Nevada
Provider Communications

Articles Recent

Title Publication Category Date

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

HEDIS® medical record submission made easier with our Remote EMR Access Service

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

New Medical Step Therapy requirements

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

Drug fee schedule update

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

Guided Access HMO plans overview

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

New reimbursement policy: Multiple and Bilateral Surgery Processing (facility) (MAC)

Material adverse change (MAC)

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

Medical policy and clinical UM guidelines notification (MAC)

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

Keep up with Medicare news

View these Medicare articles:
October 2021 Anthem Provider News - Nevada Medicare Oct 1, 2021

CORRECTION: Resources to support your diverse patient panel

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

Diabetes testing and screening HEDIS measures

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

New reimbursement policy: Sexually Transmitted Infections Testing (Professional)

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

Prior authorization updates for specialty pharmacy

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

Prior authorization updates for specialty pharmacy

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

Keep up with Medicaid news

View these Medicaid articles: 
October 2021 Anthem Provider News - Nevada Medicaid Oct 1, 2021

Register now for our September CME webinars!

September 2021 Anthem Provider News - Nevada Administrative Sep 1, 2021

National Accounts 2022 pre-certification list

September 2021 Anthem Provider News - Nevada Administrative Sep 1, 2021

Statin therapy for patients with diabetes

Achieve 90% patient statin therapy adherence with a personalized approach
September 2021 Anthem Provider News - Nevada Administrative Sep 1, 2021

HEDIS® medical record submission made easier with our Remote EMR Access Service

September 2021 Anthem Provider News - Nevada Administrative Sep 1, 2021

6 SIMPLE strategies to help increase medication adherence

September 2021 Anthem Provider News - Nevada Administrative Sep 1, 2021

Cure for the common cold: rest, fluids and this free prescription pad

Be Antibiotic Aware campaign offers a prescription solution to antibiotics
September 2021 Anthem Provider News - Nevada Administrative Sep 1, 2021

Non-participating lab referrals

September 2021 Anthem Provider News - Nevada Administrative Sep 1, 2021

September 2021 updates for specialty pharmacy are available (MAC)

Material adverse change (MAC)
September 2021 Anthem Provider News - Nevada Pharmacy Sep 1, 2021

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

Introducing EnrollSafe, the new electronic funds transfer enrollment portal for Anthem providers – replacing CAQH Enrollhub effective November 1, 2021
September 2021 Anthem Provider News - Nevada Digital Tools Sep 1, 2021

Reimbursement policy update: Sexually Transmitted Infections Testing (Professional) (MAC)

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

Reimbursement policy update: Drug Screen Testing (Professional) (MAC)

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

New reimbursement policy update: Inpatient Facility Transfers (Facility) (MAC)

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

Reimbursement Policy Update: DRG Inpatient Facility Transfers

Medicare Advantage
September 2021 Anthem Provider News - Nevada Medicare Sep 1, 2021

Prior authorization/precertification form notification

Medicare Advantage
September 2021 Anthem Provider News - Nevada Medicare Sep 1, 2021

Utilization management authorization rule operations

Medicare Advantage
September 2021 Anthem Provider News - Nevada Medicare Sep 1, 2021

Keep up with Medicare news

Medicare Advantage

Clinical criteria updates notification May 2021
September 2021 Anthem Provider News - Nevada Medicare Sep 1, 2021

Keep up with Medicaid news

View these Medicaid articles:
Iron infusion step therapy
Iron infusion prior authorization update
September 2021 Anthem Provider News - Nevada Medicaid Sep 1, 2021

Good news! Dignity Health will remain in-network

Good news! Dignity Health will remain in-network Administrative Aug 2, 2021

Information from Anthem for Care Providers about COVID-19 (Updated August 2, 2021)

We recently updated information about coverage and cost shares for telephonic-only care.
COVID-19 Information - Nevada Administrative Aug 2, 2021

Preventing claims denials: shingles vaccine

Medicare Advantage
August 2021 Anthem Provider News - Nevada Medicare Aug 1, 2021

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

August 2021 Anthem Provider News - Nevada Administrative Aug 1, 2021

Clearing up coding confusion for retinal eye exams (DRE)

3072F: new language about two-year compliance.
August 2021 Anthem Provider News - Nevada Administrative Aug 1, 2021

Register now for our August CME webinars!

August 2021 Anthem Provider News - Nevada Administrative Aug 1, 2021

Digital scheduling feature in the Availity portal: the Appointment Scheduler application

August 2021 Anthem Provider News - Nevada Digital Tools Aug 1, 2021

Submitting prior authorizations is getting easier

Anthem is transitioning to Availity Authorization
August 2021 Anthem Provider News - Nevada Digital Tools Aug 1, 2021

Specialty dose rounding program for certain oncology medications

August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

Pharmacy information available on anthem.com

August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit

August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

August 2021 updates for specialty pharmacy are available

Material adverse change (MAC): prior authorization updates
August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021

August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

Immune globulin adjusted body weight dosing program beginning August 1, 2021

August 2021 Anthem Provider News - Nevada Pharmacy Aug 1, 2021

New clinical guideline: Home Parenteral Nutrition, effective November 1, 2021

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

Transition to AIM Specialty Health Imaging of the heart clinical appropriateness guideline for Computed Tomography to Detect Coronary Artery Calcification

August 2021 Anthem Provider News - Nevada Medical Policy & Clinical Guidelines Aug 1, 2021

Pre-service/prior authorization clinical review update: August 1, 2021

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

Reimbursement policy update: claims requiring additional documentation (facility)

August 2021 Anthem Provider News - Nevada Reimbursement Policies Aug 1, 2021

Reimbursement policy update: Distinct Procedural Service, modifiers 59 and XE, XP, XS, & XU

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

Reimbursement policy update: Virtual Visits (professional and facility)

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

Change in email submission of service requests for Federal Employee Program® members

Material adverse change (MAC)
August 2021 Anthem Provider News - Nevada Federal Employee Plan (FEP) Aug 1, 2021

Keep up with Medicare news

Medicare Advantage
August 2021 Anthem Provider News - Nevada Medicare Aug 1, 2021

Prior authorization requirement changes effective September 1, 2021: UM AROW 1576

Medicaid
August 2021 Anthem Provider News - Nevada Medicaid Aug 1, 2021
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