CommercialOctober 1, 2021
Guided Access HMO plans overview
Guided Access HMO plans may be accessing a different network depending on the Health Benefit plan option.
- Large Group/Small Group members will utilize the HMO Nevada network
- Individual Exchange members will utilize the Pathway X HMO network
Referral requirements
Guided Access HMO plans both require a Primary Medical Group selection and Primary Care Physician (PCP) referral to specialists. Submit referral requests should through Availity via the Interactive Care Reviewer (ICR) online referral tool.
Sample Guided Access HMO ID card
Please note the ID cards below are just samples, and do not include actual member information such as copays. That information will be included when the ID cards are generated and sent to members prior to the effective dateSummary of Information
Additional Details:
Contact your local Anthem network consultant for additional details regarding:
- Operational Procedures
- Referrals for Guided Access HMO
- Submit a Referral via Interactive Care Reviewer (ICR).
Anthem is dedicated to providing excellent customer service for Guided Access HMO members and their providers. We look forward to building a successful relationship. We appreciate this opportunity to assist you.
ATTACHMENTS: 1336 ID image.jpg (jpg - 0.13mb)
PUBLICATIONS: October 2021 Anthem Provider News - Nevada
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Visit https://providernews.anthem.com/nevada/articles/guided-access-hmo-plans-overview-8917
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