Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 1, 2023
November 2023 Provider Newsletter
Featured Articles
Anthem Blue Cross and Blue Shield | CommercialNovember 1, 2023
Digital RFAI process improvements
Anthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 31, 2023
Practitioners’ rights during credentialing process
Administrative
Anthem Blue Cross and Blue Shield | CommercialOctober 31, 2023
New Pathway X Tiered PCP & Hospital Plans for the Individual market beginning January 1, 2024Anthem Blue Cross and Blue Shield | Medicare AdvantageNovember 1, 2023
Updates to correct coding editingAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 1, 2023
Usage of liability modifiersAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 31, 2023
2024 Medicare Advantage service area and benefit updatesAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2023
CAA: Maintain your online provider directory informationAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 1, 2023
Improvements to secure messaging through Availity EssentialsAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2023
Filing digital claims disputes: Transparent and trackableGuideline Updates
Anthem Blue Cross and Blue Shield | Medicare AdvantageNovember 1, 2023
Carelon Medical Benefits Management, Inc. updates — November 2023Anthem Blue Cross and Blue Shield | Medicare AdvantageOctober 19, 2023
Expansion of Carelon Medical Benefits Management, Inc. programsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 24, 2023
Prior authorization update - Lamzede, Lunsumio, Rebyota, etc.Anthem Blue Cross and Blue Shield | CommercialOctober 31, 2023
Precertification list change notificationAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 16, 2023
RETRACTION: Prior authorization requirement changes effective February 1, 2024Codes 32274 and 32275
Anthem Blue Cross and Blue Shield | CommercialSeptember 28, 2023
Expansion of Carelon Medical Benefits Management, Inc. programs, effective April 1, 2024Anthem Blue Cross and Blue Shield | Medicare AdvantageOctober 3, 2023
Prior authorization requirement changes effective February 1, 2024 - code J1411Products & Programs
Anthem Blue Cross and Blue Shield | CommercialNovember 1, 2023
Federal Employee Program specialty pharmacy prior authorization reviewAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2023
FEP® Specialty Pharmacy prior authorization listAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2023
Specialty pharmacy updatesAnthem Blue Cross and Blue Shield | CommercialOctober 31, 2023
Clinical Criteria updates for specialty pharmacy are availableAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2023
Pharmacy information available on our provider websiteQuality Management
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 25, 2023
HEDIS measurement year 2023 documentation for Childhood Immunization Status (CIS)Anthem Blue Cross and Blue Shield | Medicare AdvantageNovember 1, 2023
Controlling high blood pressure and HEDISHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 31, 2023
Controlling high blood pressure and HEDISAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 27, 2023
Be Antibiotics Aware: Protect your patientsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 25, 2023
HEDIS measurement year 2023 documentation for Childhood Immunization Status (CIS)Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 15, 2023
HEDIS medical record submission made easier with our Remote EMR Access ServiceHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 31, 2023
HEDIS medical record submission made easier with our Remote EMR Access ServiceHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 31, 2023
HEDIS measurement year 2023 documentation for Transitions of Care (TRC)Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 1, 2023
HEDIS measurement year 2023 documentation for Transitions of Care (TRC)HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 31, 2023
Healthy blood pressure recheck initiativeAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 1, 2023
Statin therapy end of year best practicesVABCBS-CDCRCM-041577-23
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