Indiana
Provider Communications

July 2019 Anthem Provider News - Indiana

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Title Category

Anthem Commercial Risk Adjustment (CRA) Reporting Update: 2019 Program Year Progression -- What’s in it for you and your patients?

Administrative

Anthem Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific Specialty Drugs and Site of Care

Federal Employee Plan (FEP)

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

Administrative

Are you ready? Electronic prior authorization requests required effective January 1, 2020

Administrative

Clinical Criteria coding updates for specialty pharmacy are available

Pharmacy

Clinical criteria updates for specialty pharmacy

Pharmacy

Clinical Validation: Professional*

Reimbursement Policies

Electronic claim payment reconsideration

Medicare

Home health billing guidelines for contracted providers

Medicare

ICD-10-CM Coding Guidelines and Laterality: Professional

Reimbursement Policies

Keep up with Medicare News -- July 2019

Medicare

Make the move to the Availity EDI Gateway today

Administrative

Modifier 63 reminder: Professional

Reimbursement Policies

Modifier 79 reminder: Professional

Reimbursement Policies

MyDiversePatients.com: A website to support your diverse patients

Administrative

Notice of Changes to Prior Authorization Requirements -- July 2019

New prior authorization requirement for providers and/or Material Changes to Contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
Administrative

Outpatient Rehabilitation Program transitioning to AIM

Medicare

Reminder to providers: Fee schedule information

Administrative

Update to Provider UM reimbursement penalties and corresponding update to Provider Manual*

Administrative

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*

Medical Policy & Clinical Guidelines
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