Nevada
Provider Communications

September 2022 Anthem Provider News - Nevada

Download as PDF

Title Category

Correction: New patient evaluation and management services when reported for the same patient within the last three years

Administrative

Continuing to Explore the Intersection of Race and Disability

Administrative

Important information about women’s preventive care visits

Administrative

CAA: Current provider directory information is key for members and providers to engage with you seamlessly

Administrative

Guided access HMO: Additional details

Administrative

Monkeypox resources and recommendations for our care providers

This communication applies to the Commercial and Medicare Advantage programs from

Anthem Blue Cross and Blue Shield (Anthem).

Administrative

Anthem Blue Cross and Blue Shield to accept Hospital in Home services

This communication applies to the Commercial and Medicare Advantage programs from Anthem Blue Cross and Blue Shield (Anthem).
Digital Tools

Updates to the Claim Attachment workflow

Three things to do when you do not find your claim in Claim Status
Digital Tools

New Back Pain Management Program

Products & Programs

Update to formulary lists for Commercial health plan pharmacy benefit

Pharmacy

September 2022 Specialty pharmacy updates (MAC)

Material Adverse Change (MAC)

Pharmacy

Drug code billing reminder

Pharmacy

Prior authorization requirement changes effective December 1, 2022

Medicare Advantage
Medicare

Anthem Blue Cross and Blue Shield Expands Specialty Pharmacy Precertification List

Medicare Advantage
Medicare

Nevada referral management policy

Policy Updates

Updated Prefix Refence List and Networks at a Glance documents now available

Administrative

Medical Policy and Clinical Utilization Management (UM) Guidelines update notification letter (MAC)

Material adverse change (MAC)
Medical Policy & Clinical Guidelines

Commercial reimbursement policy update to Modifier 66: Surgical Teams (Professional)

Reimbursement Policies

Policy Update: Modifier Rules (Professional) (MAC)

Material adverse change (MAC)

Reimbursement Policies

Reimbursement policy update Assistant at Surgery (Modifiers 80, 81, 82, AS) (Professional)

Reimbursement Policies

OBRA 93 claim filing for Federal Employee Program

Federal Employee Plan (FEP)

Enhancing claims attachment processes through digital applications

Medicare Advantage
Medicare

Keep up with Medicare news

Medicare Advantage

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)
Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

 

Medicare

Enhancing claims attachment processes through digital applications

Medicare Advantage
Medicaid

InterQual 2022 revisions

Medicaid
Medicaid

New specialty pharmacy medical step therapy requirements (MAC)

Medicaid
Medicaid

Policy Update — Modifiers 25 and 57: Evaluation and Management with Global Procedures

Medicare Advantage
Medicare

Keep up with Medicaid news

Medicaid

Clinical Criteria Updates
Medicaid
Page 1 of 1