CommercialAdministrativeMedium impact
AB2026-01-001 Updates and new information
Capital Blue Cross·Radiology, Cardiology, Oncology·Provider News
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Capital Blue Cross launched a redesigned provider website with streamlined navigation and fewer login requirements, released the 2026 Provider Manual online, and announced multiple policy updates including new continuity of care provisions, electronic appeals functionality coming Q1 2026, and updated medical policies for high-tech imaging effective March 1, 2026.
Action Required
Immediately: Update bookmarks to new Capital Blue Cross provider website at Capital Blue Cross/Providers. Access the 2026 Provider Manual online (no login required). By March 1, 2026: Review updated Evolent medical policies for high-tech radiology, cardiac imaging, and radiation oncology services to ensure compliance with new utilization management criteria. Prepare for Q1 2026: Train staff on new electronic appeals submission process through Capital's Provider Portal (Availity Essentials) when it launches.