Nevada
Provider Communications

November 2022 Anthem Provider News - Nevada

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Title Category

Support documentation for AIM prior authorization requests

Administrative

CAA: Keep your provider directory information up to date

Administrative

Update to the professional fee schedule

Administrative

Participating lab referrals help our members most

This communication applies to the Medicare Advantage and Commercial programs from Anthem Blue Cross and Blue Shield (Anthem) in Nevada.
Administrative

COVID-19 vaccines for youth toolkit available

This communication applies to the Medicaid program from Anthem Blue Cross and Blue Shield Healthcare Solutions and the Commercial programs from Anthem Blue Cross and Blue Shield (Anthem) in Nevada.
Digital Tools

Remote EMR access service for HEDIS

This communication applies to the Medicaid program from Anthem Blue Cross and Blue Shield Healthcare Solutions and the Medicare Advantage and Commercial programs from Anthem Blue Cross and Blue Shield (Anthem) in Nevada.
Digital Tools

Claims status message enhancements: providing clear descriptions and actionable next steps

Digital Tools

Authorization application enhancements: faster, easier, and more efficient

Digital Tools

Submit digital attachments within seven-calendar days for claims filed with a PWK segment indicator

Digital Tools

RETRACTION - You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, too

Digital Tools

Visit the Provider Learning Hub to view our latest learning opportunities

Digital Tools

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines

Improve patient outcomes for colorectal cancer screening with Labcorp’s FIT test

Medical Policy & Clinical Guidelines

Correction to reimbursement policy: Place of Service (Facility) (MAC)

Material adverse change (MAC)
Reimbursement Policies

Specialty pharmacy updates - November 2022

Pharmacy

Guidance for coding evaluation and management services for new and established patients

Medicaid

Medicaid

Alcohol use disorders often coexist with psychiatric disorders

Medicaid

Medicaid

Important information about utilization management

Medicaid

Medicaid

Keep up with Medicaid news

Medicaid
  • Medical drug benefit Clinical Criteria updates
  • Prior authorization requirement changes effective November 1, 2022
Medicaid

Courtesy notification of specialty pharmacy medical step therapy updates

Medicare Advantage

Medicare

Personalized Match

Medicare Advantage

Medicare

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)

Medicare Advantage
Material adverse change (MAC)
Medicare

Keep up with Medicare news

Medicare Advantage

Medicare
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