Clinical Criteria coding updates for specialty pharmacy are available
Effective May 1, 2019, we began be implementing coding updates in the claims system for the following clinical criteria listed below which may result in not medically necessary determinations for certain services.
- ING-CC-0073 – Alpha-1 Proteinase Inhibitor Therapy
To access the clinical criteria information please access here.
July 2019 Anthem Provider News and Important Updates - Colorado