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

November 2024 Provider Newsletter

Featured Articles

Quality ManagementAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 25, 2024

Time to prepare for HEDIS medical record review

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Important information about billing colonoscopy and related anesthesia services

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 23, 2024

Updated place of service code requirements for telehealth billing

AdministrativeAnthem Blue Cross and Blue Shield | CommercialOctober 23, 2024

Do you offer telehealth services? Let us know!

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 23, 2024

Reminder: take action to protect infants from respiratory syncytial virus this season

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 16, 2024

Virginia healthcare providers: enhance your skill set in healthcare for people with intellectual and developmental disabilities

Education & TrainingAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 15, 2024

Model of Care training reminder


Administrative

AdministrativeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 1, 2024

New claims edits system enhances drug safety

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2024

Provider contract notifications via Availity Essentials

AdministrativeAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

More error types for corrected claims submitted through EDI now available

AdministrativeAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Personalized Match update

Digital SolutionsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 1, 2024

Enhanced personalized match: making the care provider search more informed and personalized

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Adopting digital member ID cards

Behavioral Health

Behavioral HealthAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Introducing a new Applied Behavior Analysis Provider Resource Guide

Behavioral HealthHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 1, 2024

LAI injectable antipsychotics can improve clinical outcomes in serious mental illness population

Guideline Updates

Guideline UpdatesAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 16, 2024

Clarification to Carelon Medical Benefits Management, Inc. updates effective September 1, 2024

Guideline UpdatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 2, 2024

Clarification to Carelon Medical Benefits Management, Inc. updates effective September 1, 2024

Guideline UpdatesAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 25, 2024

Carelon Medical Benefits Management, Inc. updates

Effective October 26, 2024

Guideline UpdatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsSeptember 30, 2024

Carelon Medical Benefits Management, Inc. updates

Effective November 30, 2024

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 1, 2024

Expand access to specialty care with virtual consults — now available in Virginia

Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsSeptember 24, 2024

Medical Policies and Clinical Utilization Management Guidelines update

Effective October 26, 2024

Prior AuthorizationHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 10, 2024

Prior authorization requirement changes

Effective December 1, 2024

Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 24, 2024

Prior authorization requirement changes

Effective February 1, 2025

Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Precertification List Change Notification — November 1, 2024

Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Precertification List Change Notification — November 1, 2024

Codes J3393 and J3394

Products & Programs

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

High Performing and Blue National Designated Providers may also be known as Anthem Diamond Providers

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

Submit corrected claims electronically for the Federal Employee Program®

PharmacyAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2024

Specialty pharmacy updates — July 2024

PharmacyAnthem Blue Cross and Blue Shield | CommercialOctober 24, 2024

Specialty pharmacy updates — November 2024

PharmacyAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Clinical Criteria updates for specialty pharmacy are available

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 1, 2024

Improving patient outcomes: back to the basics

Quality Management

Quality ManagementHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 24, 2024

Provider: CAHPS awareness

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