Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 1, 2024
October 2024 Provider Newsletter
Featured Articles
Anthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2024
Introducing the Care Provider Recognition Program from Anthem
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 12, 2024
Roster Automation updates effective November 15, 2024: enhanced reporting to increase data accuracy
Anthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 6, 2024
Changes to special supplemental benefits for the chronically ill eligibility requirements
Administrative
Anthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 1, 2024
Mobile crisis response services and crisis receiving center contractingAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
National Accounts 2025 precertification listAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2024
Use Availity Essentials to view authorization case status and set authorization decision notification preferenceAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
Now live: view your fee schedule in Availity Essentials Payer SpacesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsSeptember 6, 2024
Advancing digital efficiency by discontinuing paper remittancesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsSeptember 4, 2024
Digital Provider Enrollment now available for additional provider types in Availity EssentialsEducation & Training
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsSeptember 23, 2024
Changes to the peer-to-peer and reconsideration processesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsSeptember 20, 2024
Ensure timely filing and appeal submissions for claimsAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 16, 2024
Seamless advance care: MyDirectives digital tool for D-SNP membersGuideline Updates
Anthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 3, 2024
Clinical Criteria updatesEffective October 4, 2024
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsSeptember 3, 2024
Clinical Criteria updatesEffective October 6, 2024
Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
Coverage and Clinical Guidelines update (effective January 1, 2025)Anthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 10, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective October 10, 2024
Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
Precertification list change notification, October 1, 2024Anthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 23, 2024
Prior authorization requirement changesEffective January 1, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2024
Clarification to reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 1, 2024
Clarification to reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesProducts & Programs
Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
Introduction of the Specialty High Performing Provider designation program for commercial networksAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
Introduction of the HPP designation program for individual member (Exchange) commercial networksAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2024
Medicare Part D overhaul: What's new in 2025 for your prescription drug costs?Anthem Blue Cross and Blue Shield | CommercialSeptember 16, 2024
Specialty pharmacy updates — October 2024Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2024
Pharmacy information available on our provider websiteHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsSeptember 9, 2024
Prior authorization updates for medications billed under the medical benefitEffective November 1, 2024
Alyglo, Simlandi, and Winrevair
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsSeptember 10, 2024
Prior authorization updates for medications billed under the medical benefitEffective November 1, 2024
Amtagvi, iDoseTR, and Nexobrid
Quality Management
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 1, 2024
Prevent flu and COVID-19: drive the change through vaccinationAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 1, 2024
HEDIS medical record submission made easier with our Remote EMR Access serviceVABCBS-CDCRCM-067886-24
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