Nevada
Provider Communications

Provider Spotlight

Jan 18, 2022

Important COVID-19 update: Prior authorization and other policy adjustments (Updated January 18, 2022)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing facilities.

Dec 30, 2021

Information from Anthem for Care Providers about COVID-19 (Updated December 30, 2021)

We recently updated information about coverage and cost shares for telephonic-only care.


Articles Recent

Title Publication Category Date

Important COVID-19 update: Prior authorization and other policy adjustments (Updated January 18, 2022)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing facilities.
COVID-19 Information - Nevada Administrative Jan 18, 2022

New Medicare Advantage plan will have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing Providers Nationally

Effective April 1, 2022, approximately 200,000 Medicare-eligible City of New York retirees across the United States will transition to the NYC Medicare Advantage Plus plan and have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

Important Update for New 200k Group Retiree PPO Plan Administrative Jan 5, 2022

Well-child visits: Know the numbers

January 2022 Anthem Provider News - Nevada Administrative Jan 1, 2022

Important update on Botox® for Medicare members of Anthem Blue Cross and Blue Shield

Medicare Advantage
January 2022 Anthem Provider News - Nevada Medicare Jan 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

Medicare Advantage
January 2022 Anthem Provider News - Nevada Medicare Jan 1, 2022

Caesar’s new employer group for Anthem effective January 1, 2022!

January 2022 Anthem Provider News - Nevada Administrative Jan 1, 2022

Blue High Performance Network name changing for 2022

January 2022 Anthem Provider News - Nevada Administrative Jan 1, 2022

Drug fee schedule update

January 2022 Anthem Provider News - Nevada Pharmacy Jan 1, 2022

2022 FEP® Benefit information available online

January 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) Jan 1, 2022

Keep up with Medicare news

Medicare Advantage

January 2022 Anthem Provider News - Nevada Medicare Jan 1, 2022

Keep up with Medicaid news

Medicaid

January 2022 Anthem Provider News - Nevada Medicaid Jan 1, 2022

Information from Anthem for Care Providers about COVID-19 (Updated December 30, 2021)

We recently updated information about coverage and cost shares for telephonic-only care.
COVID-19 Information - Nevada Administrative Dec 30, 2021

Anthem Blue Cross and Blue Shield is transitioning to the Availity Authorization App

Availity Authorization App improvements based on your feedback
Availity Authorization App improvements - NV Digital Tools Dec 28, 2021

Important information about utilization management

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Member rights and responsibilities

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Coordination of care

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Professional system updates for 2022

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Clinical practice and preventive health guidelines available on anthem.com

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Outpatient system updates for 2022

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Chlamydia is asymptomatic. Only through screening will we know for sure.

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Behavioral healthcare appointment access requirements

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Importance of PCP after-hours messaging

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Non-participating lab referrals

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

UPDATE: Implementation of provider claim payment dispute process for Commercial lines of business has been delayed

December 2021 Anthem Provider News - Nevada Administrative Dec 1, 2021

Reminder: EnrollSafe is available: electronic funds transfer enrollment portal for Anthem Blue Cross and Blue Shield providers

EnrollSafe replaced CAQH Enrollhub effective November 1, 2021
December 2021 Anthem Provider News - Nevada Digital Tools Dec 1, 2021

Submitting prior authorizations is getting easier

Anthem is transitioning to the Availity Authorization app
December 2021 Anthem Provider News - Nevada Digital Tools Dec 1, 2021

Is prior authorization required?

Answering your questions about the new Availity Authorization App
December 2021 Anthem Provider News - Nevada Digital Tools Dec 1, 2021

Company to retire Blue Precision program on December 31, 2021

December 2021 Anthem Provider News - Nevada Products & Programs Dec 1, 2021

Case Management Program

December 2021 Anthem Provider News - Nevada Products & Programs Dec 1, 2021

December 2021 specialty pharmacy updates (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Nevada Pharmacy Dec 1, 2021

Pharmacy information available on anthem.com

December 2021 Anthem Provider News - Nevada Pharmacy Dec 1, 2021

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Dec 1, 2021

Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) (Professional) (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Nevada Reimbursement Policies Dec 1, 2021

Reimbursement policy update: Virtual Visits (professional and facility)

December 2021 Anthem Provider News - Nevada Reimbursement Policies Dec 1, 2021

RETRACTION: Inpatient Facility Transfers reimbursement policy (facility)

December 2021 Anthem Provider News - Nevada Reimbursement Policies Dec 1, 2021

New reimbursement policy update: Modifier 62: Co-Surgeon Services and Modifier 66: Surgical Teams (professional)

December 2021 Anthem Provider News - Nevada Reimbursement Policies Dec 1, 2021

Policy Update: Drug Screen Testing

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

2022 Medicare Advantage service area and benefit updates

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Somatus is your resource for kidney care management

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Submitting prior authorizations is getting easier

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Claims editing update for ICD-10-CM Excludes1 notes

Medicaid
December 2021 Anthem Provider News - Nevada Medicaid Dec 1, 2021

Keep up with Medicare news

Medicare Advantage
December 2021 Anthem Provider News - Nevada Medicare Dec 1, 2021

Non-payment remittance advice enhancements

Medicaid
December 2021 Anthem Provider News - Nevada Medicaid Dec 1, 2021

Submitting prior authorizations is getting easier

Medicaid
December 2021 Anthem Provider News - Nevada Medicaid Dec 1, 2021

Policy Update: Drug Screen Testing

Medicaid
December 2021 Anthem Provider News - Nevada Medicaid Dec 1, 2021

Prior authorization updates for medications billed under the medical benefit

Medicaid
December 2021 Anthem Provider News - Nevada Medicaid Dec 1, 2021

Keep up with Medicaid news

Medicaid
December 2021 Anthem Provider News - Nevada Medicaid Dec 1, 2021

Register today for a forum on Grief and Loss: The disproportionate impact of the pandemic on communities of color

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about the disproportionate impact of the pandemic on communities of color.

Grief & Loss Forum - Nevada Administrative Nov 29, 2021

Join Anthem in talking about racism and its impact on health, and earn continuing education credits!

November 2021 Anthem Provider News - Nevada Administrative Nov 1, 2021

Change in coverage for continuous glucose monitors for some fully insured groups

November 2021 Anthem Provider News - Nevada Administrative Nov 1, 2021

CME credits available in 2021 for a variety of clinical quality webinars - register now!

November 2021 Anthem Provider News - Nevada Administrative Nov 1, 2021

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

November 2021 Anthem Provider News - Nevada Administrative Nov 1, 2021

Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claims

November 2021 Anthem Provider News - Nevada Administrative Nov 1, 2021

Time to prepare for HEDIS® medical record review

November 2021 Anthem Provider News - Nevada Administrative Nov 1, 2021

Reducing the burden of medical record review and improving health outcomes with ECDS reporting

November 2021 Anthem Provider News - Nevada Administrative Nov 1, 2021

Be Antibiotics Aware: Protect your patient

November 2021 Anthem Provider News - Nevada Administrative Nov 1, 2021

Surprisingly easy ways to help patients quit smoking cigarettes

November 2021 Anthem Provider News - Nevada Administrative Nov 1, 2021

Avoid claim denials: VYNE Medical attachment program has expired

Advise clearinghouses we no longer accept attachments through this vendor to avoid claim denials.
November 2021 Anthem Provider News - Nevada Administrative Nov 1, 2021

Provider claim payment disputes for Anthem’s Commercial lines of business

November 2021 Anthem Provider News - Nevada Administrative Nov 1, 2021

Against medical advice (AMA) discharge physician tracking tool

November 2021 Anthem Provider News - Nevada Digital Tools Nov 1, 2021

EnrollSafe is available: Our new electronic funds transfer enrollment portal for Anthem providers

EnrollSafe replaces CAQH Enrollhub effective November 1, 2021
November 2021 Anthem Provider News - Nevada Digital Tools Nov 1, 2021

Update regarding annual wellness visits for ACA-compliant health plans

November 2021 Anthem Provider News - Nevada Products & Programs Nov 1, 2021

Blue High Performance Network name changing for 2022

November 2021 Anthem Provider News - Nevada Products & Programs Nov 1, 2021

Important update on Botox® for Anthem members

November 2021 Anthem Provider News - Nevada Pharmacy Nov 1, 2021

Nevada specialty pharmacy updates (MAC)

Material adverse change (MAC)
November 2021 Anthem Provider News - Nevada Pharmacy Nov 1, 2021

Medical Policy and Clinical UM Guidelines updates

November 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Nov 1, 2021

Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation (professional)

November 2021 Anthem Provider News - Nevada Reimbursement Policies Nov 1, 2021

Clinical Criteria updates

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicare Nov 1, 2021

Anthem Blue Cross and Blue Shield offering Advance Medical Directives program for 2022

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicare Nov 1, 2021

Electronic data interchange process

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicare Nov 1, 2021

New York City Medicare Advantage announcement

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicare Nov 1, 2021

Get your payments faster when you sign up for electronic funds transfer

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicare Nov 1, 2021

Keep up with Medicare news

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicare Nov 1, 2021

Electronic data interchange process

Medicaid
November 2021 Anthem Provider News - Nevada Medicaid Nov 1, 2021

Get your payments faster when you sign up for electronic funds transfer

Medicare Advantage
November 2021 Anthem Provider News - Nevada Medicaid Nov 1, 2021

Unspecified diagnosis reminder

Medicaid
November 2021 Anthem Provider News - Nevada Medicaid Nov 1, 2021

4 things you can do to encourage cancer screenings for your women patients

Medicaid
November 2021 Anthem Provider News - Nevada Medicaid Nov 1, 2021

Keep up with Medicaid news

Medicaid
November 2021 Anthem Provider News - Nevada Medicaid Nov 1, 2021

Join The Fenway Institute for a CME webinar about improving your LGBTQIA+ patient interactions

Join a live webinar, “LGBTQIA+ Care: Delivering Trust and Belonging with Every Interaction,” presented by the National LGBTQIA+ Health Education Center at The Fenway Institute. 

Gain LGBTQIA+ Patient Interaction Knowledge - Nevada Administrative Oct 21, 2021

New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing Providers Nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

New 240k member Medicare Advantage Group Retiree PPO plan Medicare Oct 19, 2021

Join the American Heart Association for a CME webinar on hypertension and diabetes disease management

Chronic disease management strategies for your patients with hypertension and diabetes
Date: Friday, October 8, 2021
Time: 12:00 p.m. ET

Clinical Quality CME Webinar Series Continues - Nevada Administrative Oct 5, 2021

Looking to earn continuing medical education credits? Register for these on-demand webinars.

October 2021 Anthem Provider News - Nevada Administrative Oct 1, 2021

Clinical appeals

October 2021 Anthem Provider News - Nevada Administrative Oct 1, 2021

Are you talking to ALL of your patients about breast cancer screenings?

African American and Hispanic women have higher risk of death from breast cancer than their White counterparts.1
October 2021 Anthem Provider News - Nevada Administrative Oct 1, 2021

Federal Price Transparency and Consolidated Appropriations Act phase in new mandates beginning January 1, 2022

October 2021 Anthem Provider News - Nevada Administrative Oct 1, 2021

Your recommendation is key to encouraging cancer screenings for your female patients

October 2021 Anthem Provider News - Nevada Administrative Oct 1, 2021

Good news! Non-payment remittance advice enhancements coming soon

October 2021 Anthem Provider News - Nevada Administrative Oct 1, 2021

Procedure searches in Find Care

October 2021 Anthem Provider News - Nevada Digital Tools Oct 1, 2021

REMINDER: EnrollSafe, the new electronic funds transfer enrollment portal for Anthem providers is replacing CAQH Enrollhub effective November 1, 2021

October 2021 Anthem Provider News - Nevada Digital Tools Oct 1, 2021

Pharmacy information available on anthem.com

October 2021 Anthem Provider News - Nevada Pharmacy Oct 1, 2021

October 2021 specialty pharmacy updates are available (MAC)

Material adverse change (MAC)
October 2021 Anthem Provider News - Nevada Pharmacy Oct 1, 2021

Clarification: Anthem’s enhanced claim edits for outpatient facility claims

October 2021 Anthem Provider News - Nevada Reimbursement Policies Oct 1, 2021

Reimbursement policy clarification: Claims Requiring Additional Documentation (facility)

October 2021 Anthem Provider News - Nevada Reimbursement Policies Oct 1, 2021

Sexually Transmitted Infections Testing (Professional)

Medicare Advantage
October 2021 Anthem Provider News - Nevada Medicare Oct 1, 2021

Information about 2021 Special Needs Plans

Medicare Advantage
October 2021 Anthem Provider News - Nevada Medicare Oct 1, 2021
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