Ohio
Provider Communications

Articles Month: December 2021

Title Publication Category Date

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline*

*Notice of Material Amendment/Change to Contract (MAC)
December 2021 Anthem Provider News - Ohio Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline*

*Notice of Material Amendment/Change to Contract (MAC)
December 2021 Anthem Provider News - Ohio Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines*

*Notice of Material Amendment/Change to Contract (MAC)
December 2021 Anthem Provider News - Ohio Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

December 2021 Anthem Provider News - Ohio Medicare Dec 1, 2021

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline*

*Notice of Material Amendment/Change to Contract (MAC)
December 2021 Anthem Provider News - Ohio Medical Policy & Clinical Guidelines Dec 1, 2021

Updated BlueCard® provider manual available

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

Updated AIM musculoskeletal program site of care reviews delayed

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

Submitting prior authorizations is getting easier

December 2021 Anthem Provider News - Ohio Medicare Dec 1, 2021

Submitting prior authorizations is getting easier

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

Specialty pharmacy updates - December 2021*

*Notice of Material Amendment/Change to Contract (MAC)
December 2021 Anthem Provider News - Ohio Pharmacy Dec 1, 2021

Somatus is your resource for kidney care management

December 2021 Anthem Provider News - Ohio Medicare Dec 1, 2021

RETRACTION: Inpatient Facility Transfers - facility reimbursement policy

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

Reminder: EnrollSafe is available – electronic funds transfer enrollment portal for Anthem providers

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

Reimbursement policy update: Virtual Visits - Professional and Facility

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

Reimbursement policy update: Drug screen testing

December 2021 Anthem Provider News - Ohio Medicare Dec 1, 2021

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

*Notice of Material Amendment/Change to Contract (MAC)
December 2021 Anthem Provider News - Ohio Reimbursement Policies Dec 1, 2021

Professional system updates for 2022

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

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

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

Pharmacy information available at anthem.com

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

Outpatient system updates for 2022

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

New reimbursement policy update: Modifier 62: Co-Surgeon Services and Modifier 66: Surgical Teams - Professional*

*Notice of Material Amendment/Change to Contract (MAC)
December 2021 Anthem Provider News - Ohio Reimbursement Policies Dec 1, 2021

Member rights and responsibilities

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

Medical policy and clinical guideline updates - December 2021*

*Notice of Material Amendment/Change to Contract (MAC)
December 2021 Anthem Provider News - Ohio Medical Policy & Clinical Guidelines Dec 1, 2021

Keep up with Medicare News - December 2021

  • Updates to AIM Specialty Health musculoskeletal interventional pain management clinical appropriateness guideline
  • Medical drug benefit clinical criteria updates
  • Protocol for providers serving members with hearing aid coverage administered by Hearing Care Solutions
  • New York City Medicare Advantage announcement
  • Medical policies and clinical utilization management guidelines update
  • Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines (WI only)
December 2021 Anthem Provider News - Ohio Medicare Dec 1, 2021

Is prior authorization required?

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

Important information about utilization management

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

Importance of PCP after-hours messaging

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

Good news: Non-payment remittance advice enhancements are here

December 2021 Anthem Provider News - Ohio Medicare Dec 1, 2021

Coordination of care

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

Company to retire Blue Precision program on December 31, 2021

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

Clinical practice and preventive health guidelines available on anthem.com

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

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

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

Case management program

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

Behavioral healthcare appointment access requirements

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

Anthem is transitioning to the Availity Authorization App

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

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

December 2021 Anthem Provider News - Ohio Medicare Dec 1, 2021

2022 Medicare Advantage service area and benefit updates

December 2021 Anthem Provider News - Ohio Medicare Dec 1, 2021
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