August 17, 2018
August 2018 Anthem Provider Newsletter - NV
Administrative
CommercialAugust 17, 2018
Provider and Facility identified Overpayments (aka “voluntary” or “unsolicited”)CommercialAugust 17, 2018
Updated Prefix Reference ListCommercialAugust 17, 2018
Health Care Reform Updates (including Health Insurance Marketplace / Affordable Care Act)CommercialAugust 17, 2018
New enhancements to the Interactive Care Reviewer (ICR) toolCommercialAugust 17, 2018
Anthem accepts pre-certification requests for prescription medications onlineCommercialAugust 17, 2018
Network Update newsletter has a new look and usability featuresCommercialAugust 17, 2018
Working with Anthem – 2018 Subject Specific Webinars – August scheduleCommercialAugust 17, 2018
Anthem to enhance automated claim edits for professional claimsCommercialAugust 17, 2018
Important information about billing colonoscopy and related anesthesia servicesCommercialAugust 17, 2018
Provider Transparency UpdateCommercialAugust 17, 2018
Innovative ways to improve your patients’ experiences and earn CME creditsCommercialAugust 17, 2018
Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid Available on the WebCommercialAugust 17, 2018
Member Explanation of Benefits gets a makeoverCommercialAugust 17, 2018
Care and Cost Finder – New Sort OptionCommercialAugust 17, 2018
Non-participating lab referralsCommercialAugust 17, 2018
Anthem has partnered with Availity to become our designated EDI GatewayCommercialAugust 17, 2018
Availity webinars regarding EDIPolicy Updates
CommercialAugust 17, 2018
Bundled Services and Supplies – ProfessionalCommercialAugust 17, 2018
Once per Lifetime Procedures – ProfessionalCommercialAugust 17, 2018
Reimbursement Policies are available onlineCommercialAugust 17, 2018
Clear Claim ConnectionProducts & Programs
CommercialAugust 17, 2018
Additional Support Available for Members with Rare ConditionsCommercialAugust 17, 2018
Anthem’s Individualized Care Program supports palliative care for commercial membersCommercialAugust 17, 2018
Mailing Address for Federal Employee Program® (FEP) Paper Claims and Claims Related CorrespondenceCommercialAugust 17, 2018
Anthem removes drugs from specialty pharmacy clinical site of care (level of care) drug listCommercialAugust 17, 2018
Anthem applies daily morphine equivalent dosing limitCommercialAugust 17, 2018
Anthem to update drug lists supporting commercial health plansCommercialAugust 17, 2018
Pharmacy information available on anthem.comState & Federal
Medicare AdvantageAugust 17, 2018
Submit Prior Authorizations medication requests electronically; new phone and fax numbers for MA prescription PAs effective September 1Medicare AdvantageAugust 17, 2018
MA members receive incentives for completing screeningsMedicare AdvantageAugust 17, 2018
Keep up with Medicare newsMedicaidAugust 17, 2018
Electronic Data Interchange migration to AvailityMedicaidAugust 17, 2018
Important information about utilization managementMedicaidAugust 17, 2018
Members’ Rights and Responsibilities StatementMedicaidAugust 17, 2018
Reimbursement Policy Update: Medical RecallsMedicaidAugust 17, 2018
Medical Policies updateMedicaidAugust 17, 2018
Clinical Utilization Management Guidelines updateTo view this publication online:
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