Updates & Announcements

We strive to make partnering with us simple. We’re aware things may change in the way we do business with you and want to communicate these changes to you in an efficient manner.

The links below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here.

COVID-19 Updates

Latest UpdatesDate
Navigate COVID-19: Vaccination Billing ResourceUPDATE07/14/2021
Navigate COVID-19: Vaccination Billing Guidance03/04/2021
Navigate COVID-19: Provider Vaccination Resources02/16/2021
Navigate COVID-19: Vaccination Billing ResourceThis notification has been revised. See notification dated 07/14/2021.01/29/2021

General Updates

2022Date
Navigate Face-to-Face Visit Encounter Requirement11/21/2022
Navigate Provider Alternative Format Request11/10/2022
Navigate Policy Updates November 202211/1/2022
Navigate Updated Prior Authorization List11/1/2022
Navigate Wellstar Atlanta Medical Center Closure10/31/2022
Navigate Policy Updates October 202210/01/2022
Navigate Prior Authorization Updates10/01/2022
Navigate Quarter 2 Avalon Medical Policy Update10/01/2022
Navigate CLIA-Waived Tests Update09/01/2022
Navigate Policy Updates September 202209/01/2022
Navigate Billing Update: Incorrect Billing of Modifier 58 Notification08/24/2022
Navigate Billing Update Re: Multiple Outpatient Claims08/17/2022
Navigate Quarter 1 2022 Avalon Medical Policy Update08/01/2022
Navigate We Want to Hear from You!07/08/2022
Navigate Quarter 3 & 4 Avalon Medical Policy Update06/30/2022
Navigate Policy Updates July 202206/30/2022
Navigate Upload Claim Submissions Seamlessly in Provider Portal06/01/2022
Navigate Quarter 2 Avalon Medical Policy Update05/31/2022
Navigate Introducing Teladoc, CareSource’s New Telehealth Partner05/31/2022
Navigate Policy Updates June 202205/31/2022
Navigate Quarter 2 Avalon Reimbursement Policy Update05/31/2022
Navigate Policy Updates - May 202205/01/2022
Navigate Billing Updates: Chiropractic Unbundling04/26/2022
Navigate Quality Patient Experience Guide (CAHPS resource)04/04/2022
Navigate Billing Updates: Duplicate Discharge Day Management/ICD-10 7th Character and Therapy Proposal04/01/2022
Navigate Billing Updates: EDCf Evaluation & Management Policy03/25/2022
Navigate Policy Updates March 202203/01/2022 
Navigate Provider Portal Account Linking Enhancement02/21/2022
Navigate Prior Authorization Requirement Updates01/14/2022
Navigate Correct Coding Claims Update01/11/2022
Navigate Policy Updates January 202201/01/2022
2021Date
Navigate UPDATE – Laboratory Benefit Management Program for Genetic Testing Management Implementation12/31/2021
Navigate Prior Authorization Requirement for Non-Participating Laboratory Services12/10/2021
Navigate 2021 Quarter 3 Provider Portal Updates11/15/2021
Navigate Avalon Provider Education Webinars10/29/2021
Navigate HIPAA CORE Compliant Codes10/15/2021
Navigate New Laboratory Benefit Management Program10/01/2021
Navigate Policy Updates July 202107/01/2021
Navigate CMS Interoperability06/22/2021
Navigate Balance Billing Reminder05/21/2021
Navigate Utilization Management Process05/18/2021
Navigate Policy Updates May 202105/01/2021
Navigate Annual Access & Availability Standard Requirements03/11/2021
Navigate Policy Updates March 202103/01/2021
Navigate Policy Updates February 202102/01/2021
Navigate Elective Transplant Process Change01/08/2021