CommercialDecember 1, 2021
December 2021 Anthem Provider News - Nevada
Administrative
CommercialDecember 1, 2021
Important information about utilization managementCommercialDecember 1, 2021
Member rights and responsibilitiesCommercialDecember 1, 2021
Coordination of careCommercialDecember 1, 2021
Professional system updates for 2022CommercialDecember 1, 2021
Clinical practice and preventive health guidelines available on anthem.comCommercialDecember 1, 2021
Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to dateCommercialDecember 1, 2021
Outpatient system updates for 2022CommercialDecember 1, 2021
Chlamydia is asymptomatic. Only through screening will we know for sure.CommercialDecember 1, 2021
Behavioral healthcare appointment access requirementsCommercialDecember 1, 2021
Importance of PCP after-hours messagingCommercialDecember 1, 2021
Non-participating lab referralsCommercialDecember 1, 2021
UPDATE: Implementation of provider claim payment dispute process for Commercial lines of business has been delayedCommercialDecember 1, 2021
Reminder: EnrollSafe is available: electronic funds transfer enrollment portal for Anthem Blue Cross and Blue Shield providersCommercialDecember 1, 2021
Submitting prior authorizations is getting easierCommercialDecember 1, 2021
Is prior authorization required?Policy Updates
CommercialDecember 1, 2021
Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline (MAC)CommercialDecember 1, 2021
Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines (MAC)CommercialDecember 1, 2021
Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline (MAC)CommercialDecember 1, 2021
Updates to AIM Advanced Imaging Clinical Appropriateness Guideline (MAC)CommercialDecember 1, 2021
Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) (Professional) (MAC)CommercialDecember 1, 2021
Reimbursement policy update: Virtual Visits (professional and facility)CommercialDecember 1, 2021
RETRACTION: Inpatient Facility Transfers reimbursement policy (facility)Products & Programs
CommercialDecember 1, 2021
Company to retire Blue Precision program on December 31, 2021CommercialDecember 1, 2021
Case Management ProgramCommercialDecember 1, 2021
December 2021 specialty pharmacy updates (MAC)CommercialDecember 1, 2021
Pharmacy information available on anthem.comState & Federal
Medicare AdvantageDecember 1, 2021
2022 Medicare Advantage service area and benefit updatesMedicare AdvantageDecember 1, 2021
Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodiesMedicare AdvantageDecember 1, 2021
Somatus is your resource for kidney care managementMedicare AdvantageDecember 1, 2021
Submitting prior authorizations is getting easierMedicare AdvantageDecember 1, 2021
Keep up with Medicare news- Updates to AIM Specialty Health musculoskeletal interventional pain management clinical appropriateness guideline
- Medical drug benefit Clinical Criteria updates
- Protocol for providers serving members with hearing aid coverage administered by Hearing Care Solutions
- New York City Medicare Advantage announcement
- Medical Policies and Clinical Utilization Management Guidelines update
MedicaidDecember 1, 2021
Prior authorization updates for medications billed under the medical benefitMedicaidDecember 1, 2021
Keep up with Medicaid news- Medical Policies and Clinical Utilization Management Guidelines update
- Getting tobacco users the help they need to quit
- Adult outpatient urology and ophthalmology surgery precertification initiative
- Durable medical equipment prior authorization requirement changes effective December 1, 2021
- Medical drug benefit Clinical Criteria updates
- Provider administered drugs
- The state of Nevada to reassign members to new health plans in 2022
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