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

 

Changes to Prior Authorization Requirements

  • Updates for specialty pharmacy are available*
  • National Accounts 2021 Pre-certification list*
  • Medical policy and clinical guidelines updates*
  • Prior authorization update for Commercial Individual Business*
  • Reimbursement policy update: Emergency department – Leveling of Evaluation and Management Services (Facility)*
  • Reimbursement policy update: Laboratory and venipuncture (Professional)*
  • Federal Employee Program® expands specialty pharmacy prior authorization list*

 

Medicare

  • Prior authorization requirements updates
  • Medical policies and clinical utilization management guidelines update



Featured In:
October 2020 Anthem Provider News - Indiana