Missouri
Provider Communications

November 2022 Anthem Provider News - Missouri

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Title Category

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list

Medicare

CAA: Keep your provider directory information up to date

Administrative

Claims status message enhancements: providing clear descriptions and actionable next steps

Digital Tools

Keep up with Medicare News - November 2022

- Medical drug benefit Clinical Criteria updates
- New specialty pharmacy medical step therapy requirements (Avastin, Mvasi)
- New specialty pharmacy medical step therapy requirements (Zarxio)
Medicare

Medical policy and clinical guideline updates - November 2022

Medical Policy & Clinical Guidelines

New reimbursement policy: Place of Service - Facility

Reimbursement Policies

Outpatient Prepay Itemized Bill Review Program update - Facility

Reimbursement Policies

Personalized Match

Medicare

Remote EMR access service for HEDIS

Digital Tools

Specialty pharmacy updates - November 2022

Pharmacy

Submit digital attachments within seven-calendar days for claims filed with a PWK segment indicator

Digital Tools

Support documentation for AIM prior authorization requests

Administrative

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines

Visit the Provider Learning Hub to view our latest learning opportunities

Digital Tools

You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, too

Digital Tools
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