Nevada
Provider Communications

Articles Month: September 2019

Title Publication Category Date

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

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

New Clinical Guideline: Pneumatic Compression Devices, effective December 1, 2019 (MAC)

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

Pre-Service/Prior Authorization Clinical Review Update -- September 2019 (MAC)

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

Maternity Services and Multiple Delivery (Professional Reimbursement Policies – New) (MAC)

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

Intensity Modulated Radiation Therapy Planning and Delivery (Professional Reimbursement Policy – New) (MAC)

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

Claim editing update for Excludes1 notes

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

Claims requiring additional documentation facility reimbursement policy update

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

Coming soon: electronic attachments

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

Clinical Criteria updates

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

Customizations to the 23rd edition of the MCG Care Guidelines

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

Anthem Contracted Air Ambulance Providers for Nevada

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

Pharmacy benefit manager change to IngenioRx

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

Keep up with Medicare news

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

Keep up with Medicaid news

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