Indiana
Provider Communications

Articles

Title Publication Category Date

Clinical Criteria updates

September 2019 Anthem Provider News - Indiana Medicare Sep 1, 2019

Clinical Criteria updates - May 2019

May 2019 Anthem Provider Newsletter - Indiana Medicaid May 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - Indiana Pharmacy Mar 1, 2019

Clinical criteria updates for specialty pharmacy*

February 2019 Anthem Indiana Provider Newsletter Pharmacy Feb 1, 2019

Clinical Guideline Update - May 2019*

May 2019 Anthem Provider Newsletter - Indiana Medical Policy & Clinical Guidelines May 1, 2019

Clinical Guideline Updates -- September 2019*

September 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Sep 1, 2019

Clinical Laboratory Improvements Amendments for Anthem*

February 2020 Anthem Provider News - Indiana Administrative Feb 1, 2020

Clinical practice and preventive health guidelines

October 2018 Anthem Indiana Provider Newsletter Coverage and Clinical Guidelines Sep 28, 2018

Clinical practice and preventive health guidelines available

December 2019 Anthem Provider News - Indiana Administrative Dec 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

December 2018 Anthem Indiana Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Clinical Validation: Professional*

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

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Indiana Provider Newsletter Medicare Dec 1, 2018

CMS reminder: expedited/urgent requests

November 2019 Anthem Provider News - Indiana Medicare Nov 1, 2019

Coding Spotlight - Obesity

October 2018 Anthem Indiana Provider Newsletter Medicaid Sep 28, 2018

Coding Spotlight: Cancer - A provider’s guide to properly code cancers

April 2019 Anthem Provider Newsletter - Indiana Medicaid Apr 1, 2019

Coding spotlight: Diabetes — Provider guide to coding the diagnosis and treatment of diabetes

March 2019 Anthem Provider Newsletter - Indiana Medicaid Mar 1, 2019

Coding spotlight: HIV and AIDS

April 2020 Anthem Provider News - Indiana Medicaid Apr 1, 2020

Coding spotlight: provider’s guide to coding behavioral and emotional disorders

January 2020 Anthem Provider News - Indiana Medicaid Jan 1, 2020

Coding spotlight: Provider’s guide to coding hypertension

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

Coding spotlight: Provider’s guide to coding respiratory diseases

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

Coding Spotlight: Substance Use Disorders and Smoking

December 2018 Anthem Indiana Provider Newsletter Medicaid Dec 1, 2018

Coding tip for psychological and neuropsychological testing

December 2019 Anthem Provider News - Indiana Behavioral Health Dec 1, 2019

Coming Soon: Anthem Electronic Attachments

June 2019 Anthem Provider Newsletter - Indiana Administrative Jun 1, 2019

Coming soon: Electronic attachments

September 2019 Anthem Provider News - Indiana Medicare Sep 1, 2019

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

April 2019 Anthem Provider Newsletter - Indiana Medicare Apr 1, 2019

Complex Case Management program

June 2019 Anthem Provider Newsletter - Indiana Medicaid Jun 1, 2019

Complex discharge planning

March 2020 Anthem Provider News - Indiana Medicare Mar 1, 2020

ConditionCare Program Benefits Patients and Physicians

December 2018 Anthem Indiana Provider Newsletter Administrative Dec 1, 2018

Coordination of Benefits for an FEP® member

December 2018 Anthem Indiana Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Coordination of benefits for an FEP® member

December 2019 Anthem Provider News - Indiana Federal Employee Plan (FEP) Dec 1, 2019

Coordination of Care

December 2018 Anthem Indiana Provider Newsletter Administrative Dec 1, 2018

Coordination of care

December 2019 Anthem Provider News - Indiana Administrative Dec 1, 2019

Correction: Cervical length measurement by transvaginal ultrasound

April 2019 Anthem Provider Newsletter - Indiana Medicaid Apr 1, 2019

Correction: Facility Take-Home Drugs Reimbursement Policy Update

February 2019 Anthem Indiana Provider Newsletter Medicaid Feb 1, 2019

CORRECTION: Notice regarding post-pay review of ER claims

CORRECTION: Notice regarding post-pay review of ER claims - Indiana Administrative May 30, 2019

COVID-19 information from Anthem Blue Cross and Blue Shield

April 2020 Anthem Provider News - Indiana Medicare Apr 1, 2020

COVID-19 information repository for Anthem Care Providers

May 2020 Anthem Provider News - Indiana Administrative May 1, 2020

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated May 19, 2020)

COVID-19 Information - Indiana Administrative May 19, 2020

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Provider News - Indiana Medicare Sep 1, 2019

Disease Management can help you care for patients with chronic health care needs

May 2020 Anthem Provider News - Indiana Medicaid May 1, 2020

Dual Eligible Special Needs (D-SNP) Plans - provider training required

March 2019 Anthem Provider Newsletter - Indiana Medicare Mar 1, 2019

EDI Gateway migration

December 2018 Anthem Indiana Provider Newsletter Medicaid Dec 1, 2018

Electric Boat offers Medicare Advantage options

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Electronic claim payment reconsideration

July 2019 Anthem Provider News - Indiana Medicare Jul 1, 2019

Electronic data interchange gateway update

January 2019 Anthem Indiana Provider Newsletter Medicaid Jan 1, 2019

Electronic Member ID Cards - Easy online access on the Availity Portal

May 2019 Anthem Provider Newsletter - Indiana Administrative May 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Provider News - Indiana Medicare Nov 1, 2019

Electronic submission of prior authorization requests now required

January 2020 Anthem Provider News - Indiana Administrative Jan 1, 2020

Eligible facilities to bill modifiers JG and TB on 340B drugs

January 2019 Anthem Indiana Provider Newsletter Pharmacy Jan 1, 2019

Enhanced search and download options allow easy access to information at your fingertips

Oct. 9, 2019 Anthem Provider News - Indiana Administrative Oct 9, 2019

Explore new enhancements to the Availity Education and Reference Center

October 2018 Anthem Indiana Provider Newsletter Administrative Sep 28, 2018

Facility Take-Home Drugs Reimbursement Policy Update

January 2019 Anthem Indiana Provider Newsletter Medicaid Jan 1, 2019

Federal Employee Program® Specialty Pharmacy Clinical Site-of-Care prior authorization review*

October 2019 Anthem Provider News - Indiana Federal Employee Plan (FEP) Oct 1, 2019

Federal Resources Available for Care Providers and Employers in the Federal CARES Act

During the COVID-19 crisis, care providers are working to keep the country running while navigating the financial impact it is having on them. To help care providers navigate the resources available to them, Anthem has compiled information on programs we have learned about that could provide additional financial relief during this crisis.
COVID-19 Information - Indiana Administrative Apr 10, 2020

Find A Doctor -- New Sort Option

June 2019 Anthem Provider Newsletter - Indiana Administrative Jun 1, 2019

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

October 2018 Anthem Indiana Provider Newsletter Medicare Sep 28, 2018

GM Precertification and Integrated Health Management (360 Health) changes for CY 2019

December 2018 Anthem Indiana Provider Newsletter Products & Programs Dec 1, 2018

GM Salaried Employees: New Alpha Prefix accessing the Anthem HealthSync Network effective 1/1/2019

November 2018 Anthem Indiana Network eUpdate Products & Programs Nov 1, 2018

GM, Fiat Chrysler & Delphi/APTIV precertification changes for CY 2019

Oct. 18, 2018 Anthem Indiana Network eUpdate Administrative Oct 18, 2018

Have you registered for Anthem’s electronic portal?

October 2019 Anthem Provider News - Indiana Administrative Oct 1, 2019

Health Care Reform (including Health Insurance Exchange) Updates and Notifications

October 2018 Anthem Indiana Provider Newsletter Products & Programs Sep 28, 2018

Healthcare Quality Patient Assessment Form and Patient Assessment Form

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

HEDIS 2019 Federal Employee Program® medical record request requirements

February 2019 Anthem Indiana Provider Newsletter Federal Employee Plan (FEP) Feb 1, 2019

HEDIS 2020 Federal Employee Program® medical record request requirements

April 2020 Anthem Provider News - Indiana Federal Employee Plan (FEP) Apr 1, 2020

HEDIS® 2018 Commercial Results Are In

December 2018 Anthem Indiana Provider Newsletter Administrative Dec 1, 2018

HEDIS® 2018: Provider Incentive Winners Announced!

October 2018 Anthem Indiana Provider Newsletter Administrative Sep 28, 2018

HEDIS® 2019 starts early February

January 2019 Anthem Indiana Provider Newsletter Administrative Jan 1, 2019

HEDIS® 2019: Controlling High Blood Pressure (CBP)

February 2019 Anthem Indiana Provider Newsletter Administrative Feb 1, 2019

Help protect your patients by providing medical ID protection - best practices

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020

Home health billing guidelines for contracted providers

July 2019 Anthem Provider News - Indiana Medicare Jul 1, 2019

ICD-10-CM Coding Guidelines and Laterality: Professional

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

Important coding reminder for walk-in retail health clinics

March 2020 Anthem Provider News - Indiana Administrative Mar 1, 2020

Important COVID-19 update: Prior authorization and other policy adjustments (Updated April 17, 2020)

Anthem previously announced the suspension of select prior authorization requirements and other policy adjustments in response to unprecedented demands on health care providers. We’ve updated information about peer-to-peer reviews, self-funded customers, and Federal Employee Program (FEP®) membership.
COVID-19 Information - Indiana Administrative Apr 17, 2020

Important Information about Utilization Management

December 2018 Anthem Indiana Provider Newsletter Administrative Dec 1, 2018

Important information about utilization management

June 2019 Anthem Provider Newsletter - Indiana Medicaid Jun 1, 2019

Important reminder regarding specialty pharmacy clinical site of care program

March 2019 Anthem Provider Newsletter - Indiana Pharmacy Mar 1, 2019

Important update and clarity regarding National Medical Funding Services

COVID-19 Information - Indiana Administrative May 8, 2020

Important update to Anthem’s commercial drug lists

March 2019 Anthem Provider Newsletter - Indiana Pharmacy Mar 1, 2019

Important Update: Milliman Care Guideline (MCG), 23rd Edition, ORG: W0163 Pelvic Organ Prolapse Repair*

January 2020 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Jan 1, 2020

Important: Are you ready? Indiana legislation requires prior authorization requests be submitted electronically

December 2019 Anthem Provider News - Indiana Administrative Dec 1, 2019

Improving the patient experience

February 2020 Anthem Provider News - Indiana Medicaid Feb 1, 2020

Indiana legislation requires prior authorization requests be submitted electronically effective 1/1/2020

May 2019 Anthem Provider Newsletter - Indiana Administrative May 1, 2019

Indiana legislation requires providers to submit prior authorization requests electronically

November 2019 Anthem Provider News - Indiana Administrative Nov 1, 2019

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Anthem Indiana Provider Newsletter Medicare Dec 1, 2018

Information from Anthem for Care Providers about COVID-19

*Please bookmark/add to favorites Provider News Home for the latest information about COVID-19.
April 2020 Anthem Provider News - Indiana Administrative Apr 1, 2020

Information from Anthem for Care Providers about COVID-19 (Updated May 19, 2020)

FAQs include the latest information about COVID-19 testing, cost share waivers, telehealth and telephonic care, coding guidelines, and more.
COVID-19 Information - Indiana Administrative May 19, 2020

Integrated Care Model for Plans Purchased on the Health Insurance Marketplace Benefits Patients and Physicians

December 2018 Anthem Indiana Provider Newsletter Administrative Dec 1, 2018

Integrated Medical and Behavioral Healthcare Services Billing

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

Interactive Care Reviewer (ICR) New Features

December 2018 Anthem Indiana Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Anthem Provider Newsletter - Indiana Medicare Mar 1, 2019

Introducing a new clinical criteria webpage for injectable, infused or implanted drugs covered under the medical benefit

February 2019 Anthem Indiana Provider Newsletter Medicaid Feb 1, 2019

Introducing ConcertoHealth

January 2020 Anthem Provider News - Indiana Medicare Jan 1, 2020
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