Indiana
Provider Communications

Articles

Title Publication Category Date

Reimbursement Policy Update - Claims requiring additional documentation (Facility)

September 2018 Anthem Indiana eUpdate Reimbursement Policies Aug 30, 2018

Reimbursement for Convenience Surgical Supply Kits: Professional

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

Receive and respond to post pay audit medical record requests via Availity beginning February 10, 2020

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

Quarterly Pharmacy Formulary Change Notice

December 2018 Anthem Indiana Provider Newsletter Medicaid Dec 1, 2018

Provider Transparency Update

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

Provider Transparency Update

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

Provider training series

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

Provider surveys

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

Project ECHO clinics now available

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

Prior Authorization Requirements for Subcutaneous Implantable Defibrillator System

December 2018 Anthem Indiana Provider Newsletter Medicaid Dec 1, 2018

Prior Authorization Requirements for Interferon beta-1a

December 2018 Anthem Indiana Provider Newsletter Medicaid Dec 1, 2018

Prior authorization requirements for hyperbaric oxygen and supervision of hyperbaric oxygen therapy

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

Prior authorization requirements for Global March MPTAC CCRT Configuration

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

Prior authorization requirements changes effective November 1, 2019

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

Prior authorization changes

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

Pre-Service/Prior Authorization Clinical Review Update: February 2019*

February 2019 Anthem Indiana Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Pre-certification information for the Federal Employee Program*

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

Practitioners’ rights during credentialing process

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

Postponed: Review of professional claims with emergency room level 5 E/M codes

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

Policy Update Modifier 25: Significant, Separately Identifiable E/M Service by the Same Physician on the Same Day of the Procedure or Other Service

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

Please evaluate statin use for MA members with diabetes, cardiovascular disease

October 2018 Anthem Indiana Provider Newsletter Medicare Sep 28, 2018

Pharmacy management information

August 2019 Anthem Provider News - Indiana Medicaid Aug 1, 2019

Pharmacy information available online

October 2018 Anthem Indiana Provider Newsletter Medicaid Sep 28, 2018

Pharmacy information available at anthem.com

August 2019 Anthem Provider News - Indiana Pharmacy Aug 1, 2019

Pharmacy information available at anthem.com

October 2018 Anthem Indiana Provider Newsletter Pharmacy Sep 28, 2018

Pharmacy information available at anthem.com

April 2019 Anthem Provider Newsletter - Indiana Pharmacy Feb 1, 2019

Pharmacy information available at anthem.com

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

Pharmacy information available at anthem.com

June 2019 Anthem Provider Newsletter - Indiana Pharmacy May 1, 2019

Pharmacy Information Available at anthem.com

December 2018 Anthem Indiana Provider Newsletter Pharmacy Dec 1, 2018

Pharmacy information available at anthem.com

January 2019 Anthem Indiana Provider Newsletter Pharmacy Jan 1, 2019

Pharmacy information available at anthem.com

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

Pharmacy benefit manager change to IngenioRx

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

Pharmacy benefit manager change to IngenioRx

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

PCP after-hours access requirements

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

Outpatient Rehabilitation Program transitioning to AIM

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

Outpatient Facility Edit Implementation*

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

Now Available: Get patient payments faster with Healthcare Bill Payments at anthem.com

September 2018 Anthem Indiana eUpdate Administrative Aug 30, 2018

Notification Regarding Anthem Fee Schedule Changes

Anthem Indiana Network eUpdate: Notification Regarding Anthem Fee Schedule Changes - May 1, 2019 Administrative May 1, 2019

Notification of New Codes for Applied Behavior Analysis

Dec. 14, 2018 Anthem Indiana Network eUpdate Behavioral Health Dec 14, 2018

Notice of Changes to Prior Authorization Requirements: Updated Indiana Provider Manual posted to anthem.com

New prior authorization requirements for providers apply for new or updated reimbursement policies, medical policies, or pre-authorization requirements.
Dec. 14, 2018 Anthem Indiana Network eUpdate Administrative Dec 14, 2018

Notice of Changes to Prior Authorization Requirements: February 2019

New prior authorization requirement for providers and/or Material Changes to Contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
February 2019 Anthem Indiana Provider Newsletter Administrative Feb 1, 2019

Notice of Changes to Prior Authorization Requirements: April 2019

New Prior Authorization Requirements for providers and/or Material Changes to Contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
April 2019 Anthem Provider Newsletter - Indiana Administrative Apr 1, 2019

Notice of Changes to Prior Authorization Requirements -- September 2019

New prior authorization requirement for providers and/or Material Changes to Contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
September 2019 Anthem Provider News - Indiana Administrative Sep 1, 2019

Notice of Changes to Prior Authorization Requirements -- October 2019

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
October 2019 Anthem Provider News - Indiana Administrative Oct 1, 2019

Notice of Changes to Prior Authorization Requirements -- November 2019

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
November 2019 Anthem Provider News - Indiana Administrative Nov 1, 2019

Notice of Changes to Prior Authorization Requirements -- June 2019

New prior authorization requirement for providers and/or Material Changes to Contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements starred (*) below.
June 2019 Anthem Provider Newsletter - Indiana Administrative Jun 1, 2019

Notice of Changes to Prior Authorization Requirements -- July 2019

New prior authorization requirement for providers and/or Material Changes to Contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
July 2019 Anthem Provider News - Indiana Administrative Jul 1, 2019

Notice of Changes to Prior Authorization Requirements -- August 2019

New prior authorization requirement for providers and/or Material Changes to Contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
August 2019 Anthem Provider News - Indiana Administrative Aug 1, 2019

Notice of Changes to Prior Authorization Requirements - May 2019

New prior authorization requirements for providers and/or material changes to contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements starred (*) below.
May 2019 Anthem Provider Newsletter - Indiana Administrative May 1, 2019

Notice of Changes to Prior Authorization Requirements - February 2020

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
February 2020 Anthem Provider News - Indiana Administrative Feb 1, 2020

Notice of Changes to Prior Authorization Requirements - December 2018

New Prior Authorization Requirements for providers and Material Changes to Contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
December 2018 Anthem Indiana Provider Newsletter Administrative Dec 1, 2018

Notice of Changes to Prior Authorization Requirement -- January 2020

New prior authorization requirements for providers may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
January 2020 Anthem Provider News - Indiana Administrative Jan 1, 2020

New Year Brings New ID Cards - and New ID Numbers - for Many Anthem Members

Jan. 23, 2019 Anthem Indiana Provider Network eUpdate Administrative Jan 23, 2019

New specialty pharmacy medical step therapy requirements

February 2019 Anthem Indiana Provider Newsletter Medicaid Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Indiana Provider Newsletter Medicare Feb 1, 2019

New service types added to Availity

N/A Medicare Aug 1, 2019

New service types added to Availity

August 2019 Anthem Provider News - Indiana Medicaid Aug 1, 2019

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

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

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

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

New Reimbursement Policy: Drug Screen Testing

August 2019 Anthem Provider News - Indiana Medicare Aug 1, 2019

New Reimbursement Policy: Ambulance Transportation -- Professional*

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

New Reimbursement Policy - Facility Revenue Code Billing

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

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

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

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

New pregnancy notification process using the Availity Portal Benefit Look-Up Tool

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

New on Interactive Care Reviewer (ICR): Request Clinical Appeals

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

New Musculoskeletal and Pain Management Solution Effective for Select National ASO Accounts January 1, 2020

January 2020 Anthem Provider News - Indiana Products & Programs Jan 1, 2020

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Anthem Indiana Provider Newsletter Medicare Dec 1, 2018

New location for Provider Manuals on anthem.com

August 2019 Anthem Provider News - Indiana Administrative Aug 1, 2019

New ICR Immediate Decision List posted on Availity Payer Spaces

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

New HealthSync Plans starting January 1, 2020

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

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

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

New clinical guideline: pneumatic compression devices, effective December 1, 2019

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

New Clinical Guideline: Inpatient Inter-Facility Transfers effective September 1, 2019*

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

New AIM Rehabilitative program effective July 1, 2019

April 2019 Anthem Provider Newsletter - Indiana Products & Programs Apr 1, 2019

NCQA: Practitioners’ Rights during Credentialing Process

December 2018 Anthem Indiana Provider Newsletter Medicaid Dec 1, 2018

NCQA: Pharmacy Management Information

December 2018 Anthem Indiana Provider Newsletter Medicaid Dec 1, 2018

National Accounts 2020 Pre-certification list*

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

MyDiversePatients.com: A website to support your diverse patients

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

My Diverse Patients: a website to support your diverse patients

February 2019 Anthem Indiana Provider Newsletter Medicaid Feb 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

Miscellaneous durable medical equipment (DME) billing guidelines

October 2018 Anthem Indiana Provider Newsletter Medicaid Sep 28, 2018

Members’ rights and responsibilities

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

Members’ Rights and Responsibilities

December 2018 Anthem Indiana Provider Newsletter Administrative Dec 1, 2018

Members' Rights and Responsibilities Statement

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

Members Can Shop for Cost-Efficient Health Care Using SmartShopper

December 2018 Anthem Indiana Provider Newsletter Administrative Dec 1, 2018

Medicare Preferred PPO plan available to Retired Indiana Public Employees Insurance Trust retirees

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

Medicare preferred continuous glucose monitors

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

Medicare preferred continuous glucose monitors

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

Medicare pharmacy and prescriber home starts January 2019

October 2018 Anthem Indiana Provider Newsletter Medicare Sep 28, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Anthem Indiana Provider Newsletter Medicare Dec 1, 2018

Medicare News -- September 2019

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

Medicare News -- October 2019

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

Medicare News -- November 2019

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

Medicare News -- January 2020

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

Medicare News -- December 2019

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

Medicare News -- August 2019

August 2019 Anthem Provider News - Indiana Medicare Aug 1, 2019

Medicare News - February 2020

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

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Indiana Provider Newsletter Medicare Jan 1, 2019
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