September 1, 2019
September 2019 Anthem Provider News and Important Updates - Nevada
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Administrative
CommercialAugust 31, 2019
New HMO product for Las Vegas employer groups -- effective January 1, 2020CommercialAugust 31, 2019
Anthem launches Sydney on September 1; New app offers better digital health care support to membersCommercialAugust 31, 2019
Reminder: Changes to timely filing requirements coming in OctoberCommercialAugust 31, 2019
Anthem Commercial Risk Adjustment (CRA) Reporting Update: Risk Adjustment Data Validation (RADV) Audit happening nowCommercialAugust 31, 2019
Access requirements for Behavioral Healthcare servicesCommercialAugust 31, 2019
PCP after-hours access requirementsCommercialAugust 31, 2019
Provider Transparency UpdateCommercialAugust 31, 2019
Anthem Contracted Air Ambulance Providers for NevadaPolicy Updates
CommercialAugust 31, 2019
New Clinical Guideline: Pneumatic Compression Devices, effective December 1, 2019 (MAC)Material Adverse Change (MAC)
CommercialAugust 31, 2019
Pre-Service/Prior Authorization Clinical Review Update -- September 2019 (MAC)Material Adverse Change (MAC)
CommercialAugust 31, 2019
Maternity Services and Multiple Delivery (Professional Reimbursement Policies – New) (MAC)Material Adverse Change (MAC)
CommercialAugust 31, 2019
Intensity Modulated Radiation Therapy Planning and Delivery (Professional Reimbursement Policy – New) (MAC)Material Adverse Change (MAC)
CommercialAugust 31, 2019
Claim editing update for Excludes1 notesCommercialAugust 31, 2019
Claims requiring additional documentation facility reimbursement policy updateProducts & Programs
CommercialAugust 31, 2019
Anthem expands specialty pharmacy prior authorization list (MAC)Material Adverse Change (MAC)
State & Federal
Medicare AdvantageAugust 31, 2019
Coming soon: electronic attachmentsMedicare AdvantageAugust 31, 2019
Clinical Criteria updatesMedicare AdvantageAugust 31, 2019
Customizations to the 23rd edition of the MCG Care GuidelinesMedicare AdvantageAugust 31, 2019
Pharmacy benefit manager change to IngenioRxMedicare AdvantageAugust 31, 2019
Keep up with Medicare newsMedicaidAugust 31, 2019
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