CommercialAugust 1, 2018
August 2018 Anthem Connecticut Provider Newsletter
Administrative
CommercialAugust 1, 2018
Sign-up today for Network eUPDATE - it’s free!CommercialAugust 1, 2018
Automated claim edits for professional claims to be enhancedCommercialAugust 1, 2018
Colonoscopy and related anesthesia services billingCommercialAugust 1, 2018
Vaginal birth after cesarean (VBAC) certified shared decision making aid available on anthem.comCommercialAugust 1, 2018
Gestational age required for professional delivery claims effective November 1, 2018CommercialAugust 1, 2018
Penalties for late pre-certification updateCommercialAugust 1, 2018
Care and Cost Finder - new sort optionCommercialAugust 1, 2018
Prior authorization requests for prescription medications accepted onlineCommercialAugust 1, 2018
Clinical practice and preventive health guidelines available on anthem.comCommercialAugust 1, 2018
Availity EDI GatewayCommercialAugust 1, 2018
Availity EDI Gateway services training webinars scheduledCommercialAugust 1, 2018
MyDiversePatients.comCommercialAugust 1, 2018
Member Explanation of Benefits gets a makeoverCommercialAugust 1, 2018
Provider Transparency UpdateBehavioral Health
CommercialAugust 1, 2018
Anthem engages with Alliant Health SolutionsPolicy Updates
CommercialAugust 1, 2018
Medical policy updates are available on anthem.comCommercialAugust 1, 2018
Clinical guideline updates are available on anthem.comCommercialAugust 1, 2018
Bundled Services and Supplies - professionalCommercialAugust 1, 2018
Once per Lifetime Procedures - professionalProducts & Programs
CommercialAugust 1, 2018
AIM Radiation Oncology Clinical Appropriateness Guidelines updatesCommercialAugust 1, 2018
AIM Advanced Imaging Clinical Appropriateness Guidelines updatesCommercialAugust 1, 2018
AIM Level of Care Musculoskeletal Surgery Clinical Appropriateness Guidelines updatesCommercialAugust 1, 2018
New pre-service clinical review requirement for EGD services begins November 1, 2018CommercialAugust 1, 2018
Additional support available for members with rare conditionsCommercialAugust 1, 2018
Pharmacy information available on anthem.comCommercialAugust 1, 2018
Drug lists supporting commercial health plans updatedCommercialAugust 1, 2018
Daily morphine equivalent dosing limit to apply effective September 1, 2018CommercialAugust 1, 2018
Pre-service clinical review drug list changes effective November 1, 2018CommercialAugust 1, 2018
Level of care pre-service clinical review drug list changes effective November 1, 2018State & Federal
Medicare AdvantageAugust 1, 2018
MA members receive incentives for completing screeningsMedicare AdvantageAugust 1, 2018
Wheelchair prior authorization information for DME providers and physiciansMedicare AdvantageAugust 1, 2018
Submit PA medication requests electronically; new phone number for MA prescription PAs effective September 1, 2018Medicare AdvantageAugust 1, 2018
CMS issues regulatory changes for short- and long-acting narcotics; days’ supply limits effective January 1, 2019Medicare AdvantageAugust 1, 2018
Keep up with Medicare newsMedicare AdvantageAugust 1, 2018
Delegation of functions under Anthem Medicare Advantage Plans effective July 1, 2018To view this publication online:
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