October 1, 2021

October 2021 Anthem Provider News - Nevada

Filter By: AllCommercial

Administrative

AdministrativeCommercialOctober 1, 2021

Guided Access HMO plans overview

AdministrativeCommercialOctober 1, 2021

Drug fee schedule update

AdministrativeCommercialOctober 1, 2021

Good news! Non-payment remittance advice enhancements coming soon

AdministrativeCommercialOctober 1, 2021

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

AdministrativeCommercialOctober 1, 2021

Clinical appeals

Policy Updates

Medical Policy & Clinical GuidelinesCommercialOctober 1, 2021

Medical policy and clinical UM guidelines notification (MAC)
Material adverse change (MAC)

Reimbursement PoliciesCommercialOctober 1, 2021

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

Material adverse change (MAC)

Reimbursement PoliciesCommercialOctober 1, 2021

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

Products & Programs

PharmacyCommercialOctober 1, 2021

October 2021 specialty pharmacy updates are available (MAC)
Material adverse change (MAC)

PharmacyCommercialOctober 1, 2021

Pharmacy information available on anthem.com

State & Federal

State & FederalMedicare AdvantageOctober 1, 2021

Information about 2021 Special Needs Plans
Medicare Advantage

State & FederalMedicaidOctober 1, 2021

Prior authorization updates for specialty pharmacy
Medicaid

State & FederalMedicaidOctober 1, 2021

Prior authorization updates for specialty pharmacy
Medicaid

State & FederalMedicaidOctober 1, 2021

Diabetes testing and screening HEDIS measures
Medicaid

State & FederalMedicaidOctober 1, 2021

CORRECTION: Resources to support your diverse patient panel
Medicaid

State & FederalMedicare AdvantageOctober 1, 2021

New Medical Step Therapy requirements
Medicare Advantage

State & FederalMedicare AdvantageOctober 1, 2021

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

State & FederalMedicare AdvantageOctober 1, 2021

Sexually Transmitted Infections Testing (Professional)
Medicare Advantage