Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 31, 2023
June 2023 Provider Newsletter
Featured Articles
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 31, 2023
Introducing Roster Automation to improve turnaround times and data accuracy
Anthem Blue Cross and Blue Shield | CommercialMay 31, 2023
Correction: Federal Employee Program® Quality Reimbursement program update
Administrative
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 24, 2023
Help your patients stay coveredAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2023
Consider a FIT kit for your patients aged 45 and older at average risk for colon cancerAnthem Blue Cross and Blue Shield | CommercialMay 31, 2023
CAA: Have you reviewed your online provider directory information lately?HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 12, 2023
Anthem HealthKeepers Plus Electronic Visit Verification for Home HealthHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 31, 2023
Electronic Visit Verification – FAQAnthem Blue Cross and Blue Shield | CommercialMay 31, 2023
Digital notifications are coming June 1, 2023Education & Training
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 31, 2023
Provider orientation and trainingAnthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 31, 2023
Building Vaccine Confidence – A webinar hosted by PfizerGuideline Updates
Anthem Blue Cross and Blue Shield | CommercialMay 19, 2023
MCG Care Guidelines 27th EditionAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 4, 2023
Clinical Criteria Updates December 2022Anthem Blue Cross and Blue Shield | Medicare AdvantageMay 11, 2023
Clinical Criteria Updates February 2023Anthem Blue Cross and Blue Shield | Medicare AdvantageMay 31, 2023
MCG Care Guidelines 27th EditionHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 2, 2023
Clinical Criteria Updates for December 2022Anthem Blue Cross and Blue Shield | CommercialMay 31, 2023
Clinical Criteria updates for specialty pharmacy are availableHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 2, 2023
MCG Care Guidelines 27th editionAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 16, 2023
Updates to Carelon Medical Benefits Management, Inc. advanced imaging, sleep disorder management, and spine surgery Clinical Appropriateness GuidelinesAnthem Blue Cross and Blue Shield | CommercialMay 31, 2023
Updates to Carelon Medical Benefits Management, Inc. Advanced Imaging, Sleep Disorder Management, and Spine Surgery Clinical Appropriateness GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 23, 2023
Transition to Carelon Medical Benefits Management, Inc. MRI Breast Clinical Appropriateness GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 18, 2023
Medical Policies and Clinical Utilization Management Guidelines updateHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 31, 2023
Updates to Carelon Medical Benefits Management, Inc. Advanced Imaging and Sleep Disorder Management Clinical Appropriateness GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 31, 2023
Medicare Part B Step Therapy VegzelmaAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 31, 2023
Medicare Part B Precert Expansion Briumvi LeqembiHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 24, 2023
Prior Authorization Requirement Changes Effective July 1, 2023Anthem Blue Cross and Blue Shield | CommercialMay 31, 2023
Effective August 1, 2023, Carelon Medical Benefits Management, Inc. programs will expandHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 23, 2023
Prior Authorization Update for Briumvi, Elahere, Imjudo, Leqembi, Pedmark, Sunlenca, Tecvayli, TzieldAnthem Blue Cross and Blue Shield | CommercialMay 31, 2023
Precertification list change notification for Virginia for September 1, 2023Anthem Blue Cross and Blue Shield | CommercialMay 31, 2023
Retraction: May 2023 reimbursement policy updatesProducts & Programs
Anthem Blue Cross and Blue Shield | CommercialMay 31, 2023
Expansion of Back Pain Guide Program effective July 1, 2023Anthem Blue Cross and Blue Shield | CommercialMay 31, 2023
OBRA 93 claim filing for Federal Employee ProgramAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2023
Pharmacy information available on our provider websiteAnthem Blue Cross and Blue Shield | CommercialMay 31, 2023
BioPlus provider FAQAnthem Blue Cross and Blue Shield | CommercialMay 31, 2023
Specialty pharmacy updates – June 2023Quality Management
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 31, 2023
Patient Safety Skilled Nursing Facility (SNF) SurveyAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 2, 2023
Colorectal Cancer Screening (COL) and Care for Older Adults (COA) for HEDISAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 22, 2023
SPC ExclusionsVABCBS-CDCRCM-024900-23
* Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan. BioPlus Specialty Pharmacy is an independent company providing pharmacy services on behalf of the health plan.
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