Nevada
Provider Communications

Articles Month: September 2020

Title Publication Category Date

Information from Anthem for Care Providers about COVID-19 (Updated September 18, 2020)

We recently updated FAQs about cost share waivers for telehealth and telephonic-only care.
COVID-19 Information - Nevada Administrative Sep 18, 2020

Site of Care* medical necessity reviews expand to numerous surgical procedures begin December 1, 2020 (MAC)

Material Adverse Change (MAC)
September 2020 Anthem Provider News and Important Updates -- Nevada Products & Programs Sep 1, 2020

Predictive Analytics guide proactive support to patients undergoing chemo, resulting in lowered admissions

September 2020 Anthem Provider News and Important Updates -- Nevada Products & Programs Sep 1, 2020

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
September 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Sep 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

September 2020 Anthem Provider News and Important Updates -- Nevada Pharmacy Sep 1, 2020

Anthem Chat: A fast, easy way to have your questions answered

September 2020 Anthem Provider News and Important Updates -- Nevada Administrative Sep 1, 2020

EDI Gateway Migration Deadline is September 15, 2020

September 2020 Anthem Provider News and Important Updates -- Nevada Administrative Sep 1, 2020

Enhanced Medical Records Submission Process to Support Claims Processing

September 2020 Anthem Provider News and Important Updates -- Nevada Administrative Sep 1, 2020

Patient360 Adds Care Gap Alert Feedback for Medical Providers

September 2020 Anthem Provider News and Important Updates -- Nevada Administrative Sep 1, 2020

Receive and respond to medical record requests for postpay audit via Change Healthcare’s Attach Assist functionality

September 2020 Anthem Provider News and Important Updates -- Nevada Administrative Sep 1, 2020

Commercial Risk Adjustment (CRA) Reporting Update: 2020 Prospective Program Continues

September 2020 Anthem Provider News and Important Updates -- Nevada Administrative Sep 1, 2020

New provider directory indicators for medication assisted treatment (MAT) providers

September 2020 Anthem Provider News and Important Updates -- Nevada Administrative Sep 1, 2020

Distinctive Procedural Services, Modifiers 59, XE, XP, XS, XU (Professional Reimbursement Policy) -- Update (MAC)

Material Adverse Change (MAC)
September 2020 Anthem Provider News and Important Updates -- Nevada Reimbursement Policies Sep 1, 2020

Frequency Editing (Professional Reimbursement Policy) -- Update (MAC)

Material Adverse Change (MAC)
September 2020 Anthem Provider News and Important Updates -- Nevada Reimbursement Policies Sep 1, 2020

Controlling High Blood Pressure (CBP)

September 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Sep 1, 2020

Medical drug benefit Clinical Criteria updates (March 2020)

September 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Sep 1, 2020

Keep up with Medicaid news

September 2020 Anthem Provider News and Important Updates -- Nevada Medicaid Sep 1, 2020

Medical drug benefit Clinical Criteria updates (March 2020)

September 2020 Anthem Provider News and Important Updates -- Nevada Medicare Sep 1, 2020

Medical drug benefit Clinical Criteria updates (May 2020)

September 2020 Anthem Provider News and Important Updates -- Nevada Medicare Sep 1, 2020
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