June 1, 2025

June 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

Education & TrainingAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 27, 2025

Learn about annual Model of Care training for special needs plans

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialJune 1, 2025

Availity Essentials Provider Overpayments application launch

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 27, 2025

Boost your roster submission skills with Availity Essentials

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 1, 2025

LabCorp and Quest Diagnostics are in-network — reminder

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJune 1, 2025

Update to claims system for global surgical procedures for professional providers

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

Submitting BH authorizations in Availity Essentials

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

Reminder: provider data attestation

Education & Training

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

Claims guidance: updating inpatient and outpatient bill types

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

Bridging the gap: enhancing medication adherence for better health outcomes

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

Registration is now available for our upcoming CME webinar on Integrating Cancer Care

Guideline Updates

Guideline UpdatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 25, 2025

Carelon Medical Benefits Management, Inc. updates

Effective July 26, 2025

Guideline UpdatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 14, 2025

Carelon Medical Benefits Management, Inc. updates

Effective June 20, 2025

Guideline UpdatesAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 13, 2025

Clinical Criteria updates

Effective June 20, 2025

Guideline UpdatesAnthem Blue Cross and Blue Shield | CommercialJune 1, 2025

Clinical Criteria updates for specialty pharmacy are available

Effective September 1, 2025

Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 21, 2025

Medical Policies and Clinical Utilization Management Guidelines update

Effective June 25, 2025

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

VA precertification/prior authorization list change notification June 1, 2025

Products & Programs

PharmacyAnthem Blue Cross and Blue Shield | CommercialJune 1, 2025

Unlock updated pharmacy insights today — visit our provider website

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 22, 2025

New specialty pharmacy medical step therapy requirements

Effective July 1, 2025
Pavblu, Ahzantive, Enzeevu, Opuviz, and Yesafili

PharmacyHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 20, 2025

Prior authorization updates for medications billed under the medical benefit

Effective July 1, 2025
Ahzantive, Enzeevu, Opuviz, Pavblu, and Yesafili

PharmacyHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 15, 2025

Prior authorization updates for medications billed under the medical benefit

Effective July 1, 2025
Boruzu, Nemluvio, Rytelo, Selarsdi, and Tecelra

Quality Management

Quality ManagementHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 27, 2025

Combating congenital syphilis: essential steps for healthcare providers

Quality ManagementHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 1, 2025

Efficacy through efficiency — emphasizing utilization management

Quality ManagementHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 1, 2025

Shared empowerment — knowing member rights and responsibilities

Quality ManagementHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 1, 2025

Member support resource — Complex Case Management program

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