Indiana
Provider Communications

Articles Month: June 2021

Title Publication Category Date

Let’s vaccinate

June 2021 Anthem Provider News - Indiana Products & Programs Jun 1, 2021

Designated specialty pharmacy network: Reminders and contact information

June 2021 Anthem Provider News - Indiana Pharmacy Jun 1, 2021

Designated specialty pharmacy network updates

June 2021 Anthem Provider News - Indiana Pharmacy Jun 1, 2021

Updates for specialty pharmacy are available - June 2021*

*Change to Prior Authorization Requirements
June 2021 Anthem Provider News - Indiana Pharmacy Jun 1, 2021

Pharmacy information available at anthem.com

June 2021 Anthem Provider News - Indiana Pharmacy Jun 1, 2021

Keep your contact information current

June 2021 Anthem Provider News - Indiana Administrative Jun 1, 2021

Answering your claims questions is easier through chat; secure messaging will sunset soon, start using chat now

June 2021 Anthem Provider News - Indiana Administrative Jun 1, 2021

Regular check-ins with your clearinghouse could affect timely filing

June 2021 Anthem Provider News - Indiana Administrative Jun 1, 2021

Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study finds

June 2021 Anthem Provider News - Indiana Administrative Jun 1, 2021

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

June 2021 Anthem Provider News - Indiana Digital Tools Jun 1, 2021

Submit EDI corrected claims via Availity or EDI

June 2021 Anthem Provider News - Indiana Digital Tools Jun 1, 2021

Digital solution options with Availity

June 2021 Anthem Provider News - Indiana Digital Tools Jun 1, 2021

Two great learning resources on one secure portal

June 2021 Anthem Provider News - Indiana Digital Tools Jun 1, 2021

Medical policy and clinical guideline updates - June 2021*

*Change to Prior Authorization Requirements
June 2021 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Jun 1, 2021

Continuation of skilled nursing facility (SNF) process in Indiana and Ohio

June 2021 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Jun 1, 2021

New Back Pain Management Program effective July 19, 2021

June 2021 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Jun 1, 2021

Prior authorization for genetic testing medical policy effective September 1, 2021*

*Change to Prior Authorization Requirements
June 2021 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Jun 1, 2021

Updates to AIM advanced imaging clinical appropriateness guidelines*

*Change to Prior Authorization Requirements
June 2021 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Jun 1, 2021

Updates to AIM musculoskeletal program clinical appropriateness guidelines*

*Change to Prior Authorization Requirements
June 2021 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Jun 1, 2021

Reimbursement policy update: Outpatient facility claim edits

June 2021 Anthem Provider News - Indiana Reimbursement Policies Jun 1, 2021

DEXA bone scan criteria for the Federal Employee Program®

June 2021 Anthem Provider News - Indiana Federal Employee Plan (FEP) Jun 1, 2021

Medicaid News - June 2021

View these Medicaid articles:
- False Claims Act awareness
- MCG Care Guidelines 24th edition customization
- May 2020 medical policies and clinical utilization management guidelines update
- November 2020 medical policies and clinical utilization management guidelines update
- Updates to the AIM Advanced Imaging clinical appropriateness guidelines
June 2021 Anthem Provider News - Indiana Medicaid Jun 1, 2021

Metabolic monitoring and diabetes screening measures for those on antipsychotics medications

June 2021 Anthem Provider News - Indiana Medicaid Jun 1, 2021

Reminder: Behavioral health midlevel providers may not bill E&M services codes

June 2021 Anthem Provider News - Indiana Medicaid Jun 1, 2021

Medicare News - June 2021

View these Medicare articles:
- Anthem working with Optum to collect medical records for risk adjustment
- Medical drug benefit clinical criteria updates
- Updates to the AIM advanced imaging clinical appropriateness guidelines
June 2021 Anthem Provider News - Indiana Medicare Jun 1, 2021

Medical policies and clinical utilization management guidelines update

June 2021 Anthem Provider News - Indiana Medicare Jun 1, 2021

Reminders for Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

June 2021 Anthem Provider News - Indiana Medicare Jun 1, 2021

Reimbursement policy reminder: Inpatient readmissions

June 2021 Anthem Provider News - Indiana Medicare Jun 1, 2021

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators Administrative Jun 25, 2021
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