CommercialNovember 1, 2022

November 2022 Anthem Provider News - Indiana

Administrative

AdministrativeCommercialNovember 1, 2022

CAA: Keep your provider directory information up to date

Digital SolutionsCommercialNovember 1, 2022

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

Digital SolutionsCommercialNovember 1, 2022

Authorization application enhancements: faster, easier, and more efficient

Digital SolutionsCommercialNovember 1, 2022

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

Digital SolutionsCommercialNovember 1, 2022

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

Digital SolutionsCommercialNovember 1, 2022

Visit the Provider Learning Hub to view our latest learning opportunities

Policy Updates

Medical Policy & Clinical GuidelinesCommercialNovember 1, 2022

Medical policy and clinical guideline updates - November 2022
Change to Prior Authorization Requirements

Medical Policy & Clinical GuidelinesCommercialNovember 1, 2022

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

Reimbursement PoliciesCommercialNovember 1, 2022

Correction to reimbursement policy: Place of Service - Facility
Change to Prior Authorization Requirements

Products & Programs

Products & ProgramsCommercialNovember 1, 2022

Pathway Essentials: a new network available in Indiana

PharmacyCommercialNovember 1, 2022

Specialty pharmacy updates - November 2022

Change to Prior Authorization Requirements

State & Federal

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 1, 2022

Keep up with Medicaid News - November 2022
- Prior authorization requirement changes effective November 1, 2022

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 1, 2022

HEDIS 2022: Summary of Changes From NCQA

State & FederalMedicare AdvantageNovember 1, 2022

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)

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 1, 2022

Alcohol use disorders often coexist with psychiatric disorders

State & FederalMedicare AdvantageNovember 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list

State & FederalMedicare AdvantageNovember 1, 2022

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