Nevada
Provider Communications

Articles Category: Administrative

Title Publication Category Date

Fall Provider Seminars coming soon - register today to save your spot!

Fall 2019 Anthem Provider Seminar Invitation - NV Administrative Oct 10, 2019

New Rates for Applied Behavioral Analysis (ABA) Services Effective January 1, 2020 (MAC) - Nevada

Material Adverse Change (MAC)
New Rates for Applied Behavioral Analysis (ABA) Services Effective January 1, 2020 - Nevada Administrative Oct 3, 2019

Anthem launches additional changes to anthem.com

October 2019 Anthem Provider News and Important Updates - Nevada Administrative Oct 1, 2019

Drug fee schedule update

October 2019 Anthem Provider News and Important Updates - Nevada Administrative Oct 1, 2019

National Accounts 2020 Pre-certification list

October 2019 Anthem Provider News and Important Updates - Nevada Administrative Oct 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program continues

October 2019 Anthem Provider News and Important Updates - Nevada Administrative Oct 1, 2019

Anthem engages Matrix to conduct mobile health clinics and in-home assessments for targeted members

October 2019 Anthem Provider News and Important Updates - Nevada Administrative Oct 1, 2019

New HMO product for Las Vegas employer groups -- effective January 1, 2020

September 2019 Anthem Provider News and Important Updates - Nevada Administrative Sep 1, 2019

Anthem launches Sydney on September 1; New app offers better digital health care support to members

September 2019 Anthem Provider News and Important Updates - Nevada Administrative Sep 1, 2019

Reminder: Changes to timely filing requirements coming in October

September 2019 Anthem Provider News and Important Updates - Nevada Administrative Sep 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Risk Adjustment Data Validation (RADV) Audit happening now

September 2019 Anthem Provider News and Important Updates - Nevada Administrative Sep 1, 2019

Access requirements for Behavioral Healthcare services

September 2019 Anthem Provider News and Important Updates - Nevada Administrative Sep 1, 2019

PCP after-hours access requirements

September 2019 Anthem Provider News and Important Updates - Nevada Administrative Sep 1, 2019

Provider Transparency Update

September 2019 Anthem Provider News and Important Updates - Nevada Administrative Sep 1, 2019

Anthem Contracted Air Ambulance Providers for Nevada

September 2019 Anthem Provider News and Important Updates - Nevada Administrative Sep 1, 2019

Non-participating lab referrals

August 2019 Anthem Provider News and Important Updates - Nevada Administrative Aug 1, 2019

Anthem launches additional changes to anthem.com for Provider Manuals

August 2019 Anthem Provider News and Important Updates - Nevada Administrative Aug 1, 2019

Working with Anthem Webinars - August 2019 schedule: Networks Overview -- rescheduled from July

August 2019 Anthem Provider News and Important Updates - Nevada Administrative Aug 1, 2019

Provider and Facility identified Overpayments (aka “voluntary” or “unsolicited”)

August 2019 Anthem Provider News and Important Updates - Nevada Administrative Aug 1, 2019

UPDATE: new Rehabilitative Program remains temporarily delayed - Nevada

UPDATE: new Rehabilitative Program remains temporarily delayed - Nevada Administrative Jul 16, 2019

UPDATE: new Rehabilitative Program now effective August 1, 2019 - Nevada

UPDATE: new Rehabilitative Program now effective August 1, 2019 - Nevada Administrative Jul 3, 2019

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

July 2019 Anthem Provider News and Important Updates - Nevada Administrative Jul 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: 2019 Program Year Progression - What’s in it for you and your patients?

July 2019 Anthem Provider News and Important Updates - Nevada Administrative Jul 1, 2019

Drug fee schedule update

July 2019 Anthem Provider News and Important Updates - Nevada Administrative Jul 1, 2019

Working with Anthem Webinars - July 2019 schedule: Networks Overview

July 2019 Anthem Provider News and Important Updates - Nevada Administrative Jul 1, 2019

Update to Provider/Facility UM reimbursement penalties and corresponding update to Provider/Facility Manual (MAC)

Material Adverse Change (MAC)
July 2019 Anthem Provider News and Important Updates - Nevada Administrative Jul 1, 2019

Make the move to the Availity EDI Gateway today

July 2019 Anthem Provider News and Important Updates - Nevada Administrative Jul 1, 2019

Changes coming this month with Anthem’s Provider Newsletter and Important Updates

July 2019 Anthem Provider News and Important Updates - Nevada Administrative Jun 28, 2019

Anthem to acquire Beacon Health Options

N/A Administrative Jun 18, 2019

Update and Reminder: new Rehabilitative Program effective July 1, 2019

June 2019 Anthem Provider Newsletter - Nevada Administrative Jun 1, 2019

AIM programs may require additional pre-certification documentation

June 2019 Anthem Provider Newsletter - Nevada Administrative Jun 1, 2019

Working with Anthem Webinars - June 2019 schedule: Anthem 101 / Provider Orientation

June 2019 Anthem Provider Newsletter - Nevada Administrative Jun 1, 2019

Anthem launches additional changes to anthem.com for Q2

June 2019 Anthem Provider Newsletter - Nevada Administrative Jun 1, 2019

Coming Soon: Anthem Electronic Attachments

June 2019 Anthem Provider Newsletter - Nevada Administrative Jun 1, 2019

New ICR Immediate Decision List posted on Availity Payer Spaces

June 2019 Anthem Provider Newsletter - Nevada Administrative Jun 1, 2019

Find A Doctor -- New Sort Option

June 2019 Anthem Provider Newsletter - Nevada Administrative Jun 1, 2019

Update: Sepsis Coding

June 2019 Anthem Provider Newsletter - Nevada Administrative Jun 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program begins; benefits of direct connection access to your EMR

June 2019 Anthem Provider Newsletter - Nevada Administrative Jun 1, 2019

Working with Anthem Webinars - May 2019 schedule: Availity Tools and Functionality Overview

Working with Anthem Webinars - May 2019 schedule: Availity tools and functionality overview - Nevada Administrative May 10, 2019

Working with Anthem Webinars - May 2019 schedule: Availity Tools and Functionality Overview

May 2019 Anthem Provider Newsletter - Nevada Administrative May 1, 2019

Electronic Member ID Cards - Easy online access on the Availity Portal

May 2019 Anthem Provider Newsletter - Nevada Administrative May 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Health Assessment requests for 2019 / Alternative reporting engagement

May 2019 Anthem Provider Newsletter - Nevada Administrative May 1, 2019

Anthem Contracted Ambulance Providers

May 2019 Anthem Provider Newsletter - Nevada Administrative May 1, 2019

New Benefit / Service types added to the Eligibility and Benefits Inquiry tool in the Availity Portal

May 2019 Anthem Provider Newsletter - Nevada Administrative May 1, 2019

ATTENTION! Availity launches additional changes to the new look to our Medical Attachment submission tool

May 2019 Anthem Provider Newsletter - Nevada Administrative May 1, 2019

Update: Temporarily retracting roll out of Availity Claim Payment dispute tool for Commercial claims - Nevada

Update: Temporarily retracting roll out of Availity Claim Payment dispute tool for Commercial claims - Nevada Administrative Apr 5, 2019

Working with Anthem Webinars - April 2019 schedule: new Digital Provider Enrollment Application tool and Provider Maintenance Form

Working with Anthem Webinars - April 2019 schedule: new Digital Provider Enrollment Application tool and Provider Maintenance Form - Nevada Administrative Apr 5, 2019

Anthem’s new Digital Provider Enrollment application - now available

Working with Anthem Webinars - April 2019 schedule: new Digital Provider Enrollment Application tool and Provider Maintenance Form - Nevada Administrative Apr 5, 2019

Drug fee schedule update

April 2019 Anthem Provider Newsletter - Nevada Administrative Apr 1, 2019

Working with Anthem Webinars - April 2019 schedule: new Digital Provider Enrollment Application tool and Provider Maintenance Form

April 2019 Anthem Provider Newsletter - Nevada Administrative Apr 1, 2019

Anthem’s new Digital Provider Enrollment application - now available

April 2019 Anthem Provider Newsletter - Nevada Administrative Apr 1, 2019

New look to our Medical Attachment submission tool

April 2019 Anthem Provider Newsletter - Nevada Administrative Apr 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Accurate coding helps provide a comprehensive picture of patients’ health and services provided

April 2019 Anthem Provider Newsletter - Nevada Administrative Apr 1, 2019

New LabCorp Service locations available

April 2019 Anthem Provider Newsletter - Nevada Administrative Apr 1, 2019

Non-participating lab referrals

April 2019 Anthem Provider Newsletter - Nevada Administrative Apr 1, 2019

Professional Fee Schedule Change Notification Letter

April 2019 Anthem Important Updates - Nevada Administrative Apr 1, 2019

New AIM Rehabilitation program effective July 1, 2019

April 2019 Anthem Important Updates - Nevada Administrative Apr 1, 2019

Working with Anthem Webinars - March 2019 schedule: new Availity Claim Payment Dispute Tool

March 2019 Anthem Provider Newsletter - NV Administrative Mar 1, 2019

Updated Escalation Contact List

March 2019 Anthem Provider Newsletter - NV Administrative Mar 1, 2019

Update: New process to submit claim payment disputes electronically coming March 18, 2019

March 2019 Anthem Provider Newsletter - NV Administrative Mar 1, 2019

Anthem launches additional changes to anthem.com in March

March 2019 Anthem Provider Newsletter - NV Administrative Mar 1, 2019

Anthem Commercial Risk Adjustment (CRA) Program Update: Medical chart collection for ACA members due March 31, 2019 at the latest

March 2019 Anthem Provider Newsletter - NV Administrative Mar 1, 2019

Anthem to enhance claim edits for outpatient facility claims

February 2019 Anthem Important Updates - NV Administrative Feb 1, 2019

Updated Escalation Contact List

February 2019 Anthem Provider Newsletter - NV Administrative Feb 1, 2019

Provider and Facility identified Overpayments (aka “voluntary” or “unsolicited”)

February 2019 Anthem Provider Newsletter - NV Administrative Feb 1, 2019

New Year Brings New ID Cards - and New ID Numbers - for Many Anthem Members

January 2019 New Year Brings New ID Cards and New ID Numbers for Many Anthem Members - NV Administrative Jan 25, 2019

Drug fee schedule update

January 2019 Anthem Provider Newsletter - NV Administrative Jan 1, 2019

Update: New process to submit claim payment disputes electronically

January 2019 Anthem Provider Newsletter - NV Administrative Jan 1, 2019

SOAP Notes/Health Assessments for 2018 calendar year are due February 15, 2019

January 2019 Anthem Provider Newsletter - NV Administrative Jan 1, 2019

Reminder: HCPCS code A0998 Ambulance response and treatment with no transport is active and available for use

January 2019 Anthem Provider Newsletter - NV Administrative Jan 1, 2019

Medical and Behavioral Health Appointment Access

January 2019 Anthem Provider Newsletter - NV Administrative Jan 1, 2019

Updated Escalation Contact List

January 2019 Anthem Provider Newsletter - NV Administrative Jan 1, 2019

Health Care Reform Updates (including Health Insurance Marketplace / Affordable Care Act)

January 2019 Anthem Provider Newsletter - NV Administrative Jan 1, 2019

Provider and Facility Manual update effective February 1, 2019 - NV

Provider and Facility Manual update effective February 1, 2019 - NV Administrative Dec 28, 2018

New Autism Codes Effective January 1, 2019 - NV

New Autism Codes Effective January 1, 2019 - NV Administrative Dec 12, 2018

Affordable Care Act Plans offered in 2019

December 2018 Anthem Provider Newsletter - NV Administrative Dec 1, 2018

Networks at a Glance

December 2018 Anthem Provider Newsletter - NV Administrative Dec 1, 2018

Updated Escalation Contact List

December 2018 Anthem Provider Newsletter - NV Administrative Dec 1, 2018

Health Care Reform Updates (including Health Insurance Marketplace / Affordable Care Act)

December 2018 Anthem Provider Newsletter - NV Administrative Dec 1, 2018

Request a Clinical Appeal through new functionality in our Interactive Care Reviewer (ICR) tool on Availity

December 2018 Anthem Provider Newsletter - NV Administrative Dec 1, 2018

Availity to serve as EDI entry point for electronic submissions

December 2018 Anthem Provider Newsletter - NV Administrative Dec 1, 2018

Anthem works to simplify payment recovery process for National Accounts membership

December 2018 Anthem Provider Newsletter - NV Administrative Dec 1, 2018

Non-participating lab referrals

December 2018 Anthem Provider Newsletter - NV Administrative Dec 1, 2018

Fall Provider Seminars: Even if you missed our in-person sessions, you still have a chance to attend a webinar -- last chance to register!

November 2018 Anthem Provider Newsletter - NV Administrative Nov 1, 2018

Anthem taps Paul Marchetti to lead company’s overall care transformation strategy

November 2018 Anthem Provider Newsletter - NV Administrative Nov 1, 2018

Updated Prefix Reference List

November 2018 Anthem Provider Newsletter - NV Administrative Nov 1, 2018

Updated Escalation Contact List

November 2018 Anthem Provider Newsletter - NV Administrative Nov 1, 2018

Health Care Reform Updates (including Health Insurance Marketplace / Affordable Care Act)

November 2018 Anthem Provider Newsletter - NV Administrative Nov 1, 2018

Update to Durable Medical Equipment - effective October 14, 2018

November 2018 Anthem Provider Newsletter - NV Administrative Nov 1, 2018

Update to Durable Medical Equipment - effective October 14, 2018

October 2018 Anthem Provider Newsletter - NV Administrative Oct 12, 2018

Facility Revenue Code Billing (Facility Reimbursement Policy - New)

October 2018 Anthem Important Updates - NV Administrative Oct 1, 2018

Professional Reimbursement Policy Change and supporting claims editing notification for CMS-1500 submitters

October 2018 Anthem Important Updates - NV Administrative Oct 1, 2018

Readmission (Facility Reimbursement Policy - Update)

October 2018 Anthem Important Updates - NV Administrative Oct 1, 2018

Fall Provider Seminars Final Announcement - registration closes October 5th!

October 2018 Anthem Provider Newsletter - NV Administrative Oct 1, 2018

Anthem accepts pre-certification requests for prescription medications online

October 2018 Anthem Provider Newsletter - NV Administrative Oct 1, 2018

Health Care Reform Updates (including Health Insurance Marketplace / Affordable Care Act)

October 2018 Anthem Provider Newsletter - NV Administrative Oct 1, 2018

Drug fee schedule update

October 2018 Anthem Provider Newsletter - NV Administrative Oct 1, 2018

Anthem launches additional changes to anthem.com in October

October 2018 Anthem Provider Newsletter - NV Administrative Oct 1, 2018

New process to submit claim payment disputes electronically

October 2018 Anthem Provider Newsletter - NV Administrative Oct 1, 2018

Special Investigations Unit updates

October 2018 Anthem Provider Newsletter - NV Administrative Oct 1, 2018
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