Ohio
Provider Communications

October 2021 Anthem Provider News - Ohio

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Title Category

Are you talking to ALL of your patients about breast cancer screenings?

Administrative

Clarification: Anthem’s enhanced claim edits for outpatient facility claims

Administrative

Clinical appeals

Administrative

Designated specialty pharmacy network updates effective January 1, 2022*

*Notice of Material Amendment/Change to Contract (MAC)
Pharmacy

Federal Price Transparency and Consolidated Appropriations Act phase in new mandates beginning January 1, 2022

Administrative

Get your payments faster when you sign up for electronic funds transfer

Medicare

Good news! Non-payment remittance advice enhancements coming soon

Administrative

HEDIS medical record submission made easier with our Remote EMR Access Service

Medicare

Information about 2021 Special Needs Plans

Medicare

Keep up with Medicare news - October 2021

View these Medicare articles:
- 2021 affirmative statement concerning utilization management decisions
- May 2021 Medical Policies and Utilization Management Guidelines update
Medicare

Looking to earn CME credits? Register for these on-demand webinars!

Administrative

Medical policy and clinical guideline updates - October 2021*

*Notice of Material Amendment/Change to Contract (MAC)
Medical Policy & Clinical Guidelines

New medical step therapy requirements

Medicare

New reimbursement policy: Multiple and Bilateral Surgery Processing - Facility*

*Notice of Material Amendment/Change to Contract (MAC)
Reimbursement Policies

New reimbursement policy: Sexually transmitted infections testing (Professional)

Medicare

Pharmacy information available at anthem.com

Pharmacy

Procedure searches in Find Care

Digital Tools

Reimbursement policy clarification: Claims requiring additional documentation - Facility

Reimbursement Policies

Reminder: EnrollSafe, the new EFT enrollment portal for Anthem providers replacing CAQH Enrollhub effective November 1, 2021

Digital Tools

Reminder: Updated AIM Musculoskeletal Program site of care reviews effective November 1, 2021

Products & Programs

Specialty pharmacy updates are available - October 2021*

*Notice of Material Amendment/Change to Contract (MAC)
Pharmacy

Your recommendation is key to encouraging cancer screenings for your female patients

Administrative
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