CommercialSeptember 1, 2020
September 2020 Anthem Connecticut Provider News
Administrative
CommercialSeptember 1, 2020
New provider directory indicators for medication assisted treatment (MAT) providersCommercialSeptember 1, 2020
Interactive Care Reviewer self-service, online prior authorization tool now available for Anthem and FEP membershipCommercialSeptember 1, 2020
EDI Gateway migration deadline is September 15, 2020CommercialSeptember 1, 2020
Patient360 adds care gap alert feedback for medical providersCommercialSeptember 1, 2020
Enhanced medical records submission process to support claims processingCommercialSeptember 1, 2020
BlueCare Prime HMO Plans’ PCP referral requirementsCommercialSeptember 1, 2020
Important State of Connecticut Employer Group, Connecticut Partnership Plan changesCommercialSeptember 1, 2020
Receive and respond to medical record requests for postpay audit via Change Healthcare’s Assurance Attach Assist ModuleCommercialSeptember 1, 2020
Commercial Risk Adjustment (CRA) reporting update: 2020 prospective program continuesPolicy Updates
CommercialSeptember 1, 2020
Reimbursement policy update: Distinct Procedural Services - Modifiers 59, XE, XP, XS, XU - professionalCommercialSeptember 1, 2020
Reimbursement policy update: Frequency Editing - professionalProducts & Programs
CommercialSeptember 1, 2020
Site of care medical necessity reviews expands to additional surgical procedures beginning December 1, 2020CommercialSeptember 1, 2020
Formulary lists updated for commercial health plan pharmacy benefitCommercialSeptember 1, 2020
Specialty pharmacy updates effective December 2020State & Federal
Medicare AdvantageSeptember 1, 2020
Medical drug benefit clinical criteria updatesMedicare AdvantageSeptember 1, 2020
Update: Notice of changes to the AIM musculoskeletal programMedicare AdvantageSeptember 1, 2020
Keep up with Medicare newsTo view this publication online:
Or scan this QR code with your phone