Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2024
July 2024 Provider Newsletter
Featured Articles
Anthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2024
Admission, discharge, and transfer information is now available for Medicare Advantage and Medicaid members
Administrative
Anthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
Anesthesia modifiers — professional editing updateAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
Provider contract notifications via Availity EssentialsAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
Timely receipt of other carrier EOB or rejection helps avoid timely filing denialsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2024
Anatomical modifiersAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 1, 2024
Virginia Accredited Office Surgery Program and upcoming program amendmentAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
CAA: Maintain your online provider directory informationAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 18, 2024
Phoenix Sepsis Criteria for coding and billing pediatric sepsisAnthem Blue Cross and Blue Shield | CommercialJune 20, 2024
Digital-only authorization case status notification coming to youAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
Adopting digital member ID cardsEducation & Training
Anthem Blue Cross and Blue Shield | CommercialJune 13, 2024
Faster notification of EDI corrected claims errorsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2024
Provider orientation and trainingAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2024
July is Disability Awareness MonthAnthem Blue Cross and Blue Shield | CommercialMarch 12, 2024
Important reminder: The correct original claim number must be included if submitting a corrected claimHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2024
Person-centered thinking hybrid trainingGuideline Updates
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 29, 2024
Clinical Criteria updatesEffective June 29, 2024
Anthem Blue Cross and Blue Shield | Medicare AdvantageJune 4, 2024
Clinical Criteria updatesEffective July 6, 2024
Anthem Blue Cross and Blue Shield | Medicare AdvantageJune 3, 2024
Clinical Criteria updates — November 2023HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 4, 2024
Carelon Medical Benefits Management, Inc. updatesAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 29, 2024
Carelon Medical Benefits Management, Inc. updatesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 27, 2024
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 22, 2024
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
Coding update effective October 1, 2024Anthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
Coverage and Clinical Guidelines update (effective October 1, 2024)Anthem Blue Cross and Blue Shield | Medicare AdvantageMay 30, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective July 1, 2024
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 30, 2024
MCG Care Guidelines 28th editionAnthem Blue Cross and Blue Shield | CommercialJune 19, 2024
Carelon Medical Benefits Management, Inc. genetic testing code updatesAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
Precertification list change notification July 1, 2024HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 20, 2024
Prior authorization requirement changes effective August 1, 2024Code C9790
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 11, 2024
Prior authorization requirement changesEffective August 1, 2024
Codes 81173, 81247, 81249, 81307, 81336, 81403, 81405, and 81440
Products & Programs
Anthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
Antidepressant Medication Management (AMM)HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 18, 2024
Prior authorization updates for medications billed under the medical benefitAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2024
Specialty pharmacy updates — July 2024Anthem Blue Cross and Blue Shield | Medicare AdvantageJune 20, 2024
Anthem expands specialty pharmacy precertification listQuality Management
Anthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2024
Understanding your role in the Health Outcomes SurveyVABCBS-CDCRCM-061290-24
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