Anthem Blue Cross and Blue Shield | CommercialFebruary 1, 2023
February 2023 Anthem Provider News - Virginia
Administrative
Anthem Blue Cross and Blue Shield | CommercialJanuary 31, 2023
Have you reviewed your online provider directory information lately?Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 31, 2023
AIM Specialty Health will transition to Carelon Medical Benefits Management Inc.Anthem Blue Cross and Blue Shield | CommercialJanuary 31, 2023
Do you offer telehealth services? Let us know!Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 31, 2023
Enhancing Provider News website and email communicationsAnthem Blue Cross and Blue Shield | CommercialJanuary 31, 2023
Helping to reduce delays when submitting attachments: Make sure your correspondence includes one of these elementsGuideline Updates
Anthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 31, 2023
AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List updateAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 31, 2023
Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness GuidelinesAnthem Blue Cross and Blue Shield | CommercialJanuary 31, 2023
Clinical Guideline update (effective May 1, 2023)Anthem Blue Cross and Blue Shield | CommercialJanuary 31, 2023
Anthem Blue Cross and Blue Shield local precertification change in Virginia for HMOAnthem Blue Cross and Blue Shield | CommercialJanuary 31, 2023
Anthem Blue Cross and Blue Shield local precertification change in Virginia for PPOAnthem Blue Cross and Blue Shield | CommercialJanuary 31, 2023
Clinical Guidelines update (effective May 1, 2023)Products & Programs
Anthem Blue Cross and Blue Shield | CommercialJanuary 31, 2023
2023 FEP benefit information available onlineAnthem Blue Cross and Blue Shield | CommercialJanuary 31, 2023
Specialty pharmacy updates - February 2023Anthem Blue Cross and Blue Shield | CommercialJanuary 31, 2023
Clinical Criteria updates for specialty pharmacy are availableState & Federal
Anthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 31, 2023
Introducing the Provider Learning HubHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 31, 2023
Keep up with Medicaid news: February 2023- Prior authorization updates for medications billed under the medical benefit
- Medical Policies and Clinical Utilization Management Guidelines update
- Prior authorization updates for medications billed under the medical benefit
- POS restrictions for BRAVO services
- Direct member medical necessity appeals to HealthKeepers, Inc.
- Patient liability and claims processing
Anthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 31, 2023
Introducing the Provider Learning HubAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 31, 2023
Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023Anthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 31, 2023
Keep up with Medicare news - February 2023- Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (FyInetra)
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Spevigo, Xenpozyme)
- Specialty pharmacy precertification list expansion (Rolvedon, Stimufend)
- New specialty pharmacy medical step therapy requirements
- Prior authorization requirement changes effective April 1, 2023
- Medical Policies and Clinical Utilization Management Guidelines update
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