December 1, 2023
December 2023 Provider Newsletter
Filter By: AllAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid products
Featured Articles
Anthem Blue Cross and Blue Shield | CommercialDecember 1, 2023
CarelonRx, Inc. Mail will change to CarelonRx Pharmacy on January 1, 2024
Anthem Blue Cross and Blue Shield | CommercialDecember 1, 2023
Pathway X Tiered PCP & Hospital Plans — new for the Individual market starting January 1, 2024
Anthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2023
Model of care training reminder
Administrative
Anthem Blue Cross and Blue Shield | Medicare AdvantageNovember 1, 2023
Updates to correct coding editingAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2023
New vendor administering Primary Care Access SurveyAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2023
New vendor administering behavioral health access surveyAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2023
Important information about utilization managementAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2023
Outpatient system updates for 2024Anthem Blue Cross and Blue Shield | CommercialDecember 1, 2023
Professional system updates for 2024Anthem Blue Cross and Blue Shield | CommercialDecember 1, 2023
Clinical practice and preventive health guidelinesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 1, 2023
New requirements for credentialing and recredentialingAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2023
Case management ProgramAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2023
Coordination of careAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2023
CAA: Review your online provider directory informationAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2023
Members’ Rights and ResponsibilitiesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2023
Clinical Documentation Lookup ToolAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2023
Maximize accuracy, efficiency, and patient satisfaction with helpful resourcesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 1, 2023
Filing digital claims disputes: Transparent and trackableEducation & Training
Anthem 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 membersGuideline Updates
Anthem Blue Cross and Blue Shield | CommercialDecember 1, 2023
Coding update effective March 1, 2024HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 21, 2023
Medical Policies and Clinical Utilization Management Guidelines update for May 2023Anthem Blue Cross and Blue Shield | Medicare AdvantageNovember 21, 2023
Medical Policies and Clinical Utilization Management Guidelines update for May 2023Anthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2023
Glucagon-Like Peptide-1 prior authorization changesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 7, 2023
Carelon Medical Benefits Management, Inc. updatesAnthem Blue Cross and Blue Shield | CommercialOctober 27, 2023
Transition to Carelon Medical Benefits Management, Inc. Genetic Testing GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 20, 2023
Transition to Carelon Medical Benefits Management, Inc. Genetic Testing GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2023
Virginia precertification list change notification for December 2023Anthem Blue Cross and Blue Shield | Medicare AdvantageNovember 15, 2023
Prior authorization requirement changes effective May 1, 2024Codes 0738T and 0739T
Anthem Blue Cross and Blue Shield | Medicare AdvantageNovember 15, 2023
Prior authorization requirement changes effective May 1, 2024Codes Q4272 - Q4284
Anthem Blue Cross and Blue Shield | Medicare AdvantageNovember 8, 2023
Prior authorization requirement changes effective May 1, 2024Code E0761
Anthem Blue Cross and Blue Shield | Medicare AdvantageOctober 31, 2023
Prior authorization requirement changes effective March 1, 2024Codes 33275 and 33274
Products & Programs
Anthem Blue Cross and Blue Shield | CommercialDecember 1, 2023
Federal Employee Program updates member ID cardsAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2023
2024 Federal Employee Program Benefit information available onlineAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2023
Clinical Criteria updates for specialty pharmacy are availableAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2023
Pharmacy information available on our provider websiteHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 8, 2023
Continuous glucose monitoring system — updateAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 26, 2023
Notification of specialty pharmacy medical step therapy updatesQuality Management
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 13, 2023
HEDIS 2023 Electronic Clinical Data Systems (ECDS)Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 13, 2023
HEDIS 2023 Electronic Clinical Data Systems (ECDS)VABCBS-CDCRCM-045279-23
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