Nevada
Provider Communications

Articles

Title Publication Category Date

2018 Utilization Management Affirmative Statement concerning utilization management decisions

August 2018 Anthem Provider Newsletter - NV Medicaid Aug 17, 2018

2019 Medicare Advantage individual benefits and formularies

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

Access patient-specific drug benefit information through EMR

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

Access requirements for Behavioral Healthcare services

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

Accessing remittance inquiry beginning December 1, 2018

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

Additional improvements coming to anthem.com regarding Medical Policies and Clinical Guidelines

November 2019 Anthem Provider News and Important Updates - Nevada Medical Policy & Clinical Guidelines Nov 1, 2019

Additional Support Available for Members with Rare Conditions

August 2018 Anthem Provider Newsletter - NV Products & Programs Aug 17, 2018

Affordable Care Act Plans offered in 2019

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

AIM programs may require additional pre-certification documentation

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

AIM Specialty Health Clinical Appropriateness Guidelines update -- Advanced Imaging of the Abdomen and Pelvis (MAC)

Material Adverse Change (MAC)
November 2019 Anthem Provider News and Important Updates - Nevada Medical Policy & Clinical Guidelines Nov 1, 2019

AIM Specialty Health Clinical Appropriateness Guidelines update -- Musculoskeletal Program Spine Surgery (MAC)

Material Adverse Change (MAC)
November 2019 Anthem Provider News and Important Updates - Nevada Medical Policy & Clinical Guidelines Nov 1, 2019

AIM Specialty Health Clinical Appropriateness Guidelines update -- Radiation Therapy (MAC)

Material Adverse Change (MAC)
November 2019 Anthem Provider News and Important Updates - Nevada Medical Policy & Clinical Guidelines Nov 1, 2019

AIM Specialty Health Clinical Guidelines update - Advanced Imaging (MAC)

Material Adverse Change (MAC)
August 2019 Anthem Provider News and Important Updates - Nevada Medical Policy & Clinical Guidelines Aug 1, 2019

AIM Specialty Health Clinical Guidelines update - Advanced Imaging (MAC)

Material Adverse Change (MAC)
July 2019 Anthem Provider News and Important Updates - Nevada Medical Policy & Clinical Guidelines Jul 1, 2019

AIM Specialty Health Clinical Guidelines update - Advanced Imaging of the Heart

October 2018 Anthem Important Updates - NV Medical Policy & Clinical Guidelines Oct 1, 2018

AIM Specialty Health Clinical Guidelines update - Musculoskeletal Program

February 2019 Anthem Important Updates - NV Medical Policy & Clinical Guidelines Feb 1, 2019

AIM Specialty Health Clinical Guidelines update - Radiation Oncology

October 2018 Anthem Important Updates - NV Medical Policy & Clinical Guidelines Oct 1, 2018

AIM Specialty Health Clinical Guidelines update - Sleep Disorder Management

October 2018 Anthem Important Updates - NV Medical Policy & Clinical Guidelines Oct 1, 2018

AIM Specialty Health Clinical Guidelines update -- Advanced Imaging of the Head and Neck

April 2019 Anthem Important Updates - Nevada Medical Policy & Clinical Guidelines Apr 1, 2019

AIM Specialty Health Clinical Guidelines update -- Advanced Imaging of the Heart

April 2019 Anthem Important Updates - Nevada Medical Policy & Clinical Guidelines Apr 1, 2019

AIM Specialty Health Clinical Guidelines update -- Musculoskeletal Joint Surgery

April 2019 Anthem Important Updates - Nevada Medical Policy & Clinical Guidelines Apr 1, 2019

AIM Specialty Health Clinical Guidelines update -- Sleep Disorder Management

April 2019 Anthem Important Updates - Nevada Medical Policy & Clinical Guidelines Apr 1, 2019

AIM Specialty Health programs may require documentation

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

AIM Specialty Health programs may require documentation

December 2019 Anthem Provider News and Important Updates - Nevada Medicare Dec 1, 2019

AIM Specialty Health programs may require documentation

December 2019 Anthem Provider News and Important Updates - Nevada Medicaid Dec 1, 2019

Ambulance Transportation (Professional Reimbursement Policy - New)

June 2019 Anthem Important Updates - Nevada Reimbursement Policies Jun 1, 2019

Anthem accepts electronic prior authorization requests for prescription medications online

December 2018 Anthem Provider Newsletter - NV Products & Programs Dec 1, 2018

Anthem accepts pre-certification requests for prescription medications online

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

Anthem accepts pre-certification requests for prescription medications online

August 2018 Anthem Provider Newsletter - NV Administrative Aug 17, 2018

Anthem adopts MCG care guidelines for physical health - acute care services and behavioral health services

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

Anthem Announces Changes in Medical Non-Oncology Specialty Drug Reviews Effective June 15, 2019

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

Anthem Announces Early Launch of IngenioRx

Anthem Announces Early Launch of IngenioRx Pharmacy Jan 30, 2019

Anthem applies daily morphine equivalent dosing limit

August 2018 Anthem Provider Newsletter - NV Pharmacy Aug 17, 2018

Anthem appropriate coding helps provide a comprehensive picture of patients’ health

November 2019 Anthem Provider News and Important Updates - Nevada Administrative Nov 1, 2019

Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem) to conduct post-payment reviews of distinct procedural services modifiers

September 2018 Anthem Provider Newsletter - NV Medicaid Aug 31, 2018

Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem) fights opioid addiction

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

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 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

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 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 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

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

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

Anthem Contracted Air Ambulance Providers for Nevada

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

Anthem Contracted Ambulance Providers

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

Anthem customizations to MCG care guidelines 23rd edition (MAC)

Material Adverse Change (MAC)
August 2019 Anthem Provider News and Important Updates - Nevada Medical Policy & Clinical Guidelines Aug 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

Anthem expands Specialty Pharmacy Clinical Site of Care (Level of Care) drug list

August 2018 Anthem Important Updates - NV Pharmacy Aug 17, 2018

Anthem expands specialty pharmacy clinically equivalent drug list

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

Anthem expands specialty pharmacy level of care (clinical site of care) drug list

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

Anthem expands specialty pharmacy medical step therapy drug list

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

Anthem expands specialty pharmacy medical step therapy drug list

May 2019 Anthem Important Updates - Nevada Pharmacy May 1, 2019

Anthem expands specialty pharmacy pre-certification list

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

Anthem expands specialty pharmacy pre-certification list

August 2018 Anthem Important Updates - NV Pharmacy Aug 17, 2018

Anthem expands specialty pharmacy prior authorization list

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

Anthem expands specialty pharmacy prior authorization list

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

Anthem expands specialty pharmacy prior authorization list

June 2019 Anthem Important Updates - Nevada Pharmacy Jun 1, 2019

Anthem expands specialty pharmacy prior authorization list (MAC)

Material Adverse Change (MAC)
September 2019 Anthem Provider News and Important Updates - Nevada Pharmacy Sep 1, 2019

Anthem eye refraction and routine eye exam billing information

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

Anthem Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific Specialty Drugs and Site of Care

July 2019 Anthem Provider News and Important Updates - Nevada Federal Employee Plan (FEP) Jul 1, 2019

Anthem fights opioid addiction: Extension for Community Healthcare Outcomes and Quality Medication-Assisted Therapy

October 2018 Anthem Provider Newsletter - NV Products & Programs Oct 1, 2018

Anthem has partnered with Availity as our designated EDI Gateway

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

Anthem has partnered with Availity to become our designated EDI Gateway

August 2018 Anthem Provider Newsletter - NV Administrative Aug 17, 2018

Anthem launches additional changes to anthem.com

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

Anthem launches additional changes to anthem.com for Q2

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

Anthem launches additional changes to anthem.com in March

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

Anthem launches additional changes to anthem.com in October

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

Anthem launches additional changes to anthem.com in September

September 2018 Anthem Provider Newsletter - NV Administrative Aug 31, 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

Anthem offers risk adjustment and documentation training

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

Anthem removes drugs from specialty pharmacy clinical site of care (level of care) drug list

August 2018 Anthem Provider Newsletter - NV Pharmacy Aug 17, 2018

Anthem specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents

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

Anthem specialty pharmacy medical step therapy drug list- clarification

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

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

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

Anthem to acquire Beacon Health Options

N/A Administrative Jun 18, 2019

Anthem to enhance automated claim edits for professional claims

August 2018 Anthem Provider Newsletter - NV Administrative Aug 17, 2018

Anthem to enhance claim edits for outpatient facility claims

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

Anthem to update drug lists supporting commercial health plans

August 2018 Anthem Provider Newsletter - NV Pharmacy Aug 17, 2018

Anthem transitions MA back pain management and cardiology UM programs from OrthoNet to AIM

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

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 Works to Simplify Payment Recovery Process for National Accounts Membership

December 2019 Anthem Provider News and Important Updates - Nevada Administrative Dec 1, 2019

Anthem works to simplify payment recovery process for National Accounts membership

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

Anthem’s Individualized Care Program supports palliative care for commercial members

August 2018 Anthem Provider Newsletter - NV Products & Programs Aug 17, 2018

Anthem’s new Digital Provider Enrollment application - now available

April 2019 Anthem Provider Newsletter - Nevada Administrative Apr 1, 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

Appointment availability and after-hours access requirements

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

Assistant Surgery Services/Code List policy update - Professional

October 2018 Anthem Provider Newsletter - NV Reimbursement Policies Oct 1, 2018

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

Availity EDI Gateway Webinars Scheduled

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

Availity to serve as EDI entry point for electronic submissions

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

Availity webinars regarding EDI

August 2018 Anthem Provider Newsletter - NV Administrative Aug 17, 2018

Behavioral health therapy session limitations

November 2019 Anthem Provider News and Important Updates - Nevada Medicaid Nov 1, 2019

Benefits to be available for chronic care management and advance care planning services effective February 23, 2019

January 2019 Anthem Provider Newsletter - NV Reimbursement Policies Jan 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement (APM ID 0037943)

November 2019 Anthem Provider News and Important Updates - Nevada Medicare Nov 1, 2019

Body Mass Index (BMI) (Facility Reimbursement Policy - Update)

February 2019 Anthem Important Updates - NV Reimbursement Policies Feb 1, 2019

Bundled Services (Professional Reimbursement Policy - Update) (MAC)

Material Adverse Change (MAC)
August 2019 Anthem Provider News and Important Updates - Nevada Reimbursement Policies Aug 1, 2019

Bundled Services and Supplies – Professional

August 2018 Anthem Provider Newsletter - NV Reimbursement Policies Aug 17, 2018

Care and Cost Finder – New Sort Option

August 2018 Anthem Provider Newsletter - NV Administrative Aug 17, 2018

Case Management Program

December 2019 Anthem Provider News and Important Updates - Nevada Administrative Dec 1, 2019
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