New Hampshire
Provider Communications

June 2021 Anthem New Hampshire Provider News

Download as PDF

Title Category

Let’s Vaccinate

Administrative

Anthem’s new Strategic Provider System will launch in July 2021

Administrative

Claim edits enhanced for outpatient facility claims

Administrative

Update to evaluation and management services correct coding - professional

Administrative

Physicians and clinical teams: Study finds imaging for lower back pain does not improve outcomes

Administrative

Access surveys for PCP, specialists and behavioral health practitioners

Administrative

Keep your demographic and contact information current

Administrative

Help ensure the accuracy of your information in the provider directory

Administrative

Regular check-ins with your clearinghouse could help reduce timely filing denials

Administrative

Interactive Care Reviewer’s new copy feature decreases time to submit authorization request

Digital Tools

Two great learning resources on one secure portal

Digital Tools

Digital solution options with Availity

Digital Tools

Submit EDI corrected claims via Availity or EDI

Digital Tools

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

Products & Programs

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

Products & Programs

Designated specialty pharmacy network updates

Pharmacy

Prior authorization and step therapy updates for specialty pharmacy

Pharmacy

Clinical criteria updates for specialty pharmacy

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

DEXA bone scan criteria for the Federal Employee Program

Federal Employee Plan (FEP)

Inpatient readmissions policy reminder

Medicare

Medical policies and clinical utilization management guidelines update

Medicare

MCG Care Guidelines 25th Edition

Medicare

Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ reminders

Medicare

Keep up with Medicare news

Medicare
Page 1 of 1