CommercialJune 1, 2019

June 2019 Anthem Provider Newsletter - Indiana

Administrative

AdministrativeCommercialJune 1, 2019

Notice of Changes to Prior Authorization Requirements -- June 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 starred (*) below.

AdministrativeCommercialJune 1, 2019

Find A Doctor -- New Sort Option

AdministrativeCommercialJune 1, 2019

Coming Soon: Anthem Electronic Attachments

AdministrativeCommercialJune 1, 2019

New ICR Immediate Decision List posted on Availity Payer Spaces

AdministrativeCommercialJune 1, 2019

Anthem launches additional changes to anthem.com for Q2

Policy Updates

Medical Policy & Clinical GuidelinesCommercialJune 1, 2019

Medical Policy and Clinical Guideline Updates -- June 2019*

Medical Policy & Clinical GuidelinesCommercialJune 1, 2019

New Clinical Guideline: Inpatient Inter-Facility Transfers effective September 1, 2019*

Reimbursement PoliciesCommercialJune 1, 2019

New Reimbursement Policy: Ambulance Transportation -- Professional*

Reimbursement PoliciesCommercialJune 1, 2019

Reimbursement Policy Update: Frequency Editing -- Professional*

State & Federal

State & FederalMedicare AdvantageJune 1, 2019

Keep up with Medicare News -- June 2019

State & FederalMedicare AdvantageJune 1, 2019

Review of professional claims with emergency department level 5 E&M codes

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJune 1, 2019

Medicaid News -- June 2019

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJune 1, 2019

Latest updates to Electronic Data Interchange Gateway migration

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJune 1, 2019

Complex Case Management program

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJune 1, 2019

Important information about utilization management

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingJune 1, 2019

Members' Rights and Responsibilities Statement