Indiana
Provider Communications


Articles Recent

Title Publication Category Date

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

Members’ rights and responsibilities

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

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

Member assessment of PCP after-hours messaging in 2022

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

Monkeypox resources and recommendations for our care providers

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

Keep up with Medicare News - October 2022

- Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ
- Upgraded data management system launched August 2022
- Anthem expands specialty pharmacy precertification list-1
- Anthem expands specialty pharmacy precertification list-2
- Consultation codes
October 2022 Anthem Provider News - Indiana Medicare Oct 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

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

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing - Professional

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

Continuing to Explore the Intersection of Race and Disability

Continuing to Explore the Intersection of Race and Disability forum - Indiana Administrative Sep 9, 2022

Continuing to Explore the Intersection of Race and Disability

September 2022 Anthem Provider News - Indiana Administrative Sep 1, 2022

Monkeypox resources and recommendations for our care providers

September 2022 Anthem Provider News - Indiana Administrative Sep 1, 2022

Important information about women’s preventive care visits

September 2022 Anthem Provider News - Indiana Administrative Sep 1, 2022

Correction: New patient evaluation and management services when reported for the same patient within the last three years

September 2022 Anthem Provider News - Indiana Administrative Sep 1, 2022

Reminder to submit claims with complete and correct data to avoid claim denial

September 2022 Anthem Provider News - Indiana Administrative Sep 1, 2022

Drug code billing reminder

September 2022 Anthem Provider News - Indiana Administrative Sep 1, 2022

CAA: Current provider directory information is key for members and providers to engage with you seamlessly

September 2022 Anthem Provider News - Indiana Administrative Sep 1, 2022

Anthem to accept Hospital in Home services

September 2022 Anthem Provider News - Indiana Administrative Sep 1, 2022

Updates to the Claim Attachment workflow

September 2022 Anthem Provider News - Indiana Digital Tools Sep 1, 2022

Reminder: New network for Indiana available - Pathway Essentials

September 2022 Anthem Provider News - Indiana Products & Programs Sep 1, 2022

Update to formulary lists for Commercial health plan pharmacy benefit

September 2022 Anthem Provider News - Indiana Pharmacy Sep 1, 2022

Specialty pharmacy updates - September 2022*

*Change to Prior Authorization Requirements
September 2022 Anthem Provider News - Indiana Pharmacy Sep 1, 2022

Medical policy and clinical guideline updates – September 2022*

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

Reimbursement policy update: Modifier Rules - Professional*

*Change to Prior Authorization Requirements
September 2022 Anthem Provider News - Indiana Reimbursement Policies Sep 1, 2022

Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) - Professional

September 2022 Anthem Provider News - Indiana Reimbursement Policies Sep 1, 2022

Reimbursement policy update: Modifier 66: Surgical Teams - Professional

September 2022 Anthem Provider News - Indiana Reimbursement Policies Sep 1, 2022

OBRA 93 claim filing for Federal Employee Program

September 2022 Anthem Provider News - Indiana Federal Employee Plan (FEP) Sep 1, 2022

Keep up with Medicaid News - September 2022

- New Strategic Provider System will launch in August 2022
- Updates for medication codes billed under the medical benefit
September 2022 Anthem Provider News - Indiana Medicaid Sep 1, 2022

MCG care guidelines 26th edition

September 2022 Anthem Provider News - Indiana Medicaid Sep 1, 2022

Prior authorization updates for medications billed under the medical benefit

September 2022 Anthem Provider News - Indiana Medicaid Sep 1, 2022

Alcohol use disorders linked to chronic diseases

September 2022 Anthem Provider News - Indiana Medicaid Sep 1, 2022

Keep up with Medicare News - September 2022

- Anthem expands specialty pharmacy precertification list
- Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ
- New Strategic Provider System will launch in August 2022
September 2022 Anthem Provider News - Indiana Medicare Sep 1, 2022

Advanced nurse practitioners as primary care providers for Medicare Advantage in Indiana

September 2022 Anthem Provider News - Indiana Medicare Sep 1, 2022

Reminder: AIM prior authorization phone number change for Medicare

September 2022 Anthem Provider News - Indiana Medicare Sep 1, 2022

Prior authorization requirement changes effective December 1, 2022

September 2022 Anthem Provider News - Indiana Medicare Sep 1, 2022

Anthem expands specialty pharmacy precertification list

September 2022 Anthem Provider News - Indiana Medicare Sep 1, 2022

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

September 2022 Anthem Provider News - Indiana Medicare Sep 1, 2022

New Strategic Provider System launched in August 2022

September 2022 Anthem Provider News - Indiana Digital Tools Aug 5, 2022

AIM Specialty Health phone number update

August 2022 Anthem Provider News - Indiana Administrative Aug 1, 2022

Update: outpatient prepay itemized bill review program*

*Change to Prior Authorization Requirements
August 2022 Anthem Provider News - Indiana Administrative Aug 1, 2022

New patient evaluation and management services when reported for the same patient within the last three years

August 2022 Anthem Provider News - Indiana Administrative Aug 1, 2022

Timely updates help keep our provider directories current

August 2022 Anthem Provider News - Indiana Administrative Aug 1, 2022
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