CommercialJuly 1, 2021
July 2021 Anthem Provider News - Indiana
Administrative
CommercialJuly 1, 2021
Register now to learn strategies to help you and your practice improve clinical qualityCommercialJuly 1, 2021
Another mark of the pandemic: An increase in childhood obesityCommercialJuly 1, 2021
Proper coding for in-home monitoring can make a measurable difference for INRCommercialJuly 1, 2021
Timely receipt of primary payer’s EOB can help reduce timely filing denials for secondary claimsCommercialJuly 1, 2021
Interactive Care Reviewer (ICR): New search option for cases submitted through ICRCommercialJuly 1, 2021
Electronic claim response filesCommercialJuly 1, 2021
How to enroll in electronic fund transfer (EFT) for faster remittancePolicy Updates
CommercialJuly 1, 2021
Reminder: Updated AIM rehabilitative program effective August 1, 2021 - Site of service reviewsCommercialJuly 1, 2021
Medical Policy and Clinical Guideline Updates - July 2021*CommercialJuly 1, 2021
Reimbursement policy update: Consultations - Professional*CommercialJuly 1, 2021
New reimbursement policy: Non-patient laboratory services - Facility*Products & Programs
CommercialJuly 1, 2021
Reminder: Back Pain Guide program effective July 19, 2021CommercialJuly 1, 2021
Company to retire Blue Precision program at the end of the yearCommercialJuly 1, 2021
Certain specialty medication prior authorization requests may require additional documentation*CommercialJuly 1, 2021
Updates for specialty pharmacy are available - July 2021*CommercialJuly 1, 2021
Designated specialty pharmacy network updates effective October 1, 2021*CommercialJuly 1, 2021
Update: Site of care medical necessity reviews for long-acting colony-stimulating factors not implemented on June 1, 2021*State & Federal
Medicare AdvantageJuly 1, 2021
New reimbursement policy: Modifier 90: Reference (outside) laboratory and pass-through billingMedicare AdvantageJuly 1, 2021
Prior authorization requirement changes for codes A0426 and A0428 effective October 1, 2021Medicare AdvantageJuly 1, 2021
Medical drug benefit clinical criteria updatesMedicare AdvantageJuly 1, 2021
Let’s VaccinateMedicare AdvantageJuly 1, 2021
Medicare News - July 2021- Prior authorization requirement changes effective September 1, 2021 – UM Authorization Rule Operations Workgroup (AROW) Item 1845
- Provider notification for UM Authorization Rule Operations Workgroup (AROW) Item 1846
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJuly 1, 2021
Member Rights and Responsibilities StatementHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJuly 1, 2021
Important information about utilization managementHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJuly 1, 2021
Complex Case Management programHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJuly 1, 2021
New reimbursement policy: Modifier 90: Reference (outside) laboratory and pass-through billingHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJuly 1, 2021
Provider education program survey: Your Voice CountsHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJuly 1, 2021
Continuing medical education/continuing education unit opportunitiesHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJuly 1, 2021
Medicaid News - July 2021- Aspire Health for members in need of palliative care
- August 2020 Medical Policies and Clinical Utilization Management Guidelines update
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