Indiana
Provider Communications

Provider Spotlight

Feb 1, 2020

Notice of Changes to Prior Authorization Requirements - February 2020

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.

Feb 1, 2020

Clinical Laboratory Improvements Amendments for Anthem*

Feb 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit


Articles Recent

Title Publication Category Date

Notice of Changes to Prior Authorization Requirements - February 2020

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
February 2020 Anthem Provider News - Indiana Administrative Feb 1, 2020

Clinical Laboratory Improvements Amendments for Anthem*

February 2020 Anthem Provider News - Indiana Administrative Feb 1, 2020

Anthem SOAP Notes/Health Assessments for 2019 calendar year are due February 15, 2020

February 2020 Anthem Provider News - Indiana Administrative Feb 1, 2020

Shine Light on Depression

February 2020 Anthem Provider News - Indiana Behavioral Health Feb 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

February 2020 Anthem Provider News - Indiana Pharmacy Feb 1, 2020

Medical Policy and Clinical Guideline Updates - February 2020*

February 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Feb 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*

February 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Feb 1, 2020

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines*

February 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Feb 1, 2020

Medicare News - February 2020

February 2020 Anthem Provider News - Indiana Medicare Feb 1, 2020

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

February 2020 Anthem Provider News - Indiana Medicare Feb 1, 2020

Reimbursement Policy Update: Modifier 62: Co-Surgeons

February 2020 Anthem Provider News - Indiana Medicare Feb 1, 2020

Medicaid News - February 2020

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

Project ECHO clinics now available

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

August 2019 Medical policies and clinical utilization management guidelines update

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

September 2019 Medical drug benefit clinical criteria updates

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

Coding spotlight: Provider’s guide to coding hypertension

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

Coding spotlight: Provider’s guide to coding respiratory diseases

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

Improving the patient experience

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

Use the Provider Maintenance Form for professional providers to verify and update your information

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

Resources to support your diverse patient panel

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

Electronic submission of prior authorization requests now required

January 2020 Anthem Provider News - Indiana Administrative Jan 1, 2020

Postponed: Review of professional claims with emergency room level 5 E/M codes

January 2020 Anthem Provider News - Indiana Administrative Jan 1, 2020

Availity: Upcoming retirement planned for legacy Medical Attachment submission tool

January 2020 Anthem Provider News - Indiana Administrative Jan 1, 2020

Let Us Help You Accomplish Your 2020 “To-Do List” Early - EDI Migration

January 2020 Anthem Provider News - Indiana Administrative Jan 1, 2020

The New Year brings New ID Cards for many Anthem members

January 2020 Anthem Provider News - Indiana Administrative Jan 1, 2020

Receive and respond to post pay audit medical record requests via Availity beginning February 10, 2020

January 2020 Anthem Provider News - Indiana Administrative Jan 1, 2020

New Musculoskeletal and Pain Management Solution Effective for Select National ASO Accounts January 1, 2020

January 2020 Anthem Provider News - Indiana Products & Programs Jan 1, 2020

Important Update: Milliman Care Guideline (MCG), 23rd Edition, ORG: W0163 Pelvic Organ Prolapse Repair*

January 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Jan 1, 2020

Outpatient Facility Edit Implementation*

January 2020 Anthem Provider News - Indiana Reimbursement Policies Jan 1, 2020

2020 FEP® Benefit information available online

January 2020 Anthem Provider News - Indiana Federal Employee Plan (FEP) Jan 1, 2020

Medicare News -- January 2020

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Introducing ConcertoHealth

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Medicare preferred continuous glucose monitors

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

August 2019 Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

September 2019 Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Help protect your patients by providing medical ID protection - best practices

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Healthcare Quality Patient Assessment Form and Patient Assessment Form

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Electric Boat offers Medicare Advantage options

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

2020 Medicare risk adjustment provider trainings

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Medicaid News -- January 2020

January 2020 Anthem Provider News - Indiana Medicaid Jan 1, 2020

Coding spotlight: provider’s guide to coding behavioral and emotional disorders

January 2020 Anthem Provider News - Indiana Medicaid Jan 1, 2020

Notice of Changes to Prior Authorization Requirement -- January 2020

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
January 2020 Anthem Provider News - Indiana Administrative Jan 1, 2020

Important: Are you ready? Indiana legislation requires prior authorization requests be submitted electronically

December 2019 Anthem Provider News - Indiana Administrative Dec 1, 2019

Verifying and updating your provider information

December 2019 Anthem Provider News - Indiana Administrative Dec 1, 2019

Anthem works to simplify payment recovery process for National Accounts membership

December 2019 Anthem Provider News - Indiana Administrative Dec 1, 2019

Retrieve your Anthem Patient’s HEDIS® care gaps through Patient360 located on the Availity portal

December 2019 Anthem Provider News - Indiana Administrative Dec 1, 2019

Case management program

December 2019 Anthem Provider News - Indiana Administrative Dec 1, 2019

Coordination of care

December 2019 Anthem Provider News - Indiana Administrative Dec 1, 2019

Important information about utilization management

December 2019 Anthem Provider News - Indiana Administrative Dec 1, 2019

Members’ rights and responsibilities

December 2019 Anthem Provider News - Indiana Administrative Dec 1, 2019

Clinical practice and preventive health guidelines available

December 2019 Anthem Provider News - Indiana Administrative Dec 1, 2019

Webinars are available on our new HealthSync network

December 2019 Anthem Provider News - Indiana Products & Programs Dec 1, 2019

Reminder: New AIM Rehabilitative Program effective November 1, 2019

December 2019 Anthem Provider News - Indiana Products & Programs Dec 1, 2019

Coding tip for psychological and neuropsychological testing

December 2019 Anthem Provider News - Indiana Behavioral Health Dec 1, 2019

Pharmacy information available at anthem.com

December 2019 Anthem Provider News - Indiana Pharmacy Dec 1, 2019

New Reimbursement Policies: Durable Medical Equipment, Rent to Purchase Durable Medical Equipment, and Modifiers (Professional)

December 2019 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2019

System updates for 2020 (Professional)

December 2019 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2019

Coordination of benefits for an FEP® member

December 2019 Anthem Provider News - Indiana Federal Employee Plan (FEP) Dec 1, 2019

Medicare News -- December 2019

December 2019 Anthem Provider News - Indiana Medicare Dec 1, 2019

Provider training series

December 2019 Anthem Provider News - Indiana Medicare Dec 1, 2019

Medical drug Clinical Criteria updates

December 2019 Anthem Provider News - Indiana Medicare Dec 1, 2019

Reminder to Medicare Advantage providers

December 2019 Anthem Provider News - Indiana Medicare Dec 1, 2019

New clinical guideline: pneumatic compression devices, effective December 1, 2019

December 2019 Anthem Provider News - Indiana Medicaid Dec 1, 2019

Medical drug Clinical Criteria updates

December 2019 Anthem Provider News - Indiana Medicaid Dec 1, 2019

Notice of Changes to Prior Authorization Requirements -- November 2019

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
November 2019 Anthem Provider News - Indiana Administrative Nov 1, 2019

Indiana legislation requires providers to submit prior authorization requests electronically

November 2019 Anthem Provider News - Indiana Administrative Nov 1, 2019

June 2019 Medical Policies and Clinical Utilization Management Guidelines Update

November 2019 Anthem Provider News - Indiana Medicare Nov 1, 2019

Medicare Preferred PPO plan available to Retired Indiana Public Employees Insurance Trust retirees

November 2019 Anthem Provider News - Indiana Medicare Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Provider News - Indiana Medicaid Nov 1, 2019

Reimbursement Policy Update: Early and Periodic Screening, Diagnosis and Treatment (EPSDT)

November 2019 Anthem Provider News - Indiana Medicaid Nov 1, 2019

Medical drug Clinical Criteria updates

November 2019 Anthem Provider News - Indiana Medicaid Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Provider News - Indiana Medicare Nov 1, 2019

Additional improvements coming to anthem.com

November 2019 Anthem Provider News - Indiana Administrative Nov 1, 2019

Appropriate coding helps provide a comprehensive picture of patients’ health

November 2019 Anthem Provider News - Indiana Administrative Nov 1, 2019

REMINDER: new AIM Rehabilitative Program effective November 1, 2019

November 2019 Anthem Provider News - Indiana Products & Programs Nov 1, 2019

Anthem clinical criteria and prior authorization updates for specialty pharmacy are available*

November 2019 Anthem Provider News - Indiana Pharmacy Nov 1, 2019

Remaining members will transition to new PBM, IngenioRx, on January 1, 2020

November 2019 Anthem Provider News - Indiana Pharmacy Nov 1, 2019

Medical Policy and Clinical Guidelines Updates -- November 2019*

November 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness Guideline*

November 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Radiation Therapy Clinical Appropriateness Guideline*

November 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Spine Surgery Clinical Appropriateness Guideline*

November 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline*

November 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Nov 1, 2019

Medicare News -- November 2019

November 2019 Anthem Provider News - Indiana Medicare Nov 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

November 2019 Anthem Provider News - Indiana Medicare Nov 1, 2019

CMS reminder: expedited/urgent requests

November 2019 Anthem Provider News - Indiana Medicare Nov 1, 2019

Attention Workers’ Compensation Network Providers

November 2019 Anthem Provider News - Indiana Administrative Oct 15, 2019

Enhanced search and download options allow easy access to information at your fingertips

Oct. 9, 2019 Anthem Provider News - Indiana Administrative Oct 9, 2019

Notice of Changes to Prior Authorization Requirements -- October 2019

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
October 2019 Anthem Provider News - Indiana Administrative Oct 1, 2019

UPDATE: new AIM Rehabilitative Program will begin November 1, 2019

October 2019 Anthem Provider News - Indiana Products & Programs Oct 1, 2019

National Accounts 2020 Pre-certification list*

October 2019 Anthem Provider News - Indiana Administrative Oct 1, 2019

Anthem engages Matrix to conduct mobile health clinics and in-home assessments for targeted members

October 2019 Anthem Provider News - Indiana Administrative Oct 1, 2019

Anthem launches additional changes to anthem.com

October 2019 Anthem Provider News - Indiana Administrative Oct 1, 2019

New HealthSync Plans starting January 1, 2020

October 2019 Anthem Provider News - Indiana Administrative Oct 1, 2019

Have you registered for Anthem’s electronic portal?

October 2019 Anthem Provider News - Indiana Administrative Oct 1, 2019

Important update to Anthem’s commercial drug lists

October 2019 Anthem Provider News - Indiana Pharmacy Oct 1, 2019

Anthem specialty pharmacy medical step therapy drug list- clarification

October 2019 Anthem Provider News - Indiana Pharmacy Oct 1, 2019

Pharmacy information available at anthem.com

October 2019 Anthem Provider News - Indiana Pharmacy Oct 1, 2019

Reimbursement Policy update: Place of Service-Professional*

October 2019 Anthem Provider News - Indiana Reimbursement Policies Oct 1, 2019
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