Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 30, 2023

July 2023 Provider Newsletter

Featured Articles

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 30, 2023

Advancing health equity: Leveraging data to promote meaningful patient-provider relationships


Administrative

AdministrativeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 23, 2023

CPT category II code reimbursements

AdministrativeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 30, 2023

Unspecified diagnosis code of site and laterality

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 30, 2023

Unspecified diagnosis code of site and laterality

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJune 30, 2023

Maintain your online provider directory information

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 30, 2023

Provider data management capability now available on Availity Essentials โ€” retirement of previous intake channels October 1, 2023

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialJune 30, 2023

Requests for Additional Information are now digital

Education & Training

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialJune 22, 2023

Newborn authorizations and baby names

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialJune 9, 2023

Correction to: Reminder: Inpatient/outpatient Commercial claim denials bulletin

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 30, 2023

The BlueCard Provider Manual can answer your questions about the program

WebinarsAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 30, 2023

Required training - Model of Care

Guideline Updates

Guideline UpdatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 16, 2023

Change to Nutritional Counseling for Individuals with Obesity or Chronic Disease Benefit Limits

Guideline UpdatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 12, 2023

Clinical Criteria Updates for February 2023

Guideline UpdatesAnthem Blue Cross and Blue Shield | CommercialJune 30, 2023

Coverage Guidelines update (effective October 1, 2023)

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 9, 2023

Carelon Medical Benefits Management, Inc. advanced imaging โ€” Imaging of the brain CPT code list update

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 22, 2023

Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness Guidelines for joint surgery and MSK level of care

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 26, 2023

Medical Policies and Clinical Utilization Management Guidelines Update for February 2023

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialJune 22, 2023

Expansion of Carelon Medical Benefits Management, Inc. Cardiology program clinical appropriateness review for Pacemakers program

Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialJune 30, 2023

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

Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 6, 2023

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

Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialJune 30, 2023

Authorizations for post-acute care services for Commercial members

Prior AuthorizationHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 26, 2023

Medical Prior Authorization Update Fylnetra, Rolvedon, Stimufend

Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialJune 30, 2023

Precertification list change notification July 1, 2023

Prior AuthorizationHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 31, 2023

Cimerli Medical Prior Authorization Update

Prior AuthorizationHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 1, 2023

Spevigo and Xenpozyme Medical Prior Authorization Update

Products & Programs

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 26, 2023

Medicare Part B precert expansion may multiple drug alignment

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