October 1, 2020
October 2020 Anthem New Hampshire Provider News
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Administrative
CommercialOctober 1, 2020
National drug code requirement on outpatient claimsCommercialOctober 1, 2020
Anthem Chat: A fast, easy way to have your questions answeredCommercialOctober 1, 2020
Predictive analytics guide proactive support to patients undergoing chemo, resulting in lowered admissionsCommercialOctober 1, 2020
Updated coverage for breast cancer prevention medicationsCommercialOctober 1, 2020
Commercial Risk Adjustment reporting update: New guidance on telephone-only service CPT codes for risk adjustment programCommercialOctober 1, 2020
National Accounts 2021 Pre-certification listCommercialOctober 1, 2020
New Availity medical claim attachment webinars: register todayCommercialOctober 1, 2020
Electronic member ID cards available on the Availity portalCommercialOctober 1, 2020
What Matters Most online CME course: Improving the Patient ExperiencePolicy Updates
CommercialOctober 1, 2020
Medical policy and clinical guideline updatesCommercialOctober 1, 2020
Reimbursement policy update: Laboratory and Venipuncture - professionalCommercialOctober 1, 2020
Reimbursement policy update - Claims Requiring Additional Documentation policy (facility)Products & Programs
CommercialOctober 1, 2020
Reminder: Expansion of AIM Musculoskeletal Program effective November 1, 2020CommercialOctober 1, 2020
Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines delayed until December 1, 2020CommercialOctober 1, 2020
Federal Employee Program expands specialty pharmacy prior authorization listCommercialOctober 1, 2020
Prior authorization updates for specialty pharmacy effective January 2021CommercialOctober 1, 2020
Clinical criteria updates for specialty pharmacyCommercialOctober 1, 2020
Formulary lists updated for commercial health plan pharmacy benefitCommercialOctober 1, 2020
Pharmacy information available on anthem.comState & Federal
Medicare AdvantageOctober 1, 2020
Social determinants of health support expanding with GroundGame HealthMedicare AdvantageOctober 1, 2020
Patient360 enhancement for medical providersMedicare AdvantageOctober 1, 2020
Prior authorization requirement changes effective December 1, 2020Medicare AdvantageOctober 1, 2020
Prior authorization requirement changes effective January 1, 2021Medicare AdvantageOctober 1, 2020
Provider transparency updateMedicare AdvantageOctober 1, 2020
Medical drug benefit clinical criteria updatesMedicare AdvantageOctober 1, 2020
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