CommercialDecember 1, 2019
December 2019 Anthem New Hampshire Provider News
Administrative
CommercialNovember 30, 2019
Important information about utilization managementCommercialNovember 30, 2019
New Reimbursement Policies: Durable Medical Equipment - Rent to Purchase and Durable Medical Equipment - Modifiers - professionalCommercialNovember 30, 2019
Members’ Rights and ResponsibilitiesCommercialNovember 30, 2019
Coordination of careCommercialNovember 30, 2019
Case Management ProgramCommercialNovember 30, 2019
Clinical practice and preventive health guidelines available on anthem.comCommercialNovember 30, 2019
Verifying and updating your provider informationCommercialNovember 30, 2019
New ID cards in 2020CommercialNovember 30, 2019
Payment recovery process simplified for National Accounts membershipCommercialNovember 30, 2019
System updates for 2020 - professionalCommercialNovember 30, 2019
Retrieve Anthem member HEDIS® care gaps through Patient360 on the Availity PortalBehavioral Health
CommercialNovember 30, 2019
Coding reminder for psychological and neuropsychological testingProducts & Programs
CommercialNovember 30, 2019
Reminder: New AIM Rehabilitative Program effective November 1, 2019CommercialNovember 30, 2019
Coordination of benefits for an FEP® memberCommercialNovember 30, 2019
Pharmacy information available on anthem.comCommercialNovember 30, 2019
Clinical criteria updates for specialty pharmacyState & Federal
Medicare AdvantageNovember 30, 2019
Reminder: refer Medicare Advantage members to in-network providersMedicare AdvantageNovember 30, 2019
Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagementMedicare AdvantageNovember 30, 2019
Medical drug clinical criteria updatesMedicare AdvantageNovember 30, 2019
Prior authorization requirements for E0784, K0553 and K0554Medicare AdvantageNovember 30, 2019
Global 3M19 Medical Policy and Technology Assessment Committee prior authorization updatesMedicare AdvantageNovember 30, 2019
Group Retiree PPO plansMedicare AdvantageNovember 30, 2019
CMS reminder: expedited/urgent requestsMedicare AdvantageNovember 30, 2019
2020 Medicare Advantage individual benefits and formulariesTo view this publication online:
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