Indiana
Provider Communications

Articles

Title Publication Category Date

Medicare News - May 2020

View these Medicare articles:
- Prior Authorization requirements
- New behavioral health Medicare Advantage individual and Group Retiree Solutions provider fax
May 2020 Anthem Provider News - Indiana Medicare May 1, 2020

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

May 2020 Anthem Provider News - Indiana Medicare May 1, 2020

Multi-dose packaging

May 2020 Anthem Provider News - Indiana Medicare May 1, 2020

Federal Resources Available for Care Providers and Employers in the Federal CARES Act

During the COVID-19 crisis, care providers are working to keep the country running while navigating the financial impact it is having on them. To help care providers navigate the resources available to them, Anthem has compiled information on programs we have learned about that could provide additional financial relief during this crisis.
COVID-19 Information - Indiana Administrative Apr 10, 2020

Notice of Changes to Prior Authorization Requirements - April 2020

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

April 2020 Anthem Provider News - Indiana Administrative Apr 1, 2020

Information from Anthem for Care Providers about COVID-19

*Please bookmark/add to favorites Provider News Home for the latest information about COVID-19.
April 2020 Anthem Provider News - Indiana Administrative Apr 1, 2020

Anthem continues focus on updates to our public provider website

April 2020 Anthem Provider News - Indiana Administrative Apr 1, 2020

Provider Transparency Update

April 2020 Anthem Provider News - Indiana Administrative Apr 1, 2020

Anthem prior authorization updates for specialty pharmacy are available - April 2020*

April 2020 Anthem Provider News - Indiana Pharmacy Apr 1, 2020

MCG Care Guidelines 24th Edition*

April 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Apr 1, 2020

UPDATE: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements*

April 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Apr 1, 2020

HEDIS 2020 Federal Employee Program® medical record request requirements

April 2020 Anthem Provider News - Indiana Federal Employee Plan (FEP) Apr 1, 2020

Anthem to delay most April 1, 2020 formulary list updates for commercial health plan pharmacy benefit

COVID-19 Information - Indiana Pharmacy Apr 1, 2020

COVID-19 information from Anthem Blue Cross and Blue Shield

April 2020 Anthem Provider News - Indiana Medicare Apr 1, 2020

Medicare News - April 2020

View these Medicare notices:
- Coding tip for psychological and neuropsychological testing
- Medical Policies and Clinical Utilization Management Guidelines update
- New Medicare Advantage opioid treatment Program benefit
- Prior authorization requirements: new 2020 codes for coverage and precertification
April 2020 Anthem Provider News - Indiana Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates - November 2019

April 2020 Anthem Provider News - Indiana Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates - December 2019

April 2020 Anthem Provider News - Indiana Medicare Apr 1, 2020

2020 Medicare risk adjustment provider trainings

April 2020 Anthem Provider News - Indiana Medicare Apr 1, 2020

COVID-19 information from Anthem Blue Cross and Blue Shield

April 2020 Anthem Provider News - Indiana Medicaid Apr 1, 2020

Medicaid News - April 2020

View these Medicaid notices:
- False Claims Act awareness
- Coding tip for psychological and neuropsychological testing
April 2020 Anthem Provider News - Indiana Medicaid Apr 1, 2020

Antibiotic prescribing guidelines

April 2020 Anthem Provider News - Indiana Medicaid Apr 1, 2020

Coding spotlight: HIV and AIDS

April 2020 Anthem Provider News - Indiana Medicaid Apr 1, 2020

Updated COVID-19 Medicare and Medicaid Information

For the latest COVID-19 Medicaid and Medicare information, please check Medicaid Provider News - COVID-19 and Medicare Advantage Provider News Archives.
COVID-19 Information - Indiana State & Federal Mar 25, 2020

Anthem acquires Beacon Health Options

April 2020 Anthem Provider News - Indiana Administrative Mar 2, 2020

Notice of Changes to Prior Authorization Requirements - March 2020

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
March 2020 Anthem Provider News - Indiana Administrative Mar 1, 2020

Provider News site enhancements

March 2020 Anthem Provider News - Indiana Administrative Mar 1, 2020

Anthem Commercial Risk Adjustment (CRA) Program Update: Medical chart collection for ACA members due March 31, 2020

March 2020 Anthem Provider News - Indiana Administrative Mar 1, 2020

Patient360 enhancement for medical providers

March 2020 Anthem Provider News - Indiana Administrative Mar 1, 2020

Modifier use reminders

March 2020 Anthem Provider News - Indiana Administrative Mar 1, 2020

Important coding reminder for walk-in retail health clinics

March 2020 Anthem Provider News - Indiana Administrative Mar 1, 2020

Level of Care medical necessity reviews for upper and lower endoscopy procedures begin June 1, 2020*

March 2020 Anthem Provider News - Indiana Products & Programs Mar 1, 2020

National Drug Code requirement on outpatient claims*

March 2020 Anthem Provider News - Indiana Pharmacy Mar 1, 2020

Pharmacy information available at anthem.com

March 2020 Anthem Provider News - Indiana Pharmacy Mar 1, 2020

Medicare News - March 2020

March 2020 Anthem Provider News - Indiana Medicare Mar 1, 2020

Outpatient Rehabilitation Program transition: new prior authorization requirements

March 2020 Anthem Provider News - Indiana Medicare Mar 1, 2020

Complex discharge planning

March 2020 Anthem Provider News - Indiana Medicare Mar 1, 2020

Personal Home Helper benefit

March 2020 Anthem Provider News - Indiana Medicare Mar 1, 2020

Reminder: Mid-level practitioners are required to file using their NPI

March 2020 Anthem Provider News - Indiana Medicare Mar 1, 2020

Non-preferred products and corresponding preferred alternatives

March 2020 Anthem Provider News - Indiana Medicare Mar 1, 2020

Medicaid News - March 2020

March 2020 Anthem Provider News - Indiana Medicaid Mar 1, 2020

Notice of Changes to Prior Authorization Requirements - February 2020

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
February 2020 Anthem Provider News - Indiana Administrative Feb 1, 2020

Clinical Laboratory Improvements Amendments for Anthem*

February 2020 Anthem Provider News - Indiana Administrative Feb 1, 2020

Anthem SOAP Notes/Health Assessments for 2019 calendar year are due February 15, 2020

February 2020 Anthem Provider News - Indiana Administrative Feb 1, 2020

Shine Light on Depression

February 2020 Anthem Provider News - Indiana Behavioral Health Feb 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

February 2020 Anthem Provider News - Indiana Pharmacy Feb 1, 2020

Medical Policy and Clinical Guideline Updates - February 2020*

February 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Feb 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*

February 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Feb 1, 2020

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines*

February 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Feb 1, 2020

Medicare News - February 2020

February 2020 Anthem Provider News - Indiana Medicare Feb 1, 2020

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

February 2020 Anthem Provider News - Indiana Medicare Feb 1, 2020

Reimbursement Policy Update: Modifier 62: Co-Surgeons

February 2020 Anthem Provider News - Indiana Medicare Feb 1, 2020

Medicaid News - February 2020

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

Project ECHO clinics now available

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

August 2019 Medical policies and clinical utilization management guidelines update

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

September 2019 Medical drug benefit clinical criteria updates

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

Coding spotlight: Provider’s guide to coding hypertension

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

Coding spotlight: Provider’s guide to coding respiratory diseases

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

Improving the patient experience

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

Use the Provider Maintenance Form for professional providers to verify and update your information

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

Resources to support your diverse patient panel

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

Notice of Changes to Prior Authorization Requirement -- January 2020

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
January 2020 Anthem Provider News - Indiana Administrative Jan 1, 2020

Electronic submission of prior authorization requests now required

January 2020 Anthem Provider News - Indiana Administrative Jan 1, 2020

Postponed: Review of professional claims with emergency room level 5 E/M codes

January 2020 Anthem Provider News - Indiana Administrative Jan 1, 2020

Availity: Upcoming retirement planned for legacy Medical Attachment submission tool

January 2020 Anthem Provider News - Indiana Administrative Jan 1, 2020

Let Us Help You Accomplish Your 2020 “To-Do List” Early - EDI Migration

January 2020 Anthem Provider News - Indiana Administrative Jan 1, 2020

The New Year brings New ID Cards for many Anthem members

January 2020 Anthem Provider News - Indiana Administrative Jan 1, 2020

Receive and respond to post pay audit medical record requests via Availity beginning February 10, 2020

January 2020 Anthem Provider News - Indiana Administrative Jan 1, 2020

New Musculoskeletal and Pain Management Solution Effective for Select National ASO Accounts January 1, 2020

January 2020 Anthem Provider News - Indiana Products & Programs Jan 1, 2020

Important Update: Milliman Care Guideline (MCG), 23rd Edition, ORG: W0163 Pelvic Organ Prolapse Repair*

January 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Jan 1, 2020

Outpatient Facility Edit Implementation*

January 2020 Anthem Provider News - Indiana Reimbursement Policies Jan 1, 2020

2020 FEP® Benefit information available online

January 2020 Anthem Provider News - Indiana Federal Employee Plan (FEP) Jan 1, 2020

Medicare News -- January 2020

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Introducing ConcertoHealth

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Electric Boat offers Medicare Advantage options

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

2020 Medicare risk adjustment provider trainings

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Medicare preferred continuous glucose monitors

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

August 2019 Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

September 2019 Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Help protect your patients by providing medical ID protection - best practices

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Healthcare Quality Patient Assessment Form and Patient Assessment Form

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Medicaid News -- January 2020

January 2020 Anthem Provider News - Indiana Medicaid Jan 1, 2020

Coding spotlight: provider’s guide to coding behavioral and emotional disorders

January 2020 Anthem Provider News - Indiana Medicaid Jan 1, 2020

Important: Are you ready? Indiana legislation requires prior authorization requests be submitted electronically

December 2019 Anthem Provider News - Indiana Administrative Dec 1, 2019

Verifying and updating your provider information

December 2019 Anthem Provider News - Indiana Administrative Dec 1, 2019

Anthem works to simplify payment recovery process for National Accounts membership

December 2019 Anthem Provider News - Indiana Administrative Dec 1, 2019

Retrieve your Anthem Patient’s HEDIS® care gaps through Patient360 located on the Availity portal

December 2019 Anthem Provider News - Indiana Administrative Dec 1, 2019

Case management program

December 2019 Anthem Provider News - Indiana Administrative Dec 1, 2019

Coordination of care

December 2019 Anthem Provider News - Indiana Administrative Dec 1, 2019

Important information about utilization management

December 2019 Anthem Provider News - Indiana Administrative Dec 1, 2019

Members’ rights and responsibilities

December 2019 Anthem Provider News - Indiana Administrative Dec 1, 2019

Clinical practice and preventive health guidelines available

December 2019 Anthem Provider News - Indiana Administrative Dec 1, 2019

Webinars are available on our new HealthSync network

December 2019 Anthem Provider News - Indiana Products & Programs Dec 1, 2019

Reminder: New AIM Rehabilitative Program effective November 1, 2019

December 2019 Anthem Provider News - Indiana Products & Programs Dec 1, 2019

Coding tip for psychological and neuropsychological testing

December 2019 Anthem Provider News - Indiana Behavioral Health Dec 1, 2019

Pharmacy information available at anthem.com

December 2019 Anthem Provider News - Indiana Pharmacy Dec 1, 2019

New Reimbursement Policies: Durable Medical Equipment, Rent to Purchase Durable Medical Equipment, and Modifiers (Professional)

December 2019 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2019

System updates for 2020 (Professional)

December 2019 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2019

Coordination of benefits for an FEP® member

December 2019 Anthem Provider News - Indiana Federal Employee Plan (FEP) Dec 1, 2019
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