September 2, 2019
September 2019 Anthem Provider News - Georgia
Administrative
CommercialSeptember 2, 2019
Reminder: Changes to timely filing requirements coming in OctoberCommercialSeptember 2, 2019
WellStar is out-of-network for Anthem Pathway membersCommercialSeptember 2, 2019
Claim editing update for Excludes1 notesCommercialSeptember 2, 2019
New app offers better digital health care support to members on September 1stCommercialSeptember 2, 2019
Provider transparency updateCommercialSeptember 2, 2019
Primary care provider after-hours access requirementsCommercialSeptember 2, 2019
Access requirements for Behavioral Healthcare servicesPolicy Updates
CommercialSeptember 2, 2019
Anthem’s Georgia preapproval list change notification 9/1/2019CommercialSeptember 2, 2019
New reimbursement policy: Maternity Services and Multiple Delivery (Professional)CommercialSeptember 2, 2019
Reimbursement policy update: claims requiring additional documentation (Facility)CommercialSeptember 2, 2019
New reimbursement policy: Intensity Modulated Radiation Therapy Planning and Delivery (Professional)Products & Programs
CommercialSeptember 2, 2019
Clinical criteria and prior authorization updates for specialty pharmacy are availableState & Federal
Medicare AdvantageSeptember 2, 2019
Keep up with Medicare newsMedicare AdvantageSeptember 2, 2019
Pharmacy benefit manager change to IngenioRxMedicare AdvantageSeptember 2, 2019
Changes to prior authorization requirementsMedicare AdvantageSeptember 2, 2019
Customizations to the 23rd edition of the MCG care guidelinesMedicare AdvantageSeptember 2, 2019
Clinical criteria updatesMedicare AdvantageSeptember 2, 2019
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