CommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 1, 2024
November 2024 Provider Newsletter
Featured Articles
CommercialOctober 23, 2024
Do you offer telehealth services? Let us know!
CommercialOctober 21, 2024
Notification of authorization fax number changes
Medicare AdvantageOctober 15, 2024
Model of Care training reminder
Administrative
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 1, 2024
Evaluation and management services correct codingCommercialNovember 1, 2024
New claims requirement: add-on codes must include primary procedure starting December 2024CommercialNovember 1, 2024
More error types for corrected claims submitted through EDI now availableCommercialNovember 1, 2024
Personalized Match updateCommercialNovember 1, 2024
Adopting digital member ID cardsBehavioral Health
CommercialNovember 1, 2024
Introducing a new Applied Behavior Analysis Provider Resource GuideHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingOctober 9, 2024
Drug testing covered in ASAM level 3.1 and 3.5 per diem bundlesHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingOctober 4, 2024
Claims analysis of claims billed using the HL modifierPolicy Updates
Medicare AdvantageOctober 16, 2024
Clarification to Carelon Medical Benefits Management, Inc. updates effective September 1, 2024Medicare AdvantageSeptember 25, 2024
Carelon Medical Benefits Management, Inc. updatesEffective October 26, 2024
Hoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingOctober 22, 2024
Medical Policies and Clinical Utilization Management Guidelines updateEffective December 7, 2024
Medicare AdvantageSeptember 24, 2024
Prior authorization requirement changesEffective February 1, 2025
CommercialNovember 1, 2024
Reimbursement policy reminder: Multiple Surgery — FacilityCommercialNovember 1, 2024
Change to Prior Authorization Requirements
Reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 1, 2024
Reimbursement policy update: Nurse Practitioner and Physician Assistant ServicesProducts & Programs
CommercialNovember 1, 2024
High Performing and Blue National Designated Providers may also be known as Anthem Diamond ProvidersCommercialNovember 1, 2024
Submit corrected claims electronically for the Federal Employee Program®CommercialJuly 1, 2024
Change to Prior Authorization Requirements
Correction: Specialty pharmacy updates — July 2024CommercialOctober 24, 2024
Change to Prior Authorization Requirements
Specialty pharmacy updates — November 2024Medicare AdvantageNovember 1, 2024
Improving patient outcomes: back to the basicsQuality Management
CommercialMedicare AdvantageHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingNovember 1, 2024
Prevent flu and COVID-19: drive the change through vaccinationINBCBS-CDCRCM-070451-24
To view this publication online:
Visit https://providernews.anthem.com/indiana/publications/november-2024-provider-newsletter-3471
Or scan this QR code with your phone