Indiana
Provider Communications

April 2021 Anthem Provider News - Indiana

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Title Category

Access to more claim denial information is now self-service

Medicaid

Access to more claim denial information is now self-service

Medicare

Attention facilities: Sending admission, discharge and transfer data results in improved care management for patients

Administrative

Chat directly with a prior authorization specialist

Administrative

Clinical criteria updates notification - December 2020

Medicare

Clinical criteria updates notification - November 2020

Medicare

Coding spotlight: Overview of the 2021 evaluation and management changes

Medicaid

Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

Pharmacy

Does your practice offer telehealth services? Let us know!

Administrative

Does your practice offer telehealth services? Let us know!

Medicare

HEDIS 2021 Federal Employee Program® medical record request requirements

Federal Employee Plan (FEP)

Important update to provider UM reimbursement penalties and corresponding entry in Provider Manual*

*Change to Prior Authorization Requirements
Administrative

In-Office Assessment program

Medicare

Information Center - Access important policies, forms and helpful resources

Administrative

Interactive bilingual website taking action for our health

Exclusively developed for the Latino Community
Administrative

Join Anthem in talking about racism and its impact on health

Administrative

Keeping up with routine vaccination during COVID-19

Administrative

Make the change to digital authorization/referral and hospital admission notifications using EDI

Administrative

Maximizing efficient, high quality COVID-19 screenings*

*Change to Prior Authorization Requirements
Medical Policy & Clinical Guidelines

MCG Care Guidelines 25th Edition available*

*Change to Prior Authorization Requirements
Medical Policy & Clinical Guidelines

Medical policy and clinical guideline updates - April 2021*

*Change to Prior Authorization Requirements
Medical Policy & Clinical Guidelines

Notice of Changes to Prior Authorization Requirements - April 2021

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
Administrative

Oncology dose reduction program beginning July 1, 2021

Medicare

Pharmacy information available at anthem.com

Pharmacy

The health of millennials: Trends in behavioral health conditions

Behavioral Health

Understanding Availity roles for electronic data interchange (EDI)

Administrative

Update for Commercial providers: AIM sleep program CPT code E1399, NOC: Durable medical equipment, miscellaneous

Medical Policy & Clinical Guidelines

Update: Clinical guideline adoption postponed*

*Change to Prior Authorization Requirements
Medical Policy & Clinical Guidelines

Updates for specialty pharmacy are available - April 2021*

*Change to Prior Authorization Requirements
Pharmacy

Updates to AIM clinical appropriateness guidelines for advanced imaging

Medicaid

Updates to AIM clinical appropriateness guidelines for advanced imaging

Medicare
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