CommercialDecember 1, 2018
December 2018 Anthem Indiana Provider Newsletter
Administrative
CommercialNovember 30, 2018
ConditionCare Program Benefits Patients and PhysiciansCommercialNovember 30, 2018
Anthem Streamlines Member ID Cards - Use Availity to Verify Members' Cost Shares and Benefits at Time of ServiceCommercialNovember 30, 2018
Availity to Serve as EDI Entry Point for Electronic SubmissionsCommercialNovember 30, 2018
Anthem to Enhance Claim Edits for Outpatient Facility ClaimsCommercialNovember 30, 2018
Anthem Works to Simplify Payment Recovery Process for National Accounts MembershipCommercialNovember 30, 2018
Members Can Shop for Cost-Efficient Health Care Using SmartShopperCommercialNovember 30, 2018
HEDIS® 2018 Commercial Results Are InCommercialNovember 30, 2018
Case Management ProgramCommercialNovember 30, 2018
Notice of Changes to Prior Authorization Requirements - December 2018CommercialNovember 30, 2018
Integrated Care Model for Plans Purchased on the Health Insurance Marketplace Benefits Patients and PhysiciansCommercialNovember 30, 2018
Coordination of CareCommercialNovember 30, 2018
Important Information about Utilization ManagementCommercialNovember 30, 2018
Members’ Rights and ResponsibilitiesCommercialNovember 30, 2018
Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid Available on the WebPolicy Updates
CommercialNovember 30, 2018
Medical Polices and Clinical Guidelines Updates - December 2018CommercialNovember 30, 2018
Restructure of AIM Advanced Imaging Clinical Appropriateness GuidelinesCommercialNovember 30, 2018
Update to AIM Clinical Appropriateness GuidelinesCommercialNovember 30, 2018
Updates to AIM Musculoskeletal Surgery Clinical Appropriateness GuidelinesCommercialNovember 30, 2018
Interactive Care Reviewer (ICR) New FeaturesCommercialNovember 30, 2018
Clinical practice and preventive health guidelines available on anthem.comCommercialNovember 30, 2018
View reimbursement policies online at anthem.comCommercialNovember 30, 2018
Reimbursement Policy Updates - December 2018CommercialNovember 30, 2018
Reimbursement Policy Update - Scope of License (Professional)CommercialNovember 30, 2018
Bundled Services and Supplies (Professional)CommercialNovember 30, 2018
Reimbursement for Convenience Surgical Supply Kits: ProfessionalProducts & Programs
CommercialNovember 30, 2018
Upcoming Changes for Automotive AccountsCommercialNovember 30, 2018
GM Precertification and Integrated Health Management (360 Health) changes for CY 2019CommercialNovember 30, 2018
2019 FEP Benefit information available onlineCommercialNovember 30, 2018
Coordination of Benefits for an FEP® memberCommercialNovember 30, 2018
Benefit change for Infliximab for Federal Employee Program (FEP)CommercialNovember 30, 2018
Anthem Accepts Electronic Prior Authorization Requests for Prescription Medications OnlineCommercialNovember 30, 2018
Introducing the New Clinical Criteria Page for Injectable, Infused or Implanted DrugsCommercialNovember 30, 2018
Pharmacy Information Available at anthem.comState & Federal
Medicare AdvantageNovember 30, 2018
Keep up with Medicare newsMedicare AdvantageNovember 30, 2018
New Medicare Advantage provider service phone number beginning January 1, 2019Medicare AdvantageNovember 30, 2018
2019 Medicare Advantage individual benefits and formulariesMedicare AdvantageNovember 30, 2018
CMS Medicare Preclusion List effective April 1, 2019Medicare AdvantageNovember 30, 2018
When and how to initiate Medicare Advantage reopeningsMedicare AdvantageNovember 30, 2018
Individual Medicare plans move compound drugs off formulary beginning January 1, 2019Medicare AdvantageNovember 30, 2018
Medicare Part B drugs may include Step Therapy beginning January 1, 2019Medicare AdvantageNovember 30, 2018
University of Chicago Offers Medicare Advantage OptionHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 30, 2018
EDI Gateway migrationHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 30, 2018
Medicaid Address Change ReminderHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 30, 2018
NCQA: Pharmacy Management InformationHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 30, 2018
NCQA: Practitioners’ Rights during Credentialing ProcessHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 30, 2018
What Matters Most: Improving the Patient Experience CMEHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 30, 2018
Coding Spotlight: Substance Use Disorders and SmokingHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 30, 2018
Quarterly Pharmacy Formulary Change NoticeHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 30, 2018
Cervical Length Measurement by Transvaginal UltrasoundHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 30, 2018
Vaginal Birth after Cesarean (VBAC) Shared Decision-Making Aid AvailableHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 30, 2018
Medical Policies and Clinical Utilization Management Guidelines Update-MedicaidHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 30, 2018
Prior Authorization Requirements for Interferon beta-1aHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 30, 2018
Prior Authorization Requirements for Subcutaneous Implantable Defibrillator SystemTo view this publication online:
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