Indiana
Provider Communications

Articles Category: Policy Updates / Reimbursement Policies

Title Publication Category Date

Reimbursement policy update: Bundled services and supplies (Professional)*

December 2020 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2020

Reimbursement policy update: DRG newborn inpatient stays (Facility)*

December 2020 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2020

Clinical Validation: Professional*

July 2019 Anthem Provider News - Indiana Reimbursement Policies Jul 1, 2019

New Reimbursement Policies: Maternity Services and Multiple Delivery - Professional*

September 2019 Anthem Provider News - Indiana Reimbursement Policies Sep 1, 2019

Modifier 79 reminder: Professional

July 2019 Anthem Provider News - Indiana Reimbursement Policies Jul 1, 2019

Modifier 63 reminder: Professional

July 2019 Anthem Provider News - Indiana Reimbursement Policies Jul 1, 2019

ICD-10-CM Coding Guidelines and Laterality: Professional

July 2019 Anthem Provider News - Indiana Reimbursement Policies Jul 1, 2019

New Reimbursement Policy: Intensity Modulated Radiation Therapy Planning and Delivery - Professional*

September 2019 Anthem Provider News - Indiana Reimbursement Policies Sep 1, 2019

Claim editing update for Excludes1 notes

September 2019 Anthem Provider News - Indiana Reimbursement Policies Sep 1, 2019

Reimbursement Policy Update: Bundled Services-Professional*

August 2019 Anthem Provider News - Indiana Reimbursement Policies Aug 1, 2019

Reimbursement Policy Update: Frequency Editing-Professional*

August 2019 Anthem Provider News - Indiana Reimbursement Policies Aug 1, 2019

Reimbursement policy update: Multiple diagnostic imaging procedures - Professional*

January 2021 Anthem Provider News - Indiana Reimbursement Policies Jan 1, 2021

Outpatient Facility Edit Implementation*

January 2020 Anthem Provider News - Indiana Reimbursement Policies Jan 1, 2020

Reimbursement policy update: Frequency editing - Professional*

January 2021 Anthem Provider News - Indiana Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Guidelines for reporting timed units for physical medicine and rehabilitation - Professional*

January 2021 Anthem Provider News - Indiana Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Modifier Rules - Professional*

January 2021 Anthem Provider News - Indiana Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Unit frequency maximum for drugs and biologicals - Professional*

January 2021 Anthem Provider News - Indiana Reimbursement Policies Jan 1, 2021

New Reimbursement Policy - Facility Revenue Code Billing

October 2018 Anthem Indiana Provider Newsletter Reimbursement Policies Sep 28, 2018

Reimbursement Policy Update - Readmissions (Facility)

October 2018 Anthem Indiana Provider Newsletter Reimbursement Policies Sep 28, 2018

View reimbursement policies online at anthem.com

October 2018 Anthem Indiana Provider Newsletter Reimbursement Policies Sep 28, 2018

Claims editing update for ICD-10-CM Excludes 1 notes

March 2021 Anthem Provider News - Indiana Reimbursement Policies Mar 1, 2021

New reimbursement policy update: Place of Service Evaluation and Management - Facility*

*Change to Prior Authorization Requirements
March 2021 Anthem Provider News - Indiana Reimbursement Policies Mar 1, 2021

Reimbursement Policy Update: Claims requiring additional documentation (Facility)*

May 2020 Anthem Provider News - Indiana Reimbursement Policies May 1, 2020

New Reimbursement Policies: Nurse Practitioner and Physician Assistant Services (Professional)*

June 2020 Anthem Provider News - Indiana Reimbursement Policies Jun 1, 2020

Reminder about system updates

May 2020 Anthem Provider News - Indiana Reimbursement Policies May 1, 2020

New Reimbursement Policies: Durable Medical Equipment, Rent to Purchase Durable Medical Equipment, and Modifiers (Professional)

December 2019 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2019

System updates for 2020 (Professional)

December 2019 Anthem Provider News - Indiana Reimbursement Policies Dec 1, 2019

Reimbursement policy update: Emergency department - leveling of Evaluation and Management services (Facility)*

October 2020 Anthem Provider News - Indiana Reimbursement Policies Oct 1, 2020

Reimbursement policy update: Laboratory and venipuncture (Professional)*

October 2020 Anthem Provider News - Indiana Reimbursement Policies Oct 1, 2020

Reimbursement policy update: Claims requiring additional documentation policy (Facility)

October 2020 Anthem Provider News - Indiana Reimbursement Policies Oct 1, 2020

Reimbursement policy update: Outpatient facility claim edits

June 2021 Anthem Provider News - Indiana Reimbursement Policies Jun 1, 2021

Reimbursement Policy Updates: February 2019*

February 2019 Anthem Indiana Provider Newsletter Reimbursement Policies Feb 1, 2019

Reimbursement Policy Update: Injectable Substances with Related Injection Services - Professional*

February 2019 Anthem Indiana Provider Newsletter Reimbursement Policies Feb 1, 2019

New Reimbursement Policy: Ambulance Transportation -- Professional*

June 2019 Anthem Provider Newsletter - Indiana Reimbursement Policies Jun 1, 2019

Reimbursement Policy Update: Frequency Editing -- Professional*

June 2019 Anthem Provider Newsletter - Indiana Reimbursement Policies Jun 1, 2019

Reimbursement policy reminder: Readmission - Facility

May 2021 Anthem Provider News - Indiana Reimbursement Policies May 1, 2021

New reimbursement policy: Non-patient laboratory services - Facility*

*Change to Prior Authorization Requirements
July 2021 Anthem Provider News - Indiana Reimbursement Policies Jul 1, 2021

Reimbursement policy update: Frequency editing - Professional

May 2021 Anthem Provider News - Indiana Reimbursement Policies May 1, 2021

Reimbursement policy update: Consultations - Professional*

IN: *Change to Prior Authorization Requirements
July 2021 Anthem Provider News - Indiana Reimbursement Policies Jul 1, 2021

Update: Drug Screen Testing - Professional*

May 2019 Anthem Provider Newsletter - Indiana Reimbursement Policies May 1, 2019

New reimbursement policy: Documentation standards for episodes of care (Professional)*

November 2020 Anthem Provider News - Indiana Reimbursement Policies Nov 1, 2020

Reimbursement policy update: Modifier rules (Professional)*

November 2020 Anthem Provider News - Indiana Reimbursement Policies Nov 1, 2020

Reimbursement policy update: Bundled services and supplies (Professional)*

November 2020 Anthem Provider News - Indiana Reimbursement Policies Nov 1, 2020

Reimbursement policy update: Multiple diagnostic imaging facility (Facility)*

November 2020 Anthem Provider News - Indiana Reimbursement Policies Nov 1, 2020

Reimbursement policy update: Distinct Procedural Services- Modifiers 59, XE, XP, XS, XU (Professional)*

September 2020 Anthem Provider News - Indiana Reimbursement Policies Sep 1, 2020

Reimbursement policy update: Frequency Editing (Professional)*

September 2020 Anthem Provider News - Indiana Reimbursement Policies Sep 1, 2020

View reimbursement policies online at anthem.com

December 2018 Anthem Indiana Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement Policy Updates - December 2018

December 2018 Anthem Indiana Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement Policy Update - Scope of License (Professional)

December 2018 Anthem Indiana Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement policy update: Claims Requiring Additional Documentation - Facility*

*Change to Prior Authorization Requirements
May 2021 Anthem Provider News - Indiana Reimbursement Policies May 1, 2021

Reimbursement policy update: Emergency Room Transfers - Facility*

February 2021 Anthem Provider News - Indiana Reimbursement Policies Feb 1, 2021

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility*

February 2021 Anthem Provider News - Indiana Reimbursement Policies Feb 1, 2021

Reimbursement Policy update: Place of Service-Professional*

October 2019 Anthem Provider News - Indiana Reimbursement Policies Oct 1, 2019

Reimbursement Policy Update - Claims requiring additional documentation (Facility)

September 2018 Anthem Indiana eUpdate Reimbursement Policies Aug 30, 2018

New Reimbursement Policy: Partial Hospitalization Program and Intensive Outpatient Program Services Facility*

April 2019 Anthem Provider Newsletter - Indiana Reimbursement Policies Apr 1, 2019

Reimbursement Policy Update: Claims requiring additional documentation (Facility)*

August 2020 Anthem Provider News - Indiana Reimbursement Policies Aug 1, 2020
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