Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 1, 2023

October 2023 Provider Newsletter

Featured Articles

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2023

Availity PDM application is now the intake channel for all demographic change requests, including roster uploads

WebinarsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2023

Looking to earn CME credits? Check out the CME Engagement Hub!

Education & TrainingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsSeptember 12, 2023

SBIRT in action: Improving members’ lives


Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2023

CAA: Maintain your online provider directory information

AdministrativeAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2023

National Accounts 2024 Pre-certification list

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 1, 2023

A way to help lower-income patients pay for internet service

Digital SolutionsAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2023

Personalized Match Phase 1

Digital SolutionsAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2023

Availity: Medicare provider-facing talking points and FAQ

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 1, 2023

Introducing Claims Status enhancements for claim inquiries

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 1, 2023

Introducing Claims Status enhancements for claim inquiries

Education & Training

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 1, 2023

LabCorp is the exclusive clinical reference laboratory provider for Anthem HealthKeepers/HealthKeepers Plus HMO members

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2023

New website for cancer caregivers

WebinarsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsSeptember 22, 2023

You're invited: Thriving, not just surviving: Youth mental health in today's world

WebinarsAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 30, 2023

Required training - Model of Care

Guideline Updates

Guideline UpdatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsSeptember 20, 2023

Clinical Criteria updates - June 2023

Guideline UpdatesAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 13, 2023

Clinical Criteria updates - June 2023

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2023

Transition to Carelon Medical Benefits Management, Inc. site of care guidelines

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2023

Coverage and Clinical Guidelines update (effective January 1, 2024) 

Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2023

Prior authorization requirement changes effective January 1, 2024

Prior AuthorizationHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 29, 2023

Prior authorization update - Byooviz

Reimbursement PoliciesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 1, 2023

Genetic Tests: Once per Lifetime 

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2023

Genetic Tests: Once per Lifetime 

Products & Programs

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2023

Introducing the High Performing Provider designation

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2023

Pathway X Tiered PCP & Hospital Plans: New plan offering effective January 1, 2024

PharmacyAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2023

Specialty pharmacy updates — October 2023

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 22, 2023

Medicare Part B precert expansion: Elfabrio, Epkinly, Qalsody, Vyjuvek, and Zynyz

PharmacyHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 31, 2023

Notice of Material Amendment to Healthcare Contract: Prior authorization updates for medications billed under the medical benefit

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Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan.