July 1, 2019

July 2019 Anthem Provider News - Indiana

Filter By: AllCommercial

Administrative

AdministrativeCommercialJuly 1, 2019

Notice of Changes to Prior Authorization Requirements -- July 2019
New prior authorization requirement for providers and/or Material Changes to Contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.

AdministrativeCommercialJuly 1, 2019

Reminder to providers: Fee schedule information

AdministrativeCommercialJuly 1, 2019

Update to Provider UM reimbursement penalties and corresponding update to Provider Manual*

AdministrativeCommercialJuly 1, 2019

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

AdministrativeCommercialJuly 1, 2019

Make the move to the Availity EDI Gateway today

AdministrativeCommercialJuly 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: 2019 Program Year Progression -- What’s in it for you and your patients?

AdministrativeCommercialJuly 1, 2019

Are you ready? Electronic prior authorization requests required effective January 1, 2020

AdministrativeCommercialJuly 1, 2019

MyDiversePatients.com: A website to support your diverse patients

Policy Updates

Medical Policy & Clinical GuidelinesCommercialJuly 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*

Reimbursement PoliciesCommercialJuly 1, 2019

Clinical Validation: Professional*

Reimbursement PoliciesCommercialJuly 1, 2019

Modifier 79 reminder: Professional

Reimbursement PoliciesCommercialJuly 1, 2019

Modifier 63 reminder: Professional

Reimbursement PoliciesCommercialJuly 1, 2019

ICD-10-CM Coding Guidelines and Laterality: Professional

Products & Programs

Federal Employee Program (FEP)CommercialJuly 1, 2019

Anthem Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific Specialty Drugs and Site of Care

PharmacyCommercialJuly 1, 2019

Clinical criteria updates for specialty pharmacy

PharmacyCommercialJuly 1, 2019

Clinical Criteria coding updates for specialty pharmacy are available

State & Federal

State & FederalMedicare AdvantageJuly 1, 2019

Outpatient Rehabilitation Program transitioning to AIM

State & FederalMedicare AdvantageJuly 1, 2019

Home health billing guidelines for contracted providers

State & FederalMedicare AdvantageJuly 1, 2019

Electronic claim payment reconsideration

State & FederalMedicare AdvantageJuly 1, 2019

Keep up with Medicare News -- July 2019