthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2024
Reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2024
Reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesProducts & Programs
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2024
Bringing whole-person care to sickle cell disease managementAnthem Blue Cross and Blue Shield | CommercialJuly 25, 2024
Specialty pharmacy updates โ February 2024Note: This article corrects the Clinical Criteria for Spravato (esketamine), which was incorrectly listed in a February 2024 article.
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2024
Specialty pharmacy updates โ August 2024Tevimbra, Tyenne, and Wezlana
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2024
Clinical Criteria updates for specialty pharmacy are availableVABCBS-CDCRCM-063107-24
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