Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 1, 2024

January 2024 Provider Newsletter

Featured Articles

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialDecember 26, 2023

Training for digital requests for additional information (Digital RFAI)

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialJanuary 1, 2024

Important information about your Anthem patients’ specialty prescriptions

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialNovember 20, 2023

Annual preventive care visits

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJanuary 1, 2024

Introducing Paytient: a new interest-free way for your patients to pay for out-of-pocket costs

AdministrativeAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 1, 2024

Inappropriate primary diagnosis

AdministrativeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 1, 2024

Inappropriate primary diagnosis

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJanuary 1, 2024

Using and billing air ambulance services appropriately

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJanuary 1, 2024

Important Changes for Active Members of Northrop Grumman Corporation

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJanuary 1, 2024

CAA: Maintain your online provider directory information

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2023

Maximize accuracy, efficiency, and patient satisfaction with helpful resources

Education & Training

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 1, 2024

Provider Pathways — Learn all about it

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 31, 2023

Ready, set, renew!

Guideline Updates

Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 4, 2023

Clinical Criteria updates — August 2023

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2023

Clinical Criteria updates — August 2023

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialJanuary 1, 2024

Coverage and Clinical Guidelines update

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 1, 2024

Genetic testing code list update

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 28, 2023

Transition to Carelon Medical Benefits Management, Inc. cardiology guidelines

Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 28, 2023

Transition to Carelon Medical Benefits Management, Inc. cardiology guidelines

Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 4, 2023

Carelon Medical Benefits Management, Inc. updates — November 2023

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 1, 2024

Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guidelines

Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 1, 2024

Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guidelines

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialJanuary 1, 2024

Carelon Medical Benefits Management, Inc. genetic testing CPT® code list update

Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialJanuary 1, 2024

Expansion of Carelon Medical Benefits Management, Inc. programs effective April 1, 2024

Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 10, 2024

Expansion of Carelon Medical Benefits Management, Inc. programs effective April 1, 2024

Prior AuthorizationHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 19, 2023

Prior authorization requirement changes effective February 1, 2024

Codes 20979, A7025, E0692 and E0693

Prior AuthorizationHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 8, 2023

Prior authorization requirement changes effective February 1, 2024

Code J1411

Products & Programs

DentalAnthem Blue Cross and Blue Shield | CommercialJanuary 1, 2024

January Dental newsletter communications

PharmacyAnthem Blue Cross and Blue Shield | CommercialDecember 28, 2023

Specialty pharmacy updates — January 2024

Quality Management

Quality ManagementAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 1, 2024

Boost annual planned visit rates

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJanuary 1, 2024

HEDIS diabetes documentation

Quality ManagementHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJanuary 1, 2024

HEDIS diabetes documentation

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HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).