Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 1, 2024

May 2024 Provider Newsletter

Featured Articles

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 1, 2024

Digital Request for Additional Information is now available for all lines of business

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 5, 2024

CarelonRx, Inc. Mail changed to CarelonRx Pharmacy on January 1, 2024


Administrative

AdministrativeAnthem 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 amendment

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 1, 2024

Carelon Post Acute Solutions, LLC will begin operating as Carelon Medical Benefits Management, Inc.

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMay 1, 2024

CAA: Maintain your online provider directory information

AdministrativeAnthem Blue Cross and Blue Shield | CommercialMay 1, 2024

Inaccurate laterality and diagnosis combination

AdministrativeAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 1, 2024

Inaccurate laterality and diagnosis combination

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 15, 2024

Coming soon — Submit behavioral health authorizations through the Authorization application on Availity

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 1, 2024

Roster automation update

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialApril 23, 2024

Overview of the Preference Center on Availity Essentials

Digital SolutionsAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 26, 2024

Introducing new functionality for non-medical providers

Digital SolutionsAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 1, 2024

Personalized Match update

Education & Training

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 1, 2024

Rotary to ground educational message

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMarch 31, 2023

Ready, set, renew!

Guideline Updates

Guideline UpdatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 24, 2024

Clinical Criteria updates — November 2023

Guideline UpdatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 22, 2024

Carelon Medical Benefits Management, Inc. updates

Guideline UpdatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 11, 2024

MCG Care Guidelines 27th edition update

Products & Programs

Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialMay 1, 2024

HEDIS tips: Adult Immunization Status (AIS-E)

PharmacyAnthem Blue Cross and Blue Shield | CommercialMay 1, 2024

Clinical Criteria updates for specialty pharmacy are available

PharmacyAnthem Blue Cross and Blue Shield | CommercialApril 24, 2024

Specialty pharmacy updates — May 2024

PharmacyHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 16, 2024

Prior authorization updates for medications billed under the medical benefit

Columvi, Izervay, Rystiggo, Vyvgart Hytrulo, and Eylea HD

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageApril 8, 2024

Anthem expands specialty pharmacy precertification list

PharmacyAnthem Blue Cross and Blue Shield | CommercialApril 9, 2024

Acquisition of Paragon Healthcare

PharmacyAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2024

Pharmacy information available on our provider website

Quality Management

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 1, 2024

Take action to improve adolescent immunizations rates

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HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).