Indiana
Provider Communications

November 2022 Anthem Provider News - Indiana

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Title Category

CAA: Keep your provider directory information up to date

Administrative

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

Digital Tools

Authorization application enhancements: faster, easier, and more efficient

Digital Tools

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

Digital Tools

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

Digital Tools

Visit the Provider Learning Hub to view our latest learning opportunities

Digital Tools

Pathway Essentials: a new network available in Indiana

Products & Programs

Specialty pharmacy updates - November 2022

Change to Prior Authorization Requirements

Pharmacy

Medical policy and clinical guideline updates - November 2022

Change to Prior Authorization Requirements
Medical Policy & Clinical Guidelines

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

Medical Policy & Clinical Guidelines

Correction to reimbursement policy: Place of Service - Facility

Change to Prior Authorization Requirements
Reimbursement Policies

Keep up with Medicaid News - November 2022

- Prior authorization requirement changes effective November 1, 2022
Medicaid

HEDIS 2022: Summary of Changes From NCQA

Medicaid

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)
Medicare

Alcohol use disorders often coexist with psychiatric disorders

Medicaid

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list

Medicare

Personalized Match

Medicare
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