Key Updates
Anthem Blue Cross and Blue Shield | CommercialJune 1, 2025
Availity Essentials Provider Overpayments application launch
Anthem Blue Cross and Blue Shield | Medicare AdvantageJune 1, 2025
Medicare preferred continuous glucose monitors
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 1, 2025
LabCorp and Quest Diagnostics are in-network — reminder
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 27, 2025
Combating congenital syphilis: essential steps for healthcare providers
Anthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 27, 2025
Boost your roster submission skills with Availity Essentials
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageMarch 1, 2025
Reminder: provider data attestation
Recent Updates
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 1, 2025
LabCorp and Quest Diagnostics are in-network — reminderAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 1, 2025
Medicare preferred continuous glucose monitorsAnthem Blue Cross and Blue Shield | CommercialJune 1, 2025
Unlock updated pharmacy insights today — visit our provider websiteAnthem Blue Cross and Blue Shield | CommercialJune 1, 2025
Availity Essentials Provider Overpayments application launchAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 1, 2025
Claims guidance: updating inpatient and outpatient bill typesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 1, 2025
Registration is now available for our upcoming CME webinar on Integrating Cancer CareAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 1, 2025
Submitting BH authorizations in Availity EssentialsAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 1, 2025
Bridging the gap: enhancing medication adherence for better health outcomesAnthem Blue Cross and Blue Shield | CommercialJune 1, 2025
Clinical Criteria updates for specialty pharmacy are availableEffective September 1, 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 1, 2025
Efficacy through efficiency — emphasizing utilization managementHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 1, 2025
Shared empowerment — knowing member rights and responsibilitiesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJune 1, 2025
Member support resource — Complex Case Management programAnthem Blue Cross and Blue Shield | CommercialJune 1, 2025
Update to claims system for global surgical proceduresAnthem Blue Cross and Blue Shield | CommercialJune 1, 2025
VA precertification/prior authorization list change notification June 1, 2025HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 28, 2025
Clinical Criteria updatesEffective June 30, 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 27, 2025
Combating congenital syphilis: essential steps for healthcare providersAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 27, 2025
Learn about annual Model of Care training for special needs plansAnthem Blue Cross and Blue Shield | CommercialHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 27, 2025
Boost your roster submission skills with Availity EssentialsAnthem Blue Cross and Blue Shield | CommercialMay 22, 2025
Action required: annual patient safety attestationAnthem Blue Cross and Blue Shield | Medicare AdvantageMay 22, 2025
New specialty pharmacy medical step therapy requirementsEffective July 1, 2025
Pavblu, Ahzantive, Enzeevu, Opuviz, and Yesafili
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 21, 2025
2025 Clinical Practice GuidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 21, 2025
Medical Policies and Clinical Utilization Management Guidelines updateEffective June 25, 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 20, 2025
Prior authorization updates for medications billed under the medical benefitEffective July 1, 2025
Ahzantive, Enzeevu, Opuviz, Pavblu, and Yesafili
Anthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 20, 2025
Automated renewals for respite authorizationsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 15, 2025
Prior authorization updates for medications billed under the medical benefitEffective July 1, 2025
Boruzu, Nemluvio, Rytelo, Selarsdi, and Tecelra
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 14, 2025
Carelon Medical Benefits Management, Inc. updatesEffective June 20, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageMay 13, 2025
Clinical Criteria updatesEffective June 20, 2025
Anthem Blue Cross and Blue Shield | CommercialMay 1, 2025
Coverage and Clinical Guidelines update August 1, 2025Anthem Blue Cross and Blue Shield | CommercialMay 1, 2025
Wellness visits may increase appointment scheduling For members enrolled in an ACA planAnthem Blue Cross and Blue Shield | CommercialMay 1, 2025
Free CE training: Lifestyle Medicine & Food as Medicine Essentials CourseAnthem Blue Cross and Blue Shield | CommercialMay 1, 2025
Streamline your prior authorizations with our digital toolsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 1, 2025
Enhancing your learning experience: latest updates in Provider PathwaysAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 1, 2025
Additional drug codes added to medical claims edit systemAnthem Blue Cross and Blue Shield | CommercialMay 1, 2025
Clinical Criteria updates for specialty pharmacy are availableEffective August 1, 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsMay 1, 2025
FDA lifts risk evaluation and mitigation strategy reporting requirements for ClozapineAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageApril 30, 2025
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesEffective August 1, 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 29, 2025
New preapproval rules for medicationsEffective June 1, 2025
Ebglyss, Lymphir, Niktimvo, and Ocrevus Zunovoa
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 29, 2025
Important guidelines for avoiding common billing errors in DME claimsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 25, 2025
Carelon Medical Benefits Management, Inc. updatesEffective June 15, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageApril 24, 2025
Medical Policies and Clinical Utilization Management Guidelines updateEffective May 25, 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 19, 2025
Corrected ABA claim denials for codes 97152, 97153, and 97154Anthem Blue Cross and Blue Shield | Medicare AdvantageApril 18, 2025
New specialty pharmacy medical step therapy requirementEffective June 1, 2025
Hercessi
Anthem Blue Cross and Blue Shield | Medicare AdvantageApril 18, 2025
Specialty pharmacy preapproval list updateEffective August 1, 2025
Jubbonti; Wyost
Anthem Blue Cross and Blue Shield | Medicare AdvantageApril 11, 2025
Submit preapproval requests for post‑acute care services for Medicare group retiree members to Carelon Post Acute SolutionsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 11, 2025
Prior authorization requirement changesEffective June 1, 2025
Codes: J9248 and L5841
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 4, 2025
Quarterly pharmacy formulary change noticeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 4, 2025
Quarterly pharmacy formulary change noticeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 3, 2025
Clinical Criteria updatesEffective May 7, 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 1, 2025
Medical Policies and Clinical Utilization Management Guidelines updateEffective May 1, 2025
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsApril 1, 2025
Register for our next webinar: Enhancing Diabetes Management — Focus on Standardized Metrics