CommercialOctober 1, 2022

October 2022 Anthem Provider News - Georgia

Administrative

AdministrativeCommercialSeptember 30, 2022

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

AdministrativeCommercialSeptember 30, 2022

The Provider Learning Hub is here

AdministrativeCommercialSeptember 30, 2022

Review your online provider directory information

AdministrativeCommercialSeptember 30, 2022

National Accounts 2023 Pre-certification list

AdministrativeCommercialSeptember 30, 2022

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

AdministrativeCommercialSeptember 30, 2022

Preapproval list change notification October 1, 2022 (MAC)

Material adverse change (MAC)

Digital SolutionsCommercialSeptember 30, 2022

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

Policy Updates

Medical Policy & Clinical GuidelinesCommercialSeptember 30, 2022

Monkeypox and smallpox vaccines: Product code on claims

Medical Policy & Clinical GuidelinesCommercialSeptember 30, 2022

Georgia Medical Policy and Clinical Guideline updates October 1, 2022

Reimbursement PoliciesCommercialSeptember 30, 2022

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

Reimbursement PoliciesCommercialSeptember 30, 2022

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

Products & Programs

Federal Employee Program (FEP)CommercialSeptember 30, 2022

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

PharmacyCommercialSeptember 30, 2022

Pharmacy information available on provider website

PharmacyCommercialSeptember 30, 2022

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.

PharmacyCommercialSeptember 30, 2022

October 2022 Specialty pharmacy updates (MAC)
Material adverse change (MAC)

PharmacyCommercialSeptember 30, 2022

Clinical Criteria updates for specialty pharmacy are available

State & Federal

State & FederalMedicare AdvantageSeptember 30, 2022

Keep up with Medicare news
Medicare Advantage

State & FederalMedicare AdvantageSeptember 30, 2022

Consultation codes

Medicare Advantage

State & FederalMedicare AdvantageSeptember 30, 2022

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

Medicare Advantage

Material adverse change (MAC)

State & FederalMedicare AdvantageSeptember 30, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing (Professional)

Medicare Advantage

State & FederalMedicare AdvantageSeptember 30, 2022

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

Medicare Advantage

Material adverse change (MAC)

State & FederalMedicare AdvantageSeptember 30, 2022

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