Georgia
Provider Communications

November 2022 Anthem Provider News - Georgia

Download as PDF

Title Category

CAA: Keep your provider directory information up to date

Administrative

Preapproval list change notification (MAC)

Material adverse change (MAC)
Administrative

Submit digital attachments within seven-calendar days for claims filed with a PWK segment indicator

Digital Tools

You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, too

Digital Tools

Visit the Provider Learning Hub to view our latest learning opportunities

Digital Tools

Claims status message enhancements: providing clear descriptions and actionable next steps

Digital Tools

Remote EMR access service for HEDIS

This communication applies to the Commercial and Medicare Advantage programs from Anthem Blue Cross and Blue Shield (Anthem) in Georgia.
Digital Tools

Specialty pharmacy updates - November 2022

Pharmacy

Clinical Criteria updates for specialty pharmacy are available

Pharmacy

Correction to reimbursement policy: Place of Service (Facility)(MAC)

Material adverse change (MAC)
Reimbursement Policies

Improve patient outcomes for colorectal cancer screening with Labcorp’s FIT test

Medical Policy & Clinical Guidelines

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

This communication applies to the Commercial and Medicare Advantage programs from Anthem Blue Cross and Blue Shield (Anthem) in Georgia.
Medical Policy & Clinical Guidelines

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)

Medicare Advantage
Material adverse change (MAC)
Medicare

Courtesy notification of specialty pharmacy medical step therapy updates

Medicare Advantage
Medicare

Personalized Match

Medicare Advantage
Medicare

Keep up with Medicare news

Medicare Advantage
Medicare
Page 1 of 1