Indiana
Provider Communications

Articles

Title Publication Category Date

Medicare News -- November 2019

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

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

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

CMS reminder: expedited/urgent requests

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

Attention Workers’ Compensation Network Providers

November 2019 Anthem Provider News - Indiana Administrative Oct 15, 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

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

UPDATE: new AIM Rehabilitative Program will begin November 1, 2019

October 2019 Anthem Provider News - Indiana Products & Programs Oct 1, 2019

National Accounts 2020 Pre-certification list*

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

Anthem engages Matrix to conduct mobile health clinics and in-home assessments for targeted members

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

Anthem launches additional changes to anthem.com

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

New HealthSync Plans starting January 1, 2020

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

Have you registered for Anthem’s electronic portal?

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

Important update to Anthem’s commercial drug lists

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

Anthem specialty pharmacy medical step therapy drug list- clarification

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

Pharmacy information available at anthem.com

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

Reimbursement Policy update: Place of Service-Professional*

October 2019 Anthem Provider News - Indiana Reimbursement Policies Oct 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

Pre-certification information for the Federal Employee Program*

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

US Antibiotic Awareness Week is November 11-18, 2019

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

Medicare News -- October 2019

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

Aspire Telehealth Palliative Care program

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

June 2019 Medical Policies and Clinical Utilization Management Guidelines update

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

Update: 2019 risk adjustment provider trainings

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

Medicare preferred continuous glucose monitors

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

Medical drug Clinical Criteria updates

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

Prior authorization requirements changes effective November 1, 2019

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

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

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

Pharmacy benefit manager change to IngenioRx

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

Prior authorization requirements for Global March MPTAC CCRT Configuration

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

MCG Care Guidelines update and customizations

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

Reminder to providers: Fee schedule information is Confidential

N/A Administrative Sep 16, 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

Start using Anthem’s electronic portals now for prior authorization requests

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

Reimbursement Policy Update: Professional Anesthesia Services

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

AIM Specialty Health programs may require documentation

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

Coming soon: Electronic attachments

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

Prior authorization changes

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

Clinical Criteria updates

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

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

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

Reminder: Changes to timely filing requirements coming in October

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

Provider Transparency Update

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

Anthem launches Sydney on September 1; new app offers better digital health care support to members

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

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Risk Adjustment Data Validation (RADV) Audit happening now

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

Claims requiring additional documentation facility reimbursement policy update

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

PCP after-hours access requirements

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

Clinical criteria and prior authorization updates for specialty pharmacy are available*

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

Access requirements for behavioral health care services

September 2019 Anthem Provider News - Indiana Behavioral Health Sep 1, 2019

Clinical Guideline Updates -- September 2019*

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

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

September 2019 Anthem Provider News - Indiana Reimbursement Policies Sep 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

Medicare News -- September 2019

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

Coming soon: Electronic attachments

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

Clinical Criteria updates

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

Customizations to the 23rd edition of the MCG Care Guidelines

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

Changes to prior authorization (PA) requirements

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

Pharmacy benefit manager change to IngenioRx

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

New service types added to Availity

N/A Medicare Aug 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

New location for Provider Manuals on anthem.com

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

Update: Sepsis Coding

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

Clinical criteria and prior authorization updates for specialty pharmacy are available*

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

REMINDER: Changes to the process for Medical Non-Oncology Specialty Drug reviews effective June 15, 2019

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

Pharmacy information available at anthem.com

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

Medical Policy and Clinical Guideline Updates -- August 2019*

August 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Aug 1, 2019

Anthem customizations to MCG care guidelines 23rd edition*

August 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*

August 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

August 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Radiation Oncology: Proton Beam Therapy Clinical Appropriateness Guideline

August 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Aug 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

Medicare News -- August 2019

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

New Reimbursement Policy: Drug Screen Testing

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

AIM Specialty Health programs may require documentation

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

Special needs plans - provider training required

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

Medicaid News -- August 2019

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

New service types added to Availity

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

Unspecified diagnosis code update

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

Pharmacy management information

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

Use the Provider Maintenance Form for professional providers to update your information

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

UPDATE: New Rehabilitative Program remains temporarily delayed

Anthem Indiana UPDATE: New Rehabilitative Program remains temporarily delayed Products & Programs Jul 16, 2019

UPDATE: new Rehabilitative Program now effective August 1, 2019

Anthem Indiana UPDATE: new Rehabilitative Program now effective August 1, 2019 Products & Programs Jul 3, 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

Reminder to providers: Fee schedule information

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

Update to Provider UM reimbursement penalties and corresponding update to Provider Manual*

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

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

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

Make the move to the Availity EDI Gateway today

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

Anthem Commercial Risk Adjustment (CRA) Reporting Update: 2019 Program Year Progression -- What’s in it for you and your patients?

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

Are you ready? Electronic prior authorization requests required effective January 1, 2020

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

MyDiversePatients.com: A website to support your diverse patients

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

Clinical criteria updates for specialty pharmacy

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

Clinical Criteria coding updates for specialty pharmacy are available

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

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*

July 2019 Anthem Provider News - Indiana Medical Policy & Clinical Guidelines Jul 1, 2019

Clinical Validation: Professional*

July 2019 Anthem Provider News - Indiana Reimbursement Policies Jul 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

Anthem Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific Specialty Drugs and Site of Care

July 2019 Anthem Provider News - Indiana Federal Employee Plan (FEP) Jul 1, 2019

Outpatient Rehabilitation Program transitioning to AIM

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

Home health billing guidelines for contracted providers

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