![]() Genetic testing CPT code list update for Carelon Medical Benefits Management (formerly AIM Specialty Health)Īdvancing Mental Health Equity for Youth & Young Adults New specialty pharmacy medical step therapy requirements (Avastin, Byooviz, Cimerli, Eylea, Lucentis, Vabysmo) Blue Cross and Blue Shield expands specialty pharmacy precertification list (Elahere) Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Imjudo, Pedmark, Tecvayli, Tzield, Vegzelma) Sacroiliac joint injection criteria change Prior authorization updates for medications billed under the medical benefit (Pluvicto, Opdualag, Alymsys, Yusimry) Pregnancy and maternal materials for our obstetrician care partners Update to the Pregnancy Notification Form HEDIS 2023 Federal Employee Program medical record request requirementsĪuthorizations for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) services for consumers with individual, group retiree solutions (GRS), and dual-eligible plans from Medicare Advantage Pharmacy information available on our provider website Pay Doctor Bill (provider payment option) - General FAQ Reimbursement policy update: Bundled Services and Supplies - Professional Reimbursement policy update: Documentation and Reporting Guidelines for Evaluation and Management Services - Professional Notification Regarding Reimbursement Changes to COVID-19 Vaccine Administration Survey for all skilled nursing facilities cardiology, genetic testing, and radiology programs effective August 1, 2023 Time to prepare for HEDIS medical record reviewĮxpansion of Carelon Medical Benefits Management, Inc. Medical Oncology Program ProviderPortal case entry enhancements Helping to reduce delays when submitting attachments Genetic testing CPT code list update for Carelon Medical Benefits Management (formerly AIM Specialty Health) ![]() Power 2022 award information, visit /awards.Enhanced outpatient facility editing for National Correct Coding InitiativeĪuthorizations for post-acute care services for Commercial membersĬAA: Maintain your online provider directory information The Braven Health℠ name and symbols are service marks of Braven Health.įor J.D. The Horizon® name and symbols are registered marks and OMNIA℠ is a service mark of Horizon Blue Cross Blue Shield of New Jersey. The Blue Cross® and Blue Shield® name and symbols are registered marks of the Blue Cross Blue Shield Association. Communications may be issued by Horizon Blue Cross Blue Shield of New Jersey in its capacity as administrator of programs and provider relations for all its companies. Products and services are provided by Horizon Blue Cross Blue Shield of New Jersey, Horizon Insurance Company, Horizon Healthcare of New Jersey, Braven Health℠, and/or Horizon Healthcare Dental, Inc., each an independent licensee of the Blue Cross Blue Shield Association. To see all available Qualified Health Plan options, go to the New Jersey Health Insurance Marketplace at Get Covered NJ. This website does not display all Qualified Health Plans available through Get Covered NJ. This website is operated by Horizon Blue Cross Blue Shield of New Jersey and is not New Jersey’s Health Insurance Marketplace.
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