Nevada
Provider Communications

Articles Recent

Title Publication Category Date

Continuing to Explore the Intersection of Race and Disability

Continuing to Explore the Intersection of Race and Disability forum - Nevada Administrative Sep 9, 2022

Correction: New patient evaluation and management services when reported for the same patient within the last three years

September 2022 Anthem Provider News - Nevada Administrative Sep 1, 2022

Continuing to Explore the Intersection of Race and Disability

September 2022 Anthem Provider News - Nevada Administrative Sep 1, 2022

Important information about women’s preventive care visits

September 2022 Anthem Provider News - Nevada Administrative Sep 1, 2022

CAA: Current provider directory information is key for members and providers to engage with you seamlessly

September 2022 Anthem Provider News - Nevada Administrative Sep 1, 2022

Guided access HMO: Additional details

September 2022 Anthem Provider News - Nevada Administrative Sep 1, 2022

Monkeypox resources and recommendations for our care providers

This communication applies to the Commercial and Medicare Advantage programs from

Anthem Blue Cross and Blue Shield (Anthem).

September 2022 Anthem Provider News - Nevada Administrative Sep 1, 2022

Anthem Blue Cross and Blue Shield to accept Hospital in Home services

This communication applies to the Commercial and Medicare Advantage programs from Anthem Blue Cross and Blue Shield (Anthem).
September 2022 Anthem Provider News - Nevada Digital Tools Sep 1, 2022

Updates to the Claim Attachment workflow

Three things to do when you do not find your claim in Claim Status
September 2022 Anthem Provider News - Nevada Digital Tools Sep 1, 2022

New Back Pain Management Program

September 2022 Anthem Provider News - Nevada Products & Programs Sep 1, 2022

Update to formulary lists for Commercial health plan pharmacy benefit

September 2022 Anthem Provider News - Nevada Pharmacy Sep 1, 2022

September 2022 Specialty pharmacy updates (MAC)

Material Adverse Change (MAC)

September 2022 Anthem Provider News - Nevada Pharmacy Sep 1, 2022

Drug code billing reminder

September 2022 Anthem Provider News - Nevada Pharmacy Sep 1, 2022

Prior authorization requirement changes effective December 1, 2022

Medicare Advantage
September 2022 Anthem Provider News - Nevada Medicare Sep 1, 2022

Anthem Blue Cross and Blue Shield Expands Specialty Pharmacy Precertification List

Medicare Advantage
September 2022 Anthem Provider News - Nevada Medicare Sep 1, 2022

Nevada referral management policy

September 2022 Anthem Provider News - Nevada Policy Updates Sep 1, 2022

Updated Prefix Refence List and Networks at a Glance documents now available

September 2022 Anthem Provider News - Nevada Administrative Sep 1, 2022

Medical Policy and Clinical Utilization Management (UM) Guidelines update notification letter (MAC)

Material adverse change (MAC)
September 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Sep 1, 2022

Commercial reimbursement policy update to Modifier 66: Surgical Teams (Professional)

September 2022 Anthem Provider News - Nevada Reimbursement Policies Sep 1, 2022

Policy Update: Modifier Rules (Professional) (MAC)

Material adverse change (MAC)

September 2022 Anthem Provider News - Nevada Reimbursement Policies Sep 1, 2022

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

September 2022 Anthem Provider News - Nevada Reimbursement Policies Sep 1, 2022

OBRA 93 claim filing for Federal Employee Program

September 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) Sep 1, 2022

Enhancing claims attachment processes through digital applications

Medicare Advantage
September 2022 Anthem Provider News - Nevada Medicare Sep 1, 2022

Keep up with Medicare news

Medicare Advantage

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)
Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

 

September 2022 Anthem Provider News - Nevada Medicare Sep 1, 2022

Enhancing claims attachment processes through digital applications

Medicare Advantage
September 2022 Anthem Provider News - Nevada Medicaid Sep 1, 2022

InterQual 2022 revisions

Medicaid
September 2022 Anthem Provider News - Nevada Medicaid Sep 1, 2022

New specialty pharmacy medical step therapy requirements (MAC)

Medicaid
September 2022 Anthem Provider News - Nevada Medicaid Sep 1, 2022

Policy Update — Modifiers 25 and 57: Evaluation and Management with Global Procedures

Medicare Advantage
September 2022 Anthem Provider News - Nevada Medicare Sep 1, 2022

Keep up with Medicaid news

Medicaid

Clinical Criteria Updates
September 2022 Anthem Provider News - Nevada Medicaid Sep 1, 2022

Information from Anthem for Care Providers about COVID-19 (Updated August 8, 2022)

We recently updated information about coverage dates for telephonic-only care.
COVID-19 Information - Nevada Administrative Aug 8, 2022

Nevada referral management policy

Nevada referral management policy Policy Updates Aug 5, 2022

New patient evaluation and management services when reported for the same patient within the last three years

August 2022 Anthem Provider News - Nevada Administrative Aug 1, 2022

Timely updates help keep our provider directories current

August 2022 Anthem Provider News - Nevada Administrative Aug 1, 2022

New provider manual available

August 2022 Anthem Provider News - Nevada Administrative Aug 1, 2022

Reminder: inpatient/outpatient commercial claim denials

August 2022 Anthem Provider News - Nevada Administrative Aug 1, 2022

Update: outpatient prepay itemized bill review program (MAC)

Material adverse change (MAC)
August 2022 Anthem Provider News - Nevada Administrative Aug 1, 2022

Performance enhancements to the authorization application on Availity

August 2022 Anthem Provider News - Nevada Digital Tools Aug 1, 2022

Introducing the Provider Learning Hub

August 2022 Anthem Provider News - Nevada Digital Tools Aug 1, 2022

Add supporting documents directly to your claims with the new Claims Status Send Attachments feature

August 2022 Anthem Provider News - Nevada Digital Tools Aug 1, 2022

Telehealth visits can impact after-hospitalization follow-up care for mental illness

August 2022 Anthem Provider News - Nevada Behavioral Health Aug 1, 2022

Pharmacy information available on the provider website

August 2022 Anthem Provider News - Nevada Pharmacy Aug 1, 2022

Specialty pharmacy updates (MAC)

Material adverse change (MAC)
August 2022 Anthem Provider News - Nevada Pharmacy Aug 1, 2022

Nevada referral management policy

August 2022 Anthem Provider News - Nevada Policy Updates Aug 1, 2022

Keep up with Medicare news

Medicare Advantage

Medical drug benefit Clinical Criteria updates

August 2022 Anthem Provider News - Nevada Medicare Aug 1, 2022

Chlamydia screening

Medicaid
August 2022 Anthem Provider News - Nevada Medicaid Aug 1, 2022

Using SBIRT to address opioid and substance use disorders

Medicaid
August 2022 Anthem Provider News - Nevada Medicaid Aug 1, 2022

The cost of alcohol use disorder

Medicaid
August 2022 Anthem Provider News - Nevada Medicaid Aug 1, 2022

Keep up with Medicaid news

Medicaid

Medical drug benefit Clinical Criteria updates

Residential treatment center services

August 2022 Anthem Provider News - Nevada Medicaid Aug 1, 2022

Prior authorization requirement changes effective November 1, 2022

Medicaid
August 2022 Anthem Provider News - Nevada Medicaid Aug 1, 2022

Join us for our next clinical quality in practice webinar

Join us for our next clinical quality in practice webinar - Nevada Administrative Jul 20, 2022

Nevada referral management policy

All members on a product with referral management will have an attributed PCP within the product parameters.
Nevada referral management policy Policy Updates Jul 7, 2022

Keep up with Medicare news

Medicare Advantage

New specialty pharmacy medical step therapy requirements
July 2022 Anthem Provider News - Nevada Medicare Jul 1, 2022

Medical drug benefit Clinical Criteria updates

Medicaid
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

Medical Policies and Clinical Utilization Management Guidelines update

Medicaid
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

Drug screening and testing policy changes

Medicaid
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

Experience the difference: Your Provider Experience team

Medicaid
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

New process for making requests to the state to consider covering non-covered codes

Medicaid
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

Keep up with Medicaid news

Medicaid

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Prior authorization updates for medications billed under the medical benefit

Updates for medication codes billed under the medical benefit
July 2022 Anthem Provider News - Nevada Medicaid Jul 1, 2022

Introducing Elevance Health — Focusing on whole health and its most powerful drivers

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

More potato chips, sugary drinks, and less physical activity are key contributors to childhood obesity

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

Clearing up coding confusion for diabetic retinal screenings

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

Update to facility editing: HCPCS code G0463

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

CAA: Keep your provider directory information current

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

Drug fee schedule update

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

Non-participating lab referrals

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

Experience the difference: Your Provider Experience team

July 2022 Anthem Provider News - Nevada Administrative Jul 1, 2022

Coming soon: The Anthem Blue Cross and Blue Shield Provider Learning Hub makes Availity learning easier

July 2022 Anthem Provider News - Nevada Digital Tools Jul 1, 2022

Enhancing claims attachment processes through digital applications

Add attachments through Claims Status Inquiry
July 2022 Anthem Provider News - Nevada Digital Tools Jul 1, 2022

Pharmacy information available online

July 2022 Anthem Provider News - Nevada Pharmacy Jul 1, 2022

Change notification to Medical Policies and Clinical UM Guidelines (MAC)

Material Adverse Change (MAC)
July 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jul 1, 2022

Enhanced reimbursement for voluntary Cancer Care Quality program to be discontinued effective December 31, 2022

July 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jul 1, 2022

Help patients heal from the comfort of home with Hospital in Home care

July 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jul 1, 2022

Reimbursement policy update: Place of Service (Facility)(MAC)

Material adverse change (MAC)
July 2022 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2022

New reimbursement policy: Transitional Care Management (Professional)

July 2022 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, and XU (Professional)(MAC)

Material adverse change (MAC)
July 2022 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2022

Retraction for reimbursement policy: Sexually Transmitted Infections (Professional)

July 2022 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2022

New reimbursement policy: Modifier FB (Professional & Facility)(MAC)

Material adverse change (MAC)
July 2022 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Laboratory and Venipuncture Services (Professional & Facility)(MAC)

Material adverse change (MAC)
July 2022 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Modifier Rules (Professional)(MAC)

Material adverse change (MAC)
July 2022 Anthem Provider News - Nevada Reimbursement Policies Jul 1, 2022

Cancer Care Navigator

Medicare Advantage
July 2022 Anthem Provider News - Nevada Medicare Jul 1, 2022

Help patients heal from the comfort of home with Hospital in Home care

Medicare Advantage
July 2022 Anthem Provider News - Nevada Medicare Jul 1, 2022

Non-participating lab referrals

Medicare Advantage
July 2022 Anthem Provider News - Nevada Medicare Jul 1, 2022

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

Medicare Advantage
July 2022 Anthem Provider News - Nevada Medicare Jul 1, 2022

Introducing Elevance Health - Focusing on whole health and its most powerful drivers

Elevance Health Administrative Jun 21, 2022

Exploring the Intersection of Race and Disability

Register today for a forum on Exploring the Intersection of Race and Disability hosted by Anthem Blue Cross and Blue Shield (“Anthem”) and Motivo* for Anthem providers on June 22, 2022.
Exploring the Intersection of Race and Disability forum - Nevada Administrative Jun 1, 2022

Provider outreach to validate your provider data

June 2022 Anthem Provider News - Nevada Administrative Jun 1, 2022

CAA: Provider directories accuracy is important

June 2022 Anthem Provider News - Nevada Administrative Jun 1, 2022

Updates to edits associated with implants

June 2022 Anthem Provider News - Nevada Administrative Jun 1, 2022

Once-a-year testing is critically important to providing quality diabetes care

June 2022 Anthem Provider News - Nevada Administrative Jun 1, 2022

Update: Use of modifier 25 when billing for visits that include preventive services and problem-oriented evaluation and management services

June 2022 Anthem Provider News - Nevada Administrative Jun 1, 2022

Updated AIM Musculoskeletal Program effective October 1, 2022: Monitored Anesthesia Care Reviews (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Nevada Products & Programs Jun 1, 2022

Updated AIM Musculoskeletal Program effective September 1, 2022 site of care reviews (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Nevada Products & Programs Jun 1, 2022

Opioid overdose deaths: What can we do?

June 2022 Anthem Provider News - Nevada Behavioral Health Jun 1, 2022

June 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Nevada Pharmacy Jun 1, 2022

Medical Policy and clinical UM guidelines notification update (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM Specialty Health musculoskeletal clinical appropriateness guidelines (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM Specialty Health sleep disorder management clinical appropriateness guidelines (MAC)

Material adverse change (MAC)

June 2022 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Jun 1, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services (Facility) (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Nevada Reimbursement Policies Jun 1, 2022

Process change for Federal Employee Program® third-party correspondence requests

June 2022 Anthem Provider News - Nevada Federal Employee Plan (FEP) Jun 1, 2022
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