Georgia
Provider Communications

October 2021 Anthem Provider News - Georgia

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Title Category

Are you talking to ALL of your patients about breast cancer screenings?

African American and Hispanic women have higher risk of death from breast cancer than their White counterparts.1
Administrative

Clarification: Anthem’s enhanced claim edits for outpatient facility claims

Reimbursement Policies

Clinical appeals

Administrative

Designated specialty pharmacy network updates effective January 1, 2022 (MAC)

Material adverse change (MAC)
Pharmacy

Federal Price Transparency and Consolidated Appropriations Act phase in new mandates beginning January 1, 2022

Administrative

Georgia Anthem preapproval list change notification 10/1/2021 (MAC)

Material adverse change (MAC)
Administrative

Georgia medical policy and clinical guideline updates 10/1/2021

Medical Policy & Clinical Guidelines

Get your payments faster when you sign up for electronic funds transfer

Medicare Advantage
Medicare

Good news! Non-payment remittance advice enhancements coming soon

Administrative

HEDIS® medical record submission made easier with our Remote EMR Access Service

Medicare Advantage
Medicare

Incorrect provider data could be costing you more than new patients

$2.1 billion is spent each year for provider data maintenance.1
Digital Tools

Information about 2021 Special Needs Plans

Medicare Advantage
Medicare

Keep up with Medicare news

View these Medicare articles: 
Medicare

Looking to earn continuing medical education credits? Register for these on-demand webinars.

Administrative

New Medical Step Therapy requirements

Medicare Advantage
Medicare

October 2021 specialty pharmacy updates are available (MAC)

Material adverse change (MAC)
Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Procedure searches in Find Care

Digital Tools

Reimbursement policy clarification: Claims Requiring Additional Documentation (facility)

Reimbursement Policies

REMINDER: EnrollSafe, the new electronic funds transfer enrollment portal for Anthem providers is replacing CAQH Enrollhub effective November 1, 2021

Digital Tools

Reminder: Updated AIM Musculoskeletal Program site of care reviews effective November 1, 2021

Products & Programs

Sexually Transmitted Infections Testing (Professional)

Medicare Advantage
Medicare

Your recommendation is key to encouraging cancer screenings for your female patients

Administrative
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