Georgia
Provider Communications

December 2020 Anthem Provider News - Georgia

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Title Category

2021 Anthem Individual Health Plans

Products & Programs

Case Management Program

Products & Programs

Anthem clinical criteria updates for specialty pharmacy are available

Pharmacy

AIM IVR changes for non-oncology medical specialty drug reviews effective on January 1, 2021

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

December 2020 prior authorization updates for specialty pharmacy are available

Pharmacy

Designated specialty pharmacies in March 2021

Pharmacy

Updated Provider Manual posted to anthem.com

Administrative

Anthem Georgia contracted air ambulance providers

Administrative

Clinical practice and preventive health guidelines available on anthem.com

Administrative

Coordination of Care

Administrative

Important information about utilization management

Administrative

2-minute videos to engage patients about preventive care

Administrative

Anthem makes going digital easy with the Provider Digital Engagement Supplement

Administrative

Access to claim denial information is now self-service

Administrative

Members’ rights and responsibilities

Administrative

PCP after-hours access requirements

Administrative

Access requirements for behavioral healthcare services

Administrative

Reimbursement policy update: Bundled Services and Supplies (Professional)

Reimbursement Policies

Reimbursement policy update: DRG Newborn Inpatient Stays (Facility)

Reimbursement Policies

Anthem expands hospice policy

Policy Updates

Updates to AIM Cardiology clinical appropriateness guidelines

Medical Policy & Clinical Guidelines

Updates to AIM Advanced Imaging clinical appropriateness guideline

Medical Policy & Clinical Guidelines

Updates to AIM Radiation Oncology clinical appropriateness guideline

Medical Policy & Clinical Guidelines

Transition to AIM Rehabilitative Services clinical appropriateness guidelines

Medical Policy & Clinical Guidelines

Bartow County Government offers Medicare Advantage option

Medicare

Southern Company offers Medicare Advantage option

Medicare

2021 Medicare Advantage individual benefits and formularies

Medicare

Medicare Advantage group retiree member eligibility, alpha prefix FAQ

Medicare

Medical Policies and Clinical Utilization Management Guidelines update

Medicare

Digital transactions cut administrative tasks in half

Medicare

Keep up with Medicare news

Medicare
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