July 1, 2025

July 2025 Provider Newsletter

Filter By: AllAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid products

Featured Articles

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025

Enroll with Availity to verify your provider data

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

Join the 2025 Clinical Quality in Practice webinar series


Administrative

AdministrativeAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2025

Implementation of chargemaster‑based claims edit for ER leveling

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025

A quick guide to understanding JW and JZ modifiers

AdministrativeAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2025

A quick guide to understanding JW and JZ modifiers

AdministrativeAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 23, 2025

Essential information for providers: understanding Medicare Advantage group retiree plans

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2025

Seamless Provider Enrollment and Network Management through Availity Essentials optimizes the care provider experience

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

Streamlining behavioral health authorizations via Availity Essentials

Digital SolutionsAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 17, 2025

Specialty pharmacy precertification list expansion — key updates

Education & Training

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 17, 2025

You are invited: provider coding education

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 6, 2025

July 1, 2025 Implementation of New Cardinal Care Managed Care Contract

Education & TrainingAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2025

Combat diabetes: Close the statin therapy gap for better heart health

Guideline Updates

Guideline UpdatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 28, 2025

Clinical Criteria updates

Effective June 30, 2025

Guideline UpdatesAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 2, 2025

Clinical Criteria updates

Effective July 6, 2025

Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025

Anthem Blue Cross and Blue Shield VA Precertification/Prior Authorization list change notification July 1, 2025

Prior AuthorizationHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 9, 2025

Prior authorization requirement changes

Effective August 1, 2025

Reimbursement PoliciesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2025

Reimbursement Policy Update: Abortion (Termination of Pregnancy)

Products & Programs

Products & ProgramsAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 25, 2025

Anthem welcomes CareBridge

Long-Term Services & SupportsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2025

Help shape the LTSS workforce: input needed on recruitment and hiring

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

State communication: Virginia’s Medicaid Preferred Drug List (PDL)/ Common Core Formulary

PharmacyAnthem Blue Cross and Blue Shield | CommercialJune 2, 2025

Specialty pharmacy updates: June 2025

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