Nevada
Provider Communications

October 2021 Anthem Provider News - Nevada

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Title Category

Looking to earn continuing medical education credits? Register for these on-demand webinars.

Administrative

Clinical appeals

Administrative

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
Administrative

Federal Price Transparency and Consolidated Appropriations Act phase in new mandates beginning January 1, 2022

Administrative

Your recommendation is key to encouraging cancer screenings for your female patients

Administrative

Good news! Non-payment remittance advice enhancements coming soon

Administrative

Procedure searches in Find Care

Digital Tools

REMINDER: EnrollSafe, the new electronic funds transfer enrollment portal for Anthem providers is replacing CAQH Enrollhub effective November 1, 2021

Digital Tools

Pharmacy information available on anthem.com

Pharmacy

October 2021 specialty pharmacy updates are available (MAC)

Material adverse change (MAC)
Pharmacy

Clarification: Anthem’s enhanced claim edits for outpatient facility claims

Reimbursement Policies

Reimbursement policy clarification: Claims Requiring Additional Documentation (facility)

Reimbursement Policies

Sexually Transmitted Infections Testing (Professional)

Medicare Advantage
Medicare

Information about 2021 Special Needs Plans

Medicare Advantage
Medicare

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

Medicare Advantage
Medicare

New Medical Step Therapy requirements

Medicare Advantage
Medicare

Drug fee schedule update

Administrative

Guided Access HMO plans overview

Administrative

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

Material adverse change (MAC)

Reimbursement Policies

Medical policy and clinical UM guidelines notification (MAC)

Material adverse change (MAC)
Medical Policy & Clinical Guidelines

Keep up with Medicare news

View these Medicare articles:
Medicare

CORRECTION: Resources to support your diverse patient panel

Medicaid
Medicaid

Diabetes testing and screening HEDIS measures

Medicaid
Medicaid

New reimbursement policy: Sexually Transmitted Infections Testing (Professional)

Medicaid
Medicaid

Prior authorization updates for specialty pharmacy

Medicaid
Medicaid

Prior authorization updates for specialty pharmacy

Medicaid
Medicaid

Keep up with Medicaid news

View these Medicaid articles: 
Medicaid
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