CommercialOctober 1, 2021

October 2021 Anthem Provider News - Indiana

Administrative

AdministrativeCommercialOctober 1, 2021

Looking to earn CME credits? Register for these on-demand webinars!

AdministrativeCommercialOctober 1, 2021

Clinical appeals

AdministrativeCommercialOctober 1, 2021

Good news! Non-payment remittance advice enhancements coming soon

Digital SolutionsCommercialOctober 1, 2021

Procedure searches in Find Care

Digital SolutionsCommercialOctober 1, 2021

Put the AIM ProviderPortal to work for you

Policy Updates

Medical Policy & Clinical GuidelinesCommercialOctober 1, 2021

Medical policy and clinical guideline updates - October 2021*
*Change to Prior Authorization Requirements

Reimbursement PoliciesCommercialOctober 1, 2021

New reimbursement policy: Multiple and Bilateral Surgery Processing - Facility*
*Change to Prior Authorization Requirements

Products & Programs

PharmacyCommercialOctober 1, 2021

Specialty pharmacy updates are available - October 2021*
*Change to Prior Authorization Requirements

PharmacyCommercialOctober 1, 2021

Pharmacy information available at anthem.com

PharmacyCommercialOctober 1, 2021

Designated specialty pharmacy network updates effective January 1, 2022*
*Change to Prior Authorization Requirements

State & Federal

State & FederalMedicare AdvantageOctober 1, 2021

New medical step therapy requirements

State & FederalMedicare AdvantageOctober 1, 2021

HEDIS medical record submission made easier with our Remote EMR Access Service

State & FederalMedicare AdvantageOctober 1, 2021

Information about 2021 Special Needs Plans

State & FederalMedicare AdvantageOctober 1, 2021

New reimbursement policy: Sexually transmitted infections testing (Professional)

State & FederalMedicare AdvantageOctober 1, 2021

Keep up with Medicare news - October 2021
View these Medicare articles:
- Updates to the AIM Specialty Health Musculoskeletal Program Clinical Appropriateness Guidelines
- 2021 affirmative statement concerning utilization management decisions
- May 2021 Medical Policies and Utilization Management Guidelines update

State & FederalHoosier Healthwise, Healthy Indiana Plan, Hoosier Care Connect, and IN PathWays for AgingOctober 1, 2021

Keep up with Medicaid News - October 2021
View this Medicaid article:
- Updates to the AIM Specialty Health Musculoskeletal Program Clinical Appropriateness Guidelines