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.
- COVID-19 information
- Pharmacy information, including our Preferred Drug Lists (PDLs)
- Medical, pharmacy, reimbursement and administrative policies
- Authorization requirements as communicated through network notifications below
The links below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here.
COVID-19 Updates
| Latest Updates | Date |
|---|---|
| COVID-19: Vaccination Billing Resource – UPDATE | 07/14/2021 |
| COVID-19: Vaccination Billing Guidance | 03/04/2021 |
| COVID-19: Provider Vaccination Resources | 02/16/2021 |
| COVID-19: Vaccination Billing Resource – This notification has been revised. See notification dated 07/14/2021. | 01/29/2021 |
General Updates
| 2022 | Date | |
|---|---|---|
| Quarter 3 & 4 Avalon Medical Policy Update | 06/30/2022 | |
| Policy Updates July 2022 | 06/30/2022 | |
| Upload Claim Submissions Seamlessly in Provider Portal | 06/01/2022 | |
| Quarter 2 Avalon Medical Policy Update | 05/31/2022 | |
| Introducing Teladoc, CareSource’s New Telehealth Partner | 05/31/2022 | |
| Policy Updates June 2022 | 05/31/2022 | |
| Quarter 2 Avalon Reimbursement Policy Update | 05/31/2022 | |
| Policy Updates - May 2022 | 05/01/2022 | |
| Billing Updates: Chiropractic Unbundling | 04/26/2022 | |
| Quality Patient Experience Guide (CAHPS resource) | 04/04/2022 | |
| Billing Updates: Duplicate Discharge Day Management/ICD-10 7th Character and Therapy Proposal | 04/01/2022 | |
| Billing Updates: EDCf Evaluation & Management Policy | 03/25/2022 | |
| Policy Updates March 2022 | 03/01/2022 | |
| Provider Portal Account Linking Enhancement | 02/21/2022 | |
| Prior Authorization Requirement Updates | 01/14/2022 | |
| Correct Coding Claims Update | 01/11/2022 | |
| Policy Updates January 2022 | 01/01/2022 |
| 2021 | Date |
|---|---|
| UPDATE – Laboratory Benefit Management Program for Genetic Testing Management Implementation | 12/31/2021 |
| Prior Authorization Requirement for Non-Participating Laboratory Services | 12/10/2021 |
| 2021 Quarter 3 Provider Portal Updates | 11/15/2021 |
| Avalon Provider Education Webinars | 10/29/2021 |
| HIPAA CORE Compliant Codes | 10/15/2021 |
| New Laboratory Benefit Management Program | 10/01/2021 |
| Policy Updates July 2021 | 07/01/2021 |
| CMS Interoperability | 06/22/2021 |
| Balance Billing Reminder | 05/21/2021 |
| Utilization Management Process | 05/18/2021 |
| Policy Updates May 2021 | 05/01/2021 |
| Annual Access & Availability Standard Requirements | 03/11/2021 |
| Policy Updates March 2021 | 03/01/2021 |
| Policy Updates February 2021 | 02/01/2021 |
| Elective Transplant Process Change | 01/08/2021 |