CommercialSeptember 1, 2020
September 2020 Anthem Provider News - Georgia
Administrative
CommercialSeptember 1, 2020
Providers can now receive and respond to medical record requests for postpay audit via Change Healthcare’s Assurance Attach Assist ModuleCommercialSeptember 1, 2020
Anthem Commercial Risk Adjustment (CRA) Reporting Update: 2020 Prospective Program ContinuesCommercialSeptember 1, 2020
New provider directory indicators for medication assisted treatment (MAT) providersCommercialSeptember 1, 2020
EDI Gateway migration deadline is September 15, 2020CommercialSeptember 1, 2020
Enhanced medical records submission process to support claims processingCommercialSeptember 1, 2020
Patient360 adds Care Gap Alert Feedback for medical providersPolicy Updates
CommercialSeptember 1, 2020
Anthem Georgia preapproval list change notification 9/1/2020CommercialSeptember 1, 2020
Reimbursement policy update: Distinct Procedural Services Modifiers 59, XE, XP, XS, XU (Professional)CommercialSeptember 1, 2020
Reimbursement policy update: Frequency Editing (Professional)Products & Programs
CommercialSeptember 1, 2020
Site of care* medical necessity reviews expands to numerous surgical procedures beginning December 1, 2020CommercialSeptember 1, 2020
Predictive Analytics guide proactive support to patients undergoing chemo, resulting in lowered admissionsCommercialSeptember 1, 2020
Anthem to update formulary lists for commercial health plan pharmacy benefitCommercialSeptember 1, 2020
Updates for specialty pharmacy are available (September 2020)State & Federal
Medicare AdvantageSeptember 1, 2020
Medical drug benefit Clinical Criteria updatesMedicare AdvantageSeptember 1, 2020
Update: Notice of changes to the AIM musculoskeletal programMedicare AdvantageSeptember 1, 2020
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