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

September 2023 Provider Newsletter

Featured Articles

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2023

HCPCS to revenue code alignment

AdministrativeAnthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 27, 2023

Help your patients continue their care and navigate Medicaid renewal

Products & ProgramsAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2023

Reminder: Review the health reimbursement arrangement and care plan updates in Availity Essentials


Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2023

CAA: Have you reviewed your online provider directory information lately?

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2023

Support documentation for Carelon Medical Benefits Management, Inc. prior authorization requests

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2023

Consider a FIT kit for your patients aged 45 and older at average risk for colon cancer

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2023

Improvements to Digital RFAI Attachment filtering and reporting

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

Personalized match phase 1: Specialist provider overview

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2023

Simplifying claims attachments: Digital Request for Additional Information through Availity.com

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2023

Member search feature enhancement: Search for a patient without using member ID in Availity Essentials

Education & Training

Education & TrainingAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 7, 2023

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

Guideline Updates

Guideline UpdatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 21, 2023

Clinical Criteria updates - May 2023

Guideline UpdatesAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 14, 2023

Clinical Criteria Updates - May 2023

Coverage and Clinical GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 3, 2023

Change to ostomy and colostomy products and accessories

Prior AuthorizationHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 24, 2023

Prior authorization requirement changes effective September 1, 2023

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

Precertification list change notification effective December 1, 2023

Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2023

Prior authorization requirement changes effective December 1, 2023

Products & Programs

PharmacyAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2023

Clinical Criteria updates for specialty pharmacy are available

PharmacyAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2023

Sublocade® update

PharmacyHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 11, 2023

Continuous glucose monitoring system

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 3, 2023

Specialty pharmacy medical step therapy for hyaluronan injections

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 28, 2023

UPDATED: Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list

Quality Management

Quality ManagementAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2023

Medication reconciliation post inpatient discharge

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