Nevada
Provider Communications

Articles Month: December 2021

Title Publication Category Date

2022 Medicare Advantage service area and benefit updates

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Anthem Blue Cross and Blue Shield is transitioning to the Availity Authorization App

Availity Authorization App improvements based on your feedback
Availity Authorization App improvements - NV Digital Tools Dec 28, 2021

Behavioral healthcare appointment access requirements

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Case Management Program

December 2021 Anthem Provider News - Nevada Products & Programs Dec 1, 2021

Chlamydia is asymptomatic. Only through screening will we know for sure.

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Claims editing update for ICD-10-CM Excludes1 notes

Medicaid
December 2021 Anthem Provider News - Nevada Medicaid Dec 1, 2021

Clinical practice and preventive health guidelines available on anthem.com

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Company to retire Blue Precision program on December 31, 2021

December 2021 Anthem Provider News - Nevada Products & Programs Dec 1, 2021

Coordination of care

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

December 2021 specialty pharmacy updates (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Nevada Pharmacy Dec 1, 2021

Importance of PCP after-hours messaging

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Important information about utilization management

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Is prior authorization required?

Answering your questions about the new Availity Authorization App
December 2021 Anthem Provider News - Nevada Digital Tools Dec 1, 2021

Keep up with Medicaid news

Medicaid
December 2021 Anthem Provider News - Nevada Medicaid Dec 1, 2021

Keep up with Medicare news

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Member rights and responsibilities

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

New reimbursement policy update: Modifier 62: Co-Surgeon Services and Modifier 66: Surgical Teams (professional)

December 2021 Anthem Provider News - Nevada Reimbursement Policies Dec 1, 2021

Non-participating lab referrals

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Non-payment remittance advice enhancements

Medicaid
December 2021 Anthem Provider News - Nevada Medicaid Dec 1, 2021

Outpatient system updates for 2022

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Pharmacy information available on anthem.com

December 2021 Anthem Provider News - Nevada Pharmacy Dec 1, 2021

Policy Update: Drug Screen Testing

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Policy Update: Drug Screen Testing

Medicaid
December 2021 Anthem Provider News - Nevada Medicaid Dec 1, 2021

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Prior authorization updates for medications billed under the medical benefit

Medicaid
December 2021 Anthem Provider News - Nevada Medicaid Dec 1, 2021

Professional system updates for 2022

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) (Professional) (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Nevada Reimbursement Policies Dec 1, 2021

Reimbursement policy update: Virtual Visits (professional and facility)

December 2021 Anthem Provider News - Nevada Reimbursement Policies Dec 1, 2021

Reminder: EnrollSafe is available: electronic funds transfer enrollment portal for Anthem Blue Cross and Blue Shield providers

EnrollSafe replaced CAQH Enrollhub effective November 1, 2021
December 2021 Anthem Provider News - Nevada Digital Tools Dec 1, 2021

RETRACTION: Inpatient Facility Transfers reimbursement policy (facility)

December 2021 Anthem Provider News - Nevada Reimbursement Policies Dec 1, 2021

Somatus is your resource for kidney care management

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Submitting prior authorizations is getting easier

Anthem is transitioning to the Availity Authorization app
December 2021 Anthem Provider News - Nevada Digital Tools Dec 1, 2021

Submitting prior authorizations is getting easier

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Submitting prior authorizations is getting easier

Medicaid
December 2021 Anthem Provider News - Nevada Medicaid Dec 1, 2021

UPDATE: Implementation of provider claim payment dispute process for Commercial lines of business has been delayed

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 1, 2021
Page 1 of 1