Nevada
Provider Communications

August 2020 Anthem Provider News and Important Updates -- Nevada

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Title Category

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
Pharmacy

Voluntary Site of Care outreach for Oncology Checkpoint Inhibitors beginning August 1, 2020

Pharmacy

Anthem to update formulary lists for commercial health plan pharmacy benefit

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Change Notification to Provider and Facility Manual effective November 1, 2020 (MAC)

Material Adverse Change (MAC)
Administrative

Expansion of AIM Musculoskeletal Program Effective November 1, 2020 (MAC)

Material Adverse Change (MAC)
Administrative

Commercial Risk Adjustment (CRA): Appropriate coding helps provide a comprehensive picture of patients’ health

Administrative

Non-participating lab referrals

Administrative

Resources to support diverse patients and communities

Administrative

Migrate Your EDI Transactions to Availity Today

Administrative

Anthem Electronic Attachments -- X12 275 5010

Administrative

Prior Authorization/Referral Request and Inpatient Admission/Discharge Notification transactions coming soon

Administrative

Clinical Laboratory Improvement Amendments (CLIA) ID number required for electronic claims submissions

Administrative

Medical Policy and Clinical UM Guidelines notification letter (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Medical Record Standards

Medical Policy & Clinical Guidelines

Reimbursement policy update -- Claims Requiring Additional Documentation (Facility)

Reimbursement Policies

Keep up with Medicaid news

Medicaid

Medical drug benefit Clinical Criteria updates

Medicare

New MCG Care Guidelines 24th edition

Medicare

Keep up with Medicare news

Medicare

2020 Medicare risk adjustment provider trainings

Medicare
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