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  • March 2023 Anthem Provider News - Nevada
  • Early Intervention Services Program
  • February 2023 Anthem Provider News - Nevada
  • New ID cards for Anthem Blue Cross and Blue Shield members - Nevada
  • Telephonic-only care allowance extended through April 11, 2023 - Nevada
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    • Digital Tools
  • Policy Updates
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Nevada
Provider Communications

March 2020 Anthem Provider News and Important Updates -- Nevada

Download as PDF

Title Category

Level of Care medical necessity reviews for upper and lower endoscopy procedures begin June 1, 2020 (MAC)

Material Adverse Change (MAC)
Products & Programs

Pharmacy information available on anthem.com

Pharmacy

Provider News site enhancements

Administrative

Commercial Risk Adjustment (CRA) Program Update: Medical chart collection for ACA members due March 31, 2020

Administrative

Modifier use reminders

Administrative

Updated Escalation Contact List -- Nevada

Administrative

Important coding reminder for Walk-In Retail Health Clinics

Administrative

Patient360 enhancement for medical providers

Administrative

Important Update: Milliman Care Guideline (MCG), 23rd Edition, ORG -- W0163 Pelvic Organ Prolapse Repair

Medical Policy & Clinical Guidelines

Outpatient Rehabilitation Program transition: new prior authorization requirements

Medicare

Reminder: Mid-level practitioners are required to file using their NPI

Medicare

Nonpreferred products and corresponding preferred alternatives

Medicare

Keep up with Medicare news

Medicare

Improving the patient experience

Medicaid

Medical drug benefit Clinical Criteria updates

Medicaid

Keep up with Medicaid news

Medicaid
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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), which underwrites or administers the PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare Health Services Insurance Corporation (Compcare) underwrites or administers the HMO policies and Wisconsin Collaborative Insurance Company (WCIC) underwrites or administers Well Priority HMO or POS policies. Independent licensees of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem websites constitutes your agreement with our Terms of Use.