New Hampshire
Provider Communications

July 2019 Anthem New Hampshire Provider News

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Title Category

Changes to Claim Status Inquiry and Secure Messaging on the Availity Portal

Administrative

Changes to timely filing requirements for Medicare Advantage

Medicare

Clinical criteria coding updates for specialty pharmacy

Pharmacy

Clinical criteria updates for specialty pharmacy

Pharmacy

Clinical validation - professional

Administrative

Commercial Risk Adjustment (CRA) Reporting Update: 2019 Program Year Progression

Administrative

Electronic claim payment reconsideration

Medicare

Federal Employee Health Benefit Program® (FEP) PPO members will now require prior approval for specific specialty drugs and site of care

Federal Employee Plan (FEP)

Federal Employee Program® New Hampshire dental network change

Federal Employee Plan (FEP)

Home health billing guidelines for contracted providers

Medicare

ICD-10-CM coding guidelines and laterality - professional

Administrative

Keep up with Medicare news

Medicare

Make the move to the Availity EDI Gateway today

Administrative

Modifier 63 reminder - professional

Administrative

Modifier 79 reminder - professional

Administrative

Outpatient Rehabilitation Program transitioning to AIM

Medicare

Payment recovery process simplified for National Accounts membership

Administrative

Sepsis diagnosis coding and billing reminder

Medicare

State-supplied vaccines reminder - professional

Administrative

Un-adopted clinical guidelines effective June 1, 2019

Medical Policy & Clinical Guidelines

Update to provider/facility UM reimbursement penalties and corresponding update to Provider/Facility Manual

Administrative

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

Products & Programs
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