Nevada
Provider Communications

Articles Month: December 2021

Title Publication Category Date

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

Important information about utilization management

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

Member rights and responsibilities

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

Coordination of care

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

Professional system updates for 2022

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

Clinical practice and preventive health guidelines available on anthem.com

December 2021 Anthem Provider News - Nevada Administrative 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

Outpatient system updates for 2022

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

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

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

Behavioral healthcare appointment access requirements

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

Importance of PCP after-hours messaging

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

Non-participating lab referrals

December 2021 Anthem Provider News - Nevada Administrative 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

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

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

Is prior authorization required?

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

Company to retire Blue Precision program on December 31, 2021

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

Case Management Program

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

December 2021 specialty pharmacy updates (MAC)

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

Pharmacy information available on anthem.com

December 2021 Anthem Provider News - Nevada Pharmacy 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 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 Radiation Oncology Clinical Appropriateness Guideline (MAC)

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

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

RETRACTION: Inpatient Facility Transfers reimbursement policy (facility)

December 2021 Anthem Provider News - Nevada Reimbursement Policies 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-payment remittance advice enhancements

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

Policy Update: Drug Screen Testing

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

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

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

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

Keep up with Medicare news

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

Claims editing update for ICD-10-CM Excludes1 notes

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

Policy Update: Drug Screen Testing

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

Prior authorization updates for medications billed under the medical benefit

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

Keep up with Medicaid news

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