May 1, 2025
May 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
Anthem Blue Cross and Blue Shield | CommercialMay 1, 2025
Wellness visits may increase appointment scheduling For members enrolled in an ACA plan
Administrative
Anthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 1, 2025
Additional drug codes added to medical claims edit systemHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 29, 2025
Important guidelines for avoiding common billing errors in DME claimsBehavioral Health
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 1, 2025
FDA lifts risk evaluation and mitigation strategy reporting requirements for ClozapineEducation & Training
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 1, 2025
Enhancing your learning experience: latest updates in Provider PathwaysAnthem Blue Cross and Blue Shield | CommercialMay 1, 2025
Streamline your prior authorizations with our digital toolsAnthem Blue Cross and Blue Shield | CommercialMay 1, 2025
Free CE training: Lifestyle Medicine & Food as Medicine Essentials CourseGuideline Updates
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 3, 2025
Clinical Criteria updatesEffective May 7, 2025
Anthem Blue Cross and Blue Shield | CommercialMay 1, 2025
Clinical Criteria updates for specialty pharmacy are availableEffective August 1, 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 1, 2025
Medical Policies and Clinical Utilization Management Guidelines updateEffective May 1, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageApril 24, 2025
Medical Policies and Clinical Utilization Management Guidelines updateEffective May 25, 2025
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageApril 30, 2025
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesEffective August 1, 2025
Anthem Blue Cross and Blue Shield | CommercialMay 1, 2025
Coverage and Clinical Guidelines update August 1, 2025HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 11, 2025
Prior authorization requirement changesEffective June 1, 2025
Codes: J9248 and L5841
Products & Programs
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 29, 2025
New preapproval rules for medicationsEffective June 1, 2025
Ebglyss, Lymphir, Niktimvo, and Ocrevus Zunovoa
Anthem Blue Cross and Blue Shield | Medicare AdvantageApril 18, 2025
New specialty pharmacy medical step therapy requirementEffective June 1, 2025
Hercessi
Anthem Blue Cross and Blue Shield | Medicare AdvantageApril 18, 2025
Specialty pharmacy preapproval list updateEffective August 1, 2025
Jubbonti; Wyost
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