July 1, 2021
July 2021 New Hampshire Provider News
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CommercialJuly 1, 2021
Blue Precision program to be retired at end of 2021CommercialJuly 1, 2021
New Strategic Provider System launch delayedCommercialJuly 1, 2021
Register now to learn strategies to help your practice improve clinical qualityCommercialJuly 1, 2021
Another mark of the pandemic: an increase in childhood obesityCommercialJuly 1, 2021
Proper coding for in-home monitoring can make a measurable difference for INRCommercialJuly 1, 2021
Timely receipt of primary payer EOB helps avoid timely filing denials for secondary claimsCommercialJuly 1, 2021
Interactive Care Reviewer (ICR): New search option for cases submitted through ICRCommercialJuly 1, 2021
Electronic claim response filesCommercialJuly 1, 2021
How to enroll in electronic fund transfer (EFT) for faster remittancePolicy Updates
CommercialJuly 1, 2021
Medical policy updates are available on anthem.comCommercialJuly 1, 2021
Reimbursement policy update: Consultations - professionalCommercialJuly 1, 2021
New reimbursement policy: Non-patient Laboratory Services - facilityProducts & Programs
CommercialJuly 1, 2021
Reminder: Updated AIM Rehabilitative Program site of service reviews effective August 1, 2021CommercialJuly 1, 2021
Designated specialty pharmacy network updatesCommercialJuly 1, 2021
Certain specialty medication precertification requests may require additional documentationCommercialJuly 1, 2021
Update: Site of Care medical necessity reviews for long-acting colony-stimulating factors will not be implemented on August 1, 2021CommercialJuly 1, 2021
Clinical criteria updates for specialty pharmacyCommercialJuly 1, 2021
Prior authorization updates for specialty pharmacy effective October 1, 2021State & Federal
Medicare AdvantageJuly 1, 2021
Attention facilities: Sending admission, discharge and transfer data to Anthem and AMH Health LLC results in improved patient care managementMedicare AdvantageJuly 1, 2021
Let’s VaccinateMedicare AdvantageJuly 1, 2021
Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428Medicare AdvantageJuly 1, 2021
Medical drug benefit clinical criteria updateMedicare AdvantageJuly 1, 2021
New Policy - Modifier 90: Reference (Outside) Laboratory and Pass-Through Billing (effective 10/1/21)Medicare AdvantageJuly 1, 2021
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