Connecticut
Provider Communications

June 2021 Anthem Connecticut Provider News

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Title Category

Claim edits enhanced for outpatient facility claims

Administrative

Clinical criteria updates for specialty pharmacy

Pharmacy

DEXA bone scan criteria for the Federal Employee Program

Federal Employee Plan (FEP)

Digital solution options with Availity

Digital Tools

Inpatient readmissions policy reminder

Medicare

Interactive Care Reviewer’s new copy feature decreases time to submit authorization request

Digital Tools

Keep up with Medicare news

Medicare

Keep your demographic and contact information current

Administrative

Let’s Vaccinate

Administrative

MCG Care Guidelines 25th Edition

Medicare

Medical policies and clinical utilization management guidelines update

Medicare

Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ reminders

Medicare

New Back Pain Management Program effective July 19, 2021

Products & Programs

Pharmacy information available on anthem.com

Pharmacy

Physicians and clinical teams: Study finds imaging for lower back pain does not improve outcomes

Administrative

Prior authorization and step therapy updates for specialty pharmacy

Pharmacy

Regular check-ins with your clearinghouse could help reduce timely filing denials

Administrative

Submit EDI corrected claims via Availity or EDI

Digital Tools

Two great learning resources on one secure portal

Digital Tools

Update to evaluation and management services correct coding - professional

Administrative

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

Products & Programs

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

Products & Programs
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