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Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2025

New reimbursement policy: Code and Clinical Editing Guidelines — Professional and Facility

Guideline Updates Reimbursement PoliciesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2025

Reimbursement Policy Update: Abortion (Termination of Pregnancy)

Guideline Updates 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

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2024

Clarification to reimbursement policy update: Nurse Practitioner and Physician Assistant Services

Guideline Updates Reimbursement PoliciesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 1, 2024

Clarification to reimbursement policy update: Nurse Practitioner and Physician Assistant Services

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2024

Reimbursement policy update: Modifier 78

Guideline Updates Reimbursement PoliciesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2024

Reimbursement policy update: Nurse Practitioner and Physician Assistant Services

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2024

Reimbursement policy update: Nurse Practitioner and Physician Assistant Services

Guideline UpdatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 31, 2023

State communication: Change to Hospice Enrollment/Disenrollment Policy

Guideline UpdatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsOctober 18, 2023

New member benefit: Brain Injury Services Case Management

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

Genetic Tests: Once per Lifetime 

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

Genetic Tests: Once per Lifetime 

Guideline Updates Reimbursement PoliciesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsSeptember 19, 2023

Provider not eligible denials — Action required

Guideline Updates Reimbursement PoliciesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 24, 2023

Changes to outpatient hospital rates

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

Change to ostomy and colostomy products and accessories

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2023

Technology Assisted Surgical Procedures

Guideline Updates Reimbursement PoliciesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2023

Technology Assisted Surgical Procedures

Guideline Updates Reimbursement PoliciesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 28, 2023

Inpatient readmission payment reduction errors

Guideline Updates Reimbursement PoliciesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 25, 2023

Change to DME bandages, dressings, gauze, tape, and preparation solutions

Guideline Updates Reimbursement PoliciesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 21, 2023

Change to DME elastic support items

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialMay 31, 2023

Retraction: May 2023 reimbursement policy updates

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialMay 1, 2023

RETRACTION: Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialMay 1, 2023

RETRACTION: Reimbursement policy update: Technology Assisted Surgical Procedures - Professional and Facility

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialMay 1, 2023

RETRACTION: New Reimbursement policy: Bundled Supplies and Services - Facility

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialMay 1, 2023

RETRACTION: Reimbursement policy update: Documentation and Reporting Guidelines for Evaluation and Management Services - Professional

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialMarch 31, 2023

RETRACTION: Reimbursement policy update: Documentation and Reporting Guidelines for Evaluation and Management Services - Professional

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialMarch 31, 2023

Reimbursement policy update: Bundled Services and Supplies - Professional

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2023

Upcoming amendment changes for Commercial reimbursement policies for Virginia

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Anthem in Virginia’s upcoming amendment will allow posting of Commercial professional reimbursement policies online at anthem.com

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2022

Reimbursement policy retirement: Acupuncture Billed with Evaluation and Management - Professional

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2022

Reminder: Professional reimbursement policies to be posted online

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2022

Anthem in Virginia’s upcoming amendment will allow posting of Commercial professional reimbursement policies online at anthem.com

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2022

Retraction for reimbursement policy: Sexually Transmitted Infections - professional

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2022

Termination of enhanced reimbursement for voluntary Cancer Care Quality program effective December 31, 2022

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialMarch 1, 2022

Virtual Visits: New CMS place of service code (professional and facility)

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2021

Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation - Professional

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialJune 1, 2021

Update to provider utilization management reimbursement penalties for professional providers

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialApril 1, 2021

Claims editing update for ICD-10-CM Excludes 1 notes

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialJanuary 1, 2021

Outpatient system updates for 2021 (Facility)

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialJanuary 1, 2021

Professional system updates for 2021

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialJanuary 1, 2021

Evaluation and Management changes 2021 (Professional)

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2020

Reimbursement policy update: Bundled services and supplies (Professional)

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2020

Emergency department reimbursement policy

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2020

Clinical Laboratory Improvement Amendments for Anthem

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2020

Injectable substances with related injection services: Professional

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2019

System updates for 2020: Professional

Guideline Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2019

Claim editing update for Excludes1 notes