Connecticut
Provider Communications

October 2021 Anthem Connecticut Provider News

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Title Category

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

Administrative

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

Administrative

Clinical appeals

Administrative

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

Administrative

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

Administrative

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

Administrative

Submit provider claim payment disputes for Anthem’s Commercial lines of business via Availity beginning October 19, 2021

Digital Tools

Reminder: EnrollSafe replacing CAQH Enrollhub effective November 1, 2021

Digital Tools

Procedure searches in Find Care

Digital Tools

Good news! Non-payment remittance advice enhancements coming soon

Digital Tools

Reimbursement policy clarification: Claims Requiring Additional Documentation - facility

Reimbursement Policies

New reimbursement policy: Multiple and Bilateral Surgery Processing - facility

Reimbursement Policies

Medical policy and clinical guideline updates are available on anthem.com

Medical Policy & Clinical Guidelines

Updated AIM Musculoskeletal Program site of care reviews delayed

Products & Programs

Update on requirement to obtain certain specialty drugs from CVS Specialty Pharmacy effective January 1, 2022

Pharmacy

Clinical criteria updates for specialty pharmacy

Pharmacy

Specialty pharmacy updates - October 2021

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Information about 2021 Special Needs Plans

Medicare

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

Medicare

New medical step therapy requirements

Medicare

New reimbursement policy effective January 1, 2022 - Sexually Transmitted Infections Testing - professional

Medicare

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

Medicare

Town of Manchester and Manchester BOE, CT moves to Anthem Medicare Advantage Plan

Medicare

Keep up with Medicare news

Medicare
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