Nevada
Provider Communications

Articles

Title Publication Category Date

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

October 2020 Anthem Provider News and Important Updates -- Nevada Administrative Oct 1, 2020

Drug fee schedule update

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

Commercial Risk Adjustment (CRA) Reporting Update: New guidance on telephone-only service CPT codes

October 2020 Anthem Provider News and Important Updates -- Nevada Administrative Oct 1, 2020

National Accounts 2021 Pre-certification list

October 2020 Anthem Provider News and Important Updates -- Nevada Administrative Oct 1, 2020

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

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

Drug fee schedule update

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

New process to submit claim payment disputes electronically

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

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 accepts pre-certification requests for prescription medications online

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

Anthem to acquire Beacon Health Options

N/A Administrative Jun 18, 2019

Special Investigations Unit updates

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

Anthem’s new Digital Provider Enrollment application - now available

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

Integrated Medical and Behavioral Healthcare Services

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

New look to our Medical Attachment submission tool

April 2019 Anthem Provider Newsletter - Nevada Administrative Apr 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

Tips for billing CPT modifier 33

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

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

Explore new enhancements to the Education and Reference Center on the Availity Portal

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

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

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

July 2019 Anthem Provider News and Important Updates - Nevada Administrative Jul 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 has partnered with Availity as our designated EDI Gateway

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

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

Availity EDI Gateway Webinars Scheduled

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

New LabCorp Service locations available

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

Introducing lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

Beginning June 1, 2020, Anthem is introducing our Anthem Health Access Plans for certain large group employers currently enrolled in our commercial lines of business only.
COVID-19 Information - Nevada Administrative May 26, 2020

Access requirements for Behavioral Healthcare services

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

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

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

Non-participating lab referrals

April 2019 Anthem Provider Newsletter - Nevada Administrative Apr 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

Fall Provider Seminar happening this month -- Registration Deadline November 7, 2019

Fall 2019 Anthem Provider Seminar final announcement: Registration deadline November 7 - Nevada Administrative Nov 4, 2019

Affordable Care Act Plans offered in 2019

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

Anthem acquires Beacon Health Options

April 2020 Anthem Provider News and Important Updates -- Nevada Administrative Mar 2, 2020

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

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

Anthem Contracted Air Ambulance Providers for Nevada

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

Information from Anthem for Care Providers about COVID-19 (Updated June 10, 2021)

We recently updated information about coverage and cost shares for telephonic-only care.
COVID-19 Information - Nevada Administrative Jun 10, 2021

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

Anthem waives cost share for COVID-19 treatment (updated May 29, 2020)

Effective April 1, we expanded coverage for our members undergoing treatment related to a COVID-19 diagnosis, which covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020.
COVID-19 Information - Nevada Administrative May 29, 2020

Anthem SOAP Notes/Health Assessments for 2019 calendar year are due February 15, 2020

February 2020 Anthem Provider News and Important Updates - Nevada Administrative Feb 1, 2020

Federal Resources Available for Care Providers and Employers in the Federal CARES Act

During the COVID-19 crisis, care providers are working to keep the country running while navigating the financial impact it is having on them. To help care providers navigate the resources available to them Anthem has compiled information on programs we have learned about that could provide additional financial relief during this crisis.
COVID-19 Information - Nevada Administrative Apr 10, 2020

Register for upcoming CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

5 Strategies to Improve Your Quality Measures - June 10th, 12 p.m. or 3 p.m. ET
7 Ways to Enhance Your Patients’ Experience - June 17th, 12 p.m. or 3 p.m. ET

Register now!



Clinical Quality CME Webinar Series - Nevada Administrative May 27, 2021

Facility Revenue Code Billing (Facility Reimbursement Policy - New)

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

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated January 8, 2021)

We’ve updated information about coverage for telephonic-only care.
COVID-19 Information - Nevada Administrative Jan 8, 2021

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

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

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators Administrative Jun 25, 2021

Readmission (Facility Reimbursement Policy - Update)

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

Change Notification to Provider and Facility Manual effective November 1, 2020 (MAC)

Material Adverse Change (MAC)
August 2020 Anthem Provider News and Important Updates -- Nevada Administrative Aug 1, 2020

Expansion of AIM Musculoskeletal Program Effective November 1, 2020 (MAC)

Material Adverse Change (MAC)
August 2020 Anthem Provider News and Important Updates -- Nevada Administrative Aug 1, 2020

Commercial Risk Adjustment (CRA): Appropriate coding helps provide a comprehensive picture of patients’ health

August 2020 Anthem Provider News and Important Updates -- Nevada Administrative Aug 1, 2020

New Autism Codes Effective January 1, 2019 - NV

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

Non-participating lab referrals

August 2020 Anthem Provider News and Important Updates -- Nevada Administrative Aug 1, 2020

UPDATE: New AIM Rehabilitative Program effective April 1, 2020

February 2020 Anthem Provider News and Important Updates - Nevada Administrative Feb 1, 2020

Resources to support diverse patients and communities

August 2020 Anthem Provider News and Important Updates -- Nevada Administrative Aug 1, 2020

Drug fee schedule update

July 2020 Anthem Provider News and Important Updates -- Nevada Administrative Jul 1, 2020

Migrate Your EDI Transactions to Availity Today

August 2020 Anthem Provider News and Important Updates -- Nevada Administrative Aug 1, 2020

Welcome to the Custom Learning Center in Availity

July 2020 Anthem Provider News and Important Updates -- Nevada Administrative Jul 1, 2020

Anthem Electronic Attachments -- X12 275 5010

August 2020 Anthem Provider News and Important Updates -- Nevada Administrative Aug 1, 2020

Commercial Risk Adjustment (CRA) 2020 Program Year Progression: What’s in it for you and your patients?

July 2020 Anthem Provider News and Important Updates -- Nevada Administrative Jul 1, 2020

Prior Authorization/Referral Request and Inpatient Admission/Discharge Notification transactions coming soon

August 2020 Anthem Provider News and Important Updates -- Nevada Administrative Aug 1, 2020

Clinical Laboratory Improvement Amendments (CLIA) ID number required for electronic claims submissions

August 2020 Anthem Provider News and Important Updates -- Nevada Administrative Aug 1, 2020

Continuing Medical Education (CME) webinar series

July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

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

Proper coding for in-home monitoring can make a measurable difference for international normalized ratio

July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

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

Another mark of the pandemic: an increase in childhood obesity

More potato chips, sugary drinks and less physical activity are key contributors.
July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

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

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

A helpful and complete guide to covered well-child visits

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

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

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

Timely receipt of primary payer’s EOB can help reduce timely filing denials for secondary claims

We want to help.
July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

Anthem makes going digital easy with the Provider Digital Engagement Supplement

December 2020 Anthem Provider News and Important Updates -- Nevada Administrative Dec 1, 2020

Drug fee schedule update

July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

Register for upcoming August CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

Motivating Patients to Adhere to Cervical Cancer Prevention and Screening Recommendations
Tuesday, August 3, 2021, 12:00 p.m. ET

10 Best Practices for Improving Pharmacy Quality Measures
Thursday, August 12, 2021, 1:00 p.m. or 3:00 p.m. ET

6 Ways to Improve Risk Adjustment Documentation Accuracy
Tuesday, August 17, 2021, 12:00 p.m. or 3:00 p.m. ET

Register Now!
Clinical Quality CME Webinar Series Continues - Nevada Administrative Jul 29, 2021

Access to claim denial information is now self-service

December 2020 Anthem Provider News and Important Updates -- Nevada Administrative Dec 1, 2020

Important update to provider utilization management reimbursement penalties and corresponding entry in our provider manual

Material adverse change (MAC)
July 2021 Anthem Provider News - Nevada Administrative Jul 1, 2021

New Blue HPN® plans go live on January 1, 2021

December 2020 Anthem Provider News and Important Updates -- Nevada Administrative Dec 1, 2020

Important COVID-19 update: Prior authorization and other policy adjustments (Updated January 13, 2021)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing facilities.
COVID-19 Information - Nevada Administrative Jan 13, 2021

Anthem contracted Air Ambulance providers in Nevada

December 2020 Anthem Provider News and Important Updates -- Nevada Administrative Dec 1, 2020

New utilization management tool now available on Availity Payer Spaces: Authorization Rules Lookup tool

December 2020 Anthem Provider News and Important Updates -- Nevada Administrative Dec 1, 2020

May is National High Blood Pressure Education Month

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

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

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

Non-participating lab referrals

May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

Medical Access Standards

December 2020 Anthem Provider News and Important Updates -- Nevada Administrative Dec 1, 2020

Coordination of Care

December 2020 Anthem Provider News and Important Updates -- Nevada Administrative Dec 1, 2020

Availity Attachment Tools for Anthem and Affiliate Payers -- Live Webinars

November 2020 Anthem Provider News and Important Updates -- Nevada Administrative Nov 1, 2020

Enhanced search and download options allow easy access to information at your fingertips

Get the latest critical information from Anthem that impacts you; View Provider News for easy access at your fingertips - Nevada Administrative Oct 25, 2019

Get the full picture of your patient’s health through their smartphone

November 2020 Anthem Provider News and Important Updates -- Nevada Administrative Nov 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Anthem Provider News and Important Updates -- Nevada Administrative Nov 1, 2020

Important Information about Utilization Management

December 2020 Anthem Provider News and Important Updates -- Nevada Administrative Dec 1, 2020

2-minute videos to engage patients about preventive care

December 2020 Anthem Provider News and Important Updates -- Nevada Administrative Dec 1, 2020

Provider bulletins for medical and itemized bill attachments

Electronic Solutions @ Your Fingertips
May 2021 Anthem Provider News - Nevada Administrative May 1, 2021

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
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