Georgia
Provider Communications

October 2022 Anthem Provider News - Georgia

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Title Category

Anthem Blue Cross and Blue Shield (Anthem) provider claims dispute process

Administrative

Preapproval list change notification October 1, 2022 (MAC)

Material adverse change (MAC)

Administrative

Guidance for coding evaluation and management services for new and established patients RETRACTION: Please refer to article published 9/1/22

Administrative

National Accounts 2023 Pre-certification list

Administrative

Review your online provider directory information

Administrative

The Provider Learning Hub is here

Administrative

Learn how Interactive Care Reviewer makes it easy to submit authorizations electronically

Digital Tools

Clinical Criteria updates for specialty pharmacy are available

Pharmacy

October 2022 Specialty pharmacy updates (MAC)

Material adverse change (MAC)
Pharmacy

IngenioRx will become CarelonRx on January 1, 2023

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

Pharmacy information available on provider website

Pharmacy

Monkeypox and smallpox vaccines: Product code on claims

Medical Policy & Clinical Guidelines

Georgia Medical Policy and Clinical Guideline updates October 1, 2022

Medical Policy & Clinical Guidelines

Reimbursement policy update: Multiple and Bilateral Surgery Processing (Professional)

Reimbursement Policies

Reimbursement policy update: Three-Dimensional (3D) Radiology Services (Professional & Facility)

Reimbursement Policies

Availity Essentials provider chat - a fast, easy way to get your UM questions answered for Federal Employee members

Federal Employee Plan (FEP)

Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

Medicare

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

Medicare Advantage

Material adverse change (MAC)

Medicare

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing (Professional)

Medicare Advantage

Medicare

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

Medicare Advantage

Material adverse change (MAC)

Medicare

Consultation codes

Medicare Advantage

Medicare

Keep up with Medicare news

Medicare Advantage
Medicare
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