CommercialDecember 1, 2021

December 2021 Anthem Provider News - Nevada

Administrative

AdministrativeCommercialDecember 1, 2021

Important information about utilization management

AdministrativeCommercialDecember 1, 2021

Member rights and responsibilities

AdministrativeCommercialDecember 1, 2021

Coordination of care

AdministrativeCommercialDecember 1, 2021

Professional system updates for 2022

AdministrativeCommercialDecember 1, 2021

Outpatient system updates for 2022

AdministrativeCommercialDecember 1, 2021

Behavioral healthcare appointment access requirements

AdministrativeCommercialDecember 1, 2021

Importance of PCP after-hours messaging

AdministrativeCommercialDecember 1, 2021

Non-participating lab referrals

Digital SolutionsCommercialDecember 1, 2021

Reminder: EnrollSafe is available: electronic funds transfer enrollment portal for Anthem Blue Cross and Blue Shield providers
EnrollSafe replaced CAQH Enrollhub effective November 1, 2021

Digital SolutionsCommercialDecember 1, 2021

Submitting prior authorizations is getting easier
Anthem is transitioning to the Availity Authorization app

Digital SolutionsCommercialDecember 1, 2021

Is prior authorization required?
Answering your questions about the new Availity Authorization App

Policy Updates

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2021

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline (MAC)
Material adverse change (MAC)

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines (MAC)
Material adverse change (MAC)

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2021

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline (MAC)
Material adverse change (MAC)

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2021

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline (MAC)
Material adverse change (MAC)

Reimbursement PoliciesCommercialDecember 1, 2021

Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) (Professional) (MAC)
Material adverse change (MAC)

Reimbursement PoliciesCommercialDecember 1, 2021

Reimbursement policy update: Virtual Visits (professional and facility)

Reimbursement PoliciesCommercialDecember 1, 2021

RETRACTION: Inpatient Facility Transfers reimbursement policy (facility)

Products & Programs

Products & ProgramsCommercialDecember 1, 2021

Company to retire Blue Precision program on December 31, 2021

Products & ProgramsCommercialDecember 1, 2021

Case Management Program

PharmacyCommercialDecember 1, 2021

December 2021 specialty pharmacy updates (MAC)
Material adverse change (MAC)

PharmacyCommercialDecember 1, 2021

Pharmacy information available on anthem.com

State & Federal

State & FederalMedicare AdvantageDecember 1, 2021

Policy Update: Drug Screen Testing
Medicare Advantage

State & FederalMedicare AdvantageDecember 1, 2021

2022 Medicare Advantage service area and benefit updates
Medicare Advantage

State & FederalMedicare AdvantageDecember 1, 2021

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies
Medicare Advantage

State & FederalMedicare AdvantageDecember 1, 2021

Somatus is your resource for kidney care management
Medicare Advantage

State & FederalMedicare AdvantageDecember 1, 2021

Submitting prior authorizations is getting easier
Medicare Advantage

State & FederalMedicaidDecember 1, 2021

Claims editing update for ICD-10-CM Excludes1 notes
Medicaid

State & FederalMedicaidDecember 1, 2021

Non-payment remittance advice enhancements
Medicaid

State & FederalMedicaidDecember 1, 2021

Submitting prior authorizations is getting easier
Medicaid

State & FederalMedicaidDecember 1, 2021

Policy Update: Drug Screen Testing
Medicaid

State & FederalMedicaidDecember 1, 2021

Prior authorization updates for medications billed under the medical benefit
Medicaid