Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 1, 2025

February 2025 Provider Newsletter

Featured Articles

PharmacyHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 28, 2025

FAMIS formulary and Preferred Drug List update


Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJanuary 16, 2025

Submitting authorization for NICU services facilitates accurate and timely claims processing

AdministrativeAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025

Medical records needed for accurate payment of certain facility inpatient claims

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 1, 2025

New Communication Center added to Availity Essentials

Education & Training

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 1, 2025

Claims billing education: Medicaid secondary billing errors

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 1, 2025

Enhance billing and coding accuracy with new Payment Integrity training

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 30, 2025

Important update: group billable status for FQHCs and RHCs

Products & Programs

Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025

Corrected claim guidance for the Federal Employee Program®

Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialJanuary 14, 2025

Authorization for post‑acute care services for FEP members

PharmacyAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025

Pharmacy information available on our provider website

PharmacyHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsFebruary 1, 2025

Quarterly pharmacy formulary change notice

PharmacyAnthem Blue Cross and Blue Shield | CommercialJanuary 27, 2025

Key formulary updates: effective January 1, 2025

PharmacyAnthem Blue Cross and Blue Shield | CommercialFebruary 1, 2025

Clinical Criteria updates for specialty pharmacy are available

PharmacyHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 6, 2025

Prior authorization updates for medications billed under the medical benefit

Effective March 1, 2025
Kisunla and Piasky

Quality Management

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageFebruary 1, 2025

2025 Clinical Quality in Practice webinar series

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