Indiana
Provider Communications

Articles Recent

Title Publication Category Date

Controlling High Blood Pressure and Submitting Compliant Readings

February 2023 Anthem Provider News - Indiana Administrative Feb 1, 2023

Do you offer telehealth services? Let us know!

February 2023 Anthem Provider News - Indiana Administrative Feb 1, 2023

Enhancing Provider News website and email communications

February 2023 Anthem Provider News - Indiana Digital Tools Feb 1, 2023

Remote EMR access service for HEDIS

February 2023 Anthem Provider News - Indiana Digital Tools Feb 1, 2023

Have you reviewed your online provider directory information lately?

February 2023 Anthem Provider News - Indiana Administrative Feb 1, 2023

Medical Policies and Clinical Guidelines updates - February 2023*

*Change to Prior Authorization Requirements

February 2023 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Feb 1, 2023

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update*

*Change to Prior Authorization Requirements

February 2023 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Feb 1, 2023

Helping to reduce delays when submitting attachments: Make sure your correspondence includes one of these elements

February 2023 Anthem Provider News - Indiana Digital Tools Feb 1, 2023

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines*

*Change to Prior Authorization Requirements

February 2023 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Feb 1, 2023

Specialty pharmacy updates - February 2023*

*Change to Prior Authorization Requirements

February 2023 Anthem Provider News - Indiana Pharmacy Feb 1, 2023

Keep up with Medicaid News - February 2023

- Prior authorization updates for medications billed under the medical benefit (Tezspire)
- Claims analysis of psychiatric diagnostic evaluation frequency
- Healthy Indiana Plan talking points
- Introducing the Provider Learning Hub
February 2023 Anthem Provider News - Indiana Medicaid Feb 1, 2023

Enhancing claims attachment processes through digital applications

February 2023 Anthem Provider News - Indiana Medicaid Feb 1, 2023

Childhood Immunization Status and Lead Screening in Children for HEDIS

February 2023 Anthem Provider News - Indiana Medicaid Feb 1, 2023

Keep up with Medicare News - February 2023

- Introducing the Provider Learning Hub
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Fylnetra)
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Spevigo, Xenpozyme)
- Specialty pharmacy precertification list expansion (Rolvedon, Stimufend)
- New specialty pharmacy medical step therapy requirements
- Prior authorization requirement changes effective April 1, 2023
- Medical Policies and Clinical Utilization Management Guidelines update
February 2023 Anthem Provider News - Indiana Medicare Feb 1, 2023

Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023

February 2023 Anthem Provider News - Indiana Medicare Feb 1, 2023

Enhancing claims attachment processes through digital applications

February 2023 Anthem Provider News - Indiana Medicare Feb 1, 2023

2023 FEP benefit information available online

February 2023 Anthem Provider News - Indiana Federal Employee Plan (FEP) Feb 1, 2023

Important reminder: New ID cards for many of our Anthem Blue Cross and Blue Shield members

New ID cards for Anthem Blue Cross and Blue Shield members - Indiana Administrative Jan 19, 2023

Telephonic-only care allowance extended through April 11, 2023

Telephonic-only care allowance extended through April 11, 2023 - Indiana Administrative Jan 11, 2023

Notification regarding reimbursement changes to COVID-19 laboratory services codes

January 2023 Anthem Provider News - Indiana Administrative Dec 30, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update*

*Change to Prior Authorization Requirements
January 2023 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines*

*Change to Prior Authorization Requirements
January 2023 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines*

*Change to Prior Authorization Requirements
January 2023 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines - Material adverse change*

*Change to Prior Authorization Requirements
January 2023 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines*

*Change to Prior Authorization Requirements
January 2023 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 30, 2022

Specialty pharmacy updates - January 2023*

*Change to Prior Authorization Requirements
January 2023 Anthem Provider News - Indiana Pharmacy Dec 30, 2022

Guidance for coding evaluation and management services for new and established patients

January 2023 Anthem Provider News - Indiana Medicaid Dec 30, 2022

Attention physicians and lab providers: COVID-19 update regarding reimbursement

January 2023 Anthem Provider News - Indiana Medicaid Dec 30, 2022

Keep up with Medicaid News - January 2023

- This is Quitting: Helping teens and young adults quit vaping
- Prior Authorization Updates for Medications Billed Under the Medical Benefit (Vabysmo)
January 2023 Anthem Provider News - Indiana Medicaid Dec 30, 2022

Cleveland-Cliffs offers Medicare Advantage option

January 2023 Anthem Provider News - Indiana Medicare Dec 30, 2022

Keep up with Medicare news - January 2023

- Prior authorization requirement changes
- New specialty pharmacy medical step therapy requirements (Inflectra & Renflexis)
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Cimerli)
- Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines
January 2023 Anthem Provider News - Indiana Medicare Dec 30, 2022

Federal Employee Program observation conversion for musculoskeletal cases*

*Change to Prior Authorization Requirements
January 2023 Anthem Provider News - Indiana Federal Employee Plan (FEP) Dec 30, 2022

Outpatient facility revenue code billing requirements

January 2023 Anthem Provider News - Indiana Reimbursement Policies Dec 30, 2022

Professional system updates for 2023

January 2023 Anthem Provider News - Indiana Administrative Dec 30, 2022

Outpatient system updates for 2023

January 2023 Anthem Provider News - Indiana Administrative Dec 30, 2022

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

January 2023 Anthem Provider News - Indiana Administrative Dec 30, 2022

Childhood Immunization Status and Lead Screening in Children for HEDIS

January 2023 Anthem Provider News - Indiana Administrative Dec 30, 2022

Attention lab providers: COVID-19 update regarding reimbursement

December 2022 Anthem Provider News - Indiana Administrative Dec 1, 2022

Coordination of care

December 2022 Anthem Provider News - Indiana Administrative Dec 1, 2022

Case management program

December 2022 Anthem Provider News - Indiana Administrative Dec 1, 2022

Important information about utilization management

December 2022 Anthem Provider News - Indiana Administrative Dec 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

December 2022 Anthem Provider News - Indiana Administrative Dec 1, 2022

Signature requirements for laboratory orders or requisitions

December 2022 Anthem Provider News - Indiana Administrative Dec 1, 2022

For provider enrollment, please use the Digital Provider Enrollment tool in Availity, not the Provider Maintenance Form

December 2022 Anthem Provider News - Indiana Digital Tools Dec 1, 2022

Pathway Essentials is expanding effective January 1, 2023

December 2022 Anthem Provider News - Indiana Products & Programs Dec 1, 2022

Specialty pharmacy updates - December 2022*

*Change to Prior Authorization Requirements
December 2022 Anthem Provider News - Indiana Pharmacy Dec 1, 2022

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update*

*Change to Prior Authorization Requirements
December 2022 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 1, 2022

Medical Policies and Clinical Guidelines updates - December 2022*

*Change to Prior Authorization Requirements
December 2022 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Dec 1, 2022

Reimbursement policy update: Multiple Surgery - Facility

December 2022 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility*

*Change to Prior Authorization Requirements

December 2022 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2022

Reimbursement policy retirement: Acupuncture Billed with Evaluation and Management - Professional

December 2022 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Bundled Services and Supplies - Professional*

*Change to Prior Authorization Requirements

December 2022 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2022

Keep up with Medicaid News - December 2022

- New specialty pharmacy medical step therapy requirements
- Prior Authorization Updates for Medications Billed Under the Medical Benefit (Saphnelo)
- New specialty pharmacy medical step therapy requirements (Mvasi, Avastin, Zirabev)
December 2022 Anthem Provider News - Indiana Medicaid Dec 1, 2022

New Policy Diagnosis-Related Group Newborn Inpatient Stays - Facility

December 2022 Anthem Provider News - Indiana Medicaid Dec 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

December 2022 Anthem Provider News - Indiana Medicaid Dec 1, 2022

Monkeypox and smallpox vaccines: Product code on claims

December 2022 Anthem Provider News - Indiana Medicaid Dec 1, 2022

Keep up with Medicare News - December 2022

- Medical drug benefit Clinical Criteria updates
- Medical Policies and Clinical Utilization Management Guidelines update
December 2022 Anthem Provider News - Indiana Medicare Dec 1, 2022

2023 Medicare Advantage service area and benefit updates

December 2022 Anthem Provider News - Indiana Medicare Dec 1, 2022

Member assessment of PCP after-hours messaging in 2022

December 2022 Anthem Provider News - Indiana Administrative Dec 1, 2022

Member’s assessment of behavioral healthcare after-hours messaging in 2022

December 2022 Anthem Provider News - Indiana Administrative Dec 1, 2022

Members’ rights and responsibilities

December 2022 Anthem Provider News - Indiana Administrative Dec 1, 2022

CAA: Timely updates help keep our provider directories current

December 2022 Anthem Provider News - Indiana Administrative Dec 1, 2022

Clinical practice and preventive health guidelines available on anthem.com

December 2022 Anthem Provider News - Indiana Administrative Dec 1, 2022

Pharmacy information available on the provider website

December 2022 Anthem Provider News - Indiana Pharmacy Dec 1, 2022

Personal home helper benefit ending

December 2022 Anthem Provider News - Indiana Medicare Dec 1, 2022

Important notice regarding Anthem fee schedule changes

Important notice regarding Anthem fee schedule changes - Indiana Administrative Nov 23, 2022

PCP searches in Find Care

PCP searches in Find Care - Indiana Administrative Nov 2, 2022

Claims status message enhancements: providing clear descriptions and actionable next steps

November 2022 Anthem Provider News - Indiana Digital Tools Nov 1, 2022

Authorization application enhancements: faster, easier, and more efficient

November 2022 Anthem Provider News - Indiana Digital Tools Nov 1, 2022

Submit digital attachments within seven-calendar days for claims filed with a PWK segment indicator

November 2022 Anthem Provider News - Indiana Digital Tools Nov 1, 2022

You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, too

November 2022 Anthem Provider News - Indiana Digital Tools Nov 1, 2022

Visit the Provider Learning Hub to view our latest learning opportunities

November 2022 Anthem Provider News - Indiana Digital Tools Nov 1, 2022

Pathway Essentials: a new network available in Indiana

November 2022 Anthem Provider News - Indiana Products & Programs Nov 1, 2022

Specialty pharmacy updates - November 2022

Change to Prior Authorization Requirements

November 2022 Anthem Provider News - Indiana Pharmacy Nov 1, 2022

Medical policy and clinical guideline updates - November 2022

Change to Prior Authorization Requirements
November 2022 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Nov 1, 2022

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

November 2022 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Nov 1, 2022

Correction to reimbursement policy: Place of Service - Facility

Change to Prior Authorization Requirements
November 2022 Anthem Provider News - Indiana Reimbursement Policies Nov 1, 2022

Personalized Match

November 2022 Anthem Provider News - Indiana Medicare Nov 1, 2022

Keep up with Medicaid News - November 2022

- Prior authorization requirement changes effective November 1, 2022
November 2022 Anthem Provider News - Indiana Medicaid Nov 1, 2022

HEDIS 2022: Summary of Changes From NCQA

November 2022 Anthem Provider News - Indiana Medicaid Nov 1, 2022

Keep up with Medicare News - November 2022

- Medical drug benefit Clinical Criteria updates
- New specialty pharmacy medical step therapy requirements (Avastin, Mvasi)
- New specialty pharmacy medical step therapy requirements (Zarxio)
November 2022 Anthem Provider News - Indiana Medicare Nov 1, 2022

Alcohol use disorders often coexist with psychiatric disorders

November 2022 Anthem Provider News - Indiana Medicaid Nov 1, 2022

CAA: Keep your provider directory information up to date

November 2022 Anthem Provider News - Indiana Administrative Nov 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list

November 2022 Anthem Provider News - Indiana Medicare Nov 1, 2022

Information from Anthem for Care Providers about COVID-19 – RETIRED as of November 8, 2022

As of November 8, 2022, THIS DOCUMENT WILL NO LONGER BE UPDATED.
Future updates regarding COVID-19 will appear in the monthly Provider News publication.
COVID-19 Information - Indiana – Publication RETIRED as of November 8, 2022 Administrative Oct 13, 2022

Register for our upcoming CME webinar about low back pain management

CME webinar about low back pain management - Indiana Administrative Oct 7, 2022

National Accounts 2023 Precertification list

October 2022 Anthem Provider News - Indiana Administrative Oct 1, 2022

Monkeypox and smallpox vaccines: Product code on claims

October 2022 Anthem Provider News - Indiana Administrative Oct 1, 2022

The Provider Learning Hub is here

October 2022 Anthem Provider News - Indiana Administrative Oct 1, 2022

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

October 2022 Anthem Provider News - Indiana Administrative Oct 1, 2022

CAA: Review your online provider directory information

October 2022 Anthem Provider News - Indiana Administrative Oct 1, 2022

New Strategic Provider System implementation in August 2022

October 2022 Anthem Provider News - Indiana Digital Tools Oct 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

October 2022 Anthem Provider News - Indiana Pharmacy Oct 1, 2022

Specialty pharmacy updates - October 2022

Change to Prior Authorization Requirements
October 2022 Anthem Provider News - Indiana Pharmacy Oct 1, 2022

Pharmacy information available on provider website

October 2022 Anthem Provider News - Indiana Pharmacy Oct 1, 2022

Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional

Change to Prior Authorization Requirements

 

October 2022 Anthem Provider News - Indiana Reimbursement Policies Oct 1, 2022

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

October 2022 Anthem Provider News - Indiana Reimbursement Policies Oct 1, 2022

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

October 2022 Anthem Provider News - Indiana Federal Employee Plan (FEP) Oct 1, 2022

Keep up with Medicaid News - October 2022

- Upgraded data management system launched August 2022
- Help teens and adolescents quit smoking
October 2022 Anthem Provider News - Indiana Medicaid Oct 1, 2022

Reimbursement policy update - Modifiers 25 and 57: Evaluation and Management with Global Procedures

October 2022 Anthem Provider News - Indiana Medicaid Oct 1, 2022
Page 1 of 13 Next Page