Key Updates
Anthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2025
Elevate your workflow with seamless patient chart uploads
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 25, 2025
Enhance your skills with expanded billing and coding training
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 19, 2025
New opt‑in service for biller alerts
Anthem Blue Cross and Blue Shield | CommercialAugust 15, 2025
Notice of upcoming professional provider amendment
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 6, 2025
Support for Virginia Medicaid members during open enrollment
Recent Updates
Anthem Blue Cross and Blue Shield | CommercialSeptember 1, 2025
Specialty pharmacy updates — September 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2025
Medication safety: Reducing risks with thoughtful prescribing and monitoringAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2025
Anthem’s Clinical Criteria updates for specialty pharmacy are availableAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2025
Elevate your workflow with seamless patient chart uploadsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsSeptember 1, 2025
RSV immunization: key to infant healthAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2025
Elevate your practice efficiency with electronic prescriber toolsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 28, 2025
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesEffective November 15, 2025
Anthem Blue Cross and Blue Shield | CommercialAugust 26, 2025
New guidelines for PET radiotracer management in UM beginning December 1, 2025Anthem Blue Cross and Blue Shield | CommercialAugust 26, 2025
Carelon Medical Benefits Management, Inc. Additional Outpatient Utilization Management and SurgicalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 26, 2025
Verify member IDs to prevent service disruptionsAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 25, 2025
Enhance your skills with expanded billing and coding trainingAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 25, 2025
Anthem expands specialty pharmacy precertification listsEffective December 1, 2025
Avtozma, Osenvelt, Osenvelt, Stoboclo, and Xbryk
Anthem Blue Cross and Blue Shield | Medicare AdvantageAugust 21, 2025
Medication safety: Clinical strategies for EMR monitoring and preventionHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 19, 2025
New opt‑in service for biller alertsAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 18, 2025
Precertification/prior authorization requirement changesEffective December 1, 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 18, 2025
Claims system issue: no action neededAnthem Blue Cross and Blue Shield | CommercialAugust 15, 2025
Notice of upcoming professional provider amendmentHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 14, 2025
You are invited: educational webinarsAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 14, 2025
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesEffective November 15, 2025
Anthem Blue Cross and Blue Shield | CommercialAugust 14, 2025
Updates to Carelon Medical Benefits Management, Inc. Clinical Appropriateness GuidelinesEffective November 15, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageAugust 14, 2025
Precertification/prior authorization requirement changesEffective December 1, 2025
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 13, 2025
Get reimbursed for eConsults and improve patient outcomes and satisfactionAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 12, 2025
Precertification/prior authorization requirement changesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 12, 2025
Carelon Medical Benefits Management, Inc. updatesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 11, 2025
Medical Policies and Clinical Utilization Management Guidelines updateEffective September 15, 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 6, 2025
Support for Virginia Medicaid members during open enrollmentAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2025
Expanded specialty pharmacy precertification listEffective November 1, 2025
Bomyntra, Conexxence, Imaav, Jobevne, Omlyclo, Qfitlia, Vyalev, and Jobevne
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Changes to Federal Employees Health Benefits program and Postal Service Health Benefits program telemedicine servicesAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
SUD confidentiality protections for membersAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 1, 2025
You are invited: immunization measures webinarAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2025
Compatibility in care: sharing REL data to improve member healthAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Upcoming updates: medical claims edit system for self‑administered drugsAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
New EMR messaging alerts aim to close gaps in care for ACA patientsAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Introducing a new Applied Behavior Analysis Provider Resource GuideAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Clinical Criteria updates for specialty pharmacyEffective November 1, 2025
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2025
Coverage and Clinical Guidelines update November 1, 2025Anthem Blue Cross and Blue Shield | Medicare AdvantageJuly 28, 2025
Clinical Criteria updatesEffective September 4, 2025
Anthem Blue Cross and Blue Shield | Medicare AdvantageJuly 25, 2025
Medical Policies and Clinical Utilization Management Guidelines updateEffective August 28, 2025
Anthem Blue Cross and Blue Shield | CommercialJuly 24, 2025
Specialty pharmacy updates — August 2025HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 24, 2025
Prior authorization requirement changesEffective September 1, 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 24, 2025
Essential updates for community services boards’ claims processingAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 23, 2025
Enhance care provider data accuracy with updated roster toolsAnthem Blue Cross and Blue Shield | CommercialJuly 22, 2025
July formulary deletionsAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 21, 2025
Anthem Medicare Advantage Group Retiree Quick Reference GuideAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 15, 2025
Prior authorization requirement changesEffective November 1, 2025
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 10, 2025
Quarterly pharmacy formulary change noticeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 3, 2025
Quarterly pharmacy formulary change noticeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2025
Clinical Criteria updatesEffective August 3, 2025
Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2025
Benefits of utilization management attestations: a guide for care providersAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsJuly 1, 2025
Update: National Drug Codes (NDCs) are required for professional and outpatient claims