New Hampshire
Provider Communications

Articles

Title Publication Category Date

UPDATE: new Rehabilitative Program remains temporarily delayed

New Hampshire - UPDATE: New Rehabilitative Program Remains Temporarily Delayed Products & Programs Jul 16, 2019

UPDATE: new Rehabilitative Program now effective August 1, 2019

New Hampshire - July UPDATE: New Rehabilitative Program Now Effective August 1, 2019 Products & Programs Jul 3, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

July 2019 Anthem New Hampshire Provider News Products & Programs Jul 1, 2019

Clinical criteria updates for specialty pharmacy

July 2019 Anthem New Hampshire Provider News Pharmacy Jul 1, 2019

Clinical criteria coding updates for specialty pharmacy

July 2019 Anthem New Hampshire Provider News Pharmacy Jul 1, 2019

Clinical validation - professional

July 2019 Anthem New Hampshire Provider News Administrative Jul 1, 2019

Payment recovery process simplified for National Accounts membership

July 2019 Anthem New Hampshire Provider News Administrative Jul 1, 2019

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

July 2019 Anthem New Hampshire Provider News Administrative Jul 1, 2019

Make the move to the Availity EDI Gateway today

July 2019 Anthem New Hampshire Provider News Administrative Jul 1, 2019

State-supplied vaccines reminder - professional

July 2019 Anthem New Hampshire Provider News Administrative Jul 1, 2019

Modifier 79 reminder - professional

July 2019 Anthem New Hampshire Provider News Administrative Jul 1, 2019

Modifier 63 reminder - professional

July 2019 Anthem New Hampshire Provider News Administrative Jul 1, 2019

ICD-10-CM coding guidelines and laterality - professional

July 2019 Anthem New Hampshire Provider News Administrative Jul 1, 2019

Un-adopted clinical guidelines effective June 1, 2019

July 2019 Anthem New Hampshire Provider News Medical Policy & Clinical Guidelines Jul 1, 2019

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

July 2019 Anthem New Hampshire Provider News Federal Employee Plan (FEP) Jul 1, 2019

Sepsis diagnosis coding and billing reminder

July 2019 Anthem New Hampshire Provider News Medicare Jul 1, 2019

Home health billing guidelines for contracted providers

July 2019 Anthem New Hampshire Provider News Medicare Jul 1, 2019

Outpatient Rehabilitation Program transitioning to AIM

July 2019 Anthem New Hampshire Provider News Medicare Jul 1, 2019

Keep up with Medicare news

July 2019 Anthem New Hampshire Provider News Medicare Jul 1, 2019

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

July 2019 Anthem New Hampshire Provider News Administrative Jul 1, 2019

Electronic claim payment reconsideration

July 2019 Anthem New Hampshire Provider News Medicare Jul 1, 2019

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

July 2019 Anthem New Hampshire Provider News Administrative Jul 1, 2019

Federal Employee Program® New Hampshire dental network change

July 2019 Anthem New Hampshire Provider News Federal Employee Plan (FEP) Jul 1, 2019

Changes to timely filing requirements for Medicare Advantage

July 2019 Anthem New Hampshire Provider News Medicare Jul 1, 2019

Anthem to acquire Beacon Health Options

Anthem to acquire Beacon Health Options Administrative Jun 6, 2019

Reminder and update: new Rehabilitative Program effective July 1, 2019

June 2019 Anthem New Hampshire Provider Newsletter Products & Programs Jun 1, 2019

AIM programs may require additional prior authorization documentation

June 2019 Anthem New Hampshire Provider Newsletter Products & Programs Jun 1, 2019

Medical non-oncology specialty drug review changes effective June 15, 2019

June 2019 Anthem New Hampshire Provider Newsletter Products & Programs Jun 1, 2019

Specialty pharmacy pre-service clinical review list expanded effective September 1, 2019

June 2019 Anthem New Hampshire Provider Newsletter Pharmacy Jun 1, 2019

Pharmacy information available on anthem.com

June 2019 Anthem New Hampshire Provider Newsletter Pharmacy Jun 1, 2019

Additional changes launched to anthem.com for Q2

June 2019 Anthem New Hampshire Provider Newsletter Administrative Jun 1, 2019

Find a Doctor - new sort option

June 2019 Anthem New Hampshire Provider Newsletter Administrative Jun 1, 2019

Electronic attachments coming soon

June 2019 Anthem New Hampshire Provider Newsletter Administrative Jun 1, 2019

Sepsis coding update

June 2019 Anthem New Hampshire Provider Newsletter Administrative Jun 1, 2019

Commercial Risk Adjustment (CRA) reporting update: Retrospective Program begins; benefits of direct connection access to your EMR

June 2019 Anthem New Hampshire Provider Newsletter Administrative Jun 1, 2019

Adult BMI Assessment

June 2019 Anthem New Hampshire Provider Newsletter Administrative Jun 1, 2019

Misrouted protected health information (PHI)

June 2019 Anthem New Hampshire Provider Newsletter Administrative Jun 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

June 2019 Anthem New Hampshire Provider Newsletter Administrative Jun 1, 2019

New Reimbursement Policy - Ambulance Transportation - professional

June 2019 Anthem New Hampshire Provider Newsletter Reimbursement Policies Jun 1, 2019

Medical policy updates are available on anthem.com

June 2019 Anthem New Hampshire Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Coding Updates

June 2019 Anthem New Hampshire Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Clinical guideline updates are available on anthem.com

June 2019 Anthem New Hampshire Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Coding Updates

June 2019 Anthem New Hampshire Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Clinical Guideline CG-ANC-07 effective September 1, 2019

June 2019 Anthem New Hampshire Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Review of professional claims with emergency department level 5 E&M codes

June 2019 Anthem New Hampshire Provider Newsletter Medicare Jun 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Anthem New Hampshire Provider Newsletter Medicare Jun 1, 2019

Keep up with Medicare news

June 2019 Anthem New Hampshire Provider Newsletter Medicare Jun 1, 2019

Frequency Editing - professional

June 2019 Anthem New Hampshire Provider Newsletter Reimbursement Policies Jun 1, 2019

Reimbursement for Epidural Services for Anthem Plans in New Hampshire

Reimbursement for Epidural Services for Anthem Plans in New Hampshire Administrative May 2, 2019

Specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents

May 2019 Anthem New Hampshire Provider Newsletter Pharmacy May 1, 2019

Specialty pharmacy medical step therapy drug list expanded

May 2019 Anthem New Hampshire Provider Newsletter Pharmacy May 1, 2019

Pharmacy information available on anthem.com

May 2019 Anthem New Hampshire Provider Newsletter Pharmacy May 1, 2019

MCG care guidelines 23rd Edition

May 2019 Anthem New Hampshire Provider Newsletter Administrative May 1, 2019

Electronic member ID cards – Easy online access on the Availity portal

May 2019 Anthem New Hampshire Provider Newsletter Administrative May 1, 2019

Attention! Availity launches changes to the Medical Attachment submission tool

May 2019 Anthem New Hampshire Provider Newsletter Administrative May 1, 2019

Provider Manual to be updated July 1, 2019

May 2019 Anthem New Hampshire Provider Newsletter Administrative May 1, 2019

Changes to the Timely Filing for Adjustments & Corrected Claims Administrative Policy

May 2019 Anthem New Hampshire Provider Newsletter Administrative May 1, 2019

Commercial Risk Adjustment (CRA) Reporting Update: Health Assessment requests for 2019 / Alternative reporting engagement

May 2019 Anthem New Hampshire Provider Newsletter Administrative May 1, 2019

Review of professional claims with emergency room level 5 E/M codes

May 2019 Anthem New Hampshire Provider Newsletter Administrative May 1, 2019

Referring to contracted ambulance providers

May 2019 Anthem New Hampshire Provider Newsletter Administrative May 1, 2019

Access surveys for PCPs, specialists and behavioral health practitioners to be conducted

May 2019 Anthem New Hampshire Provider Newsletter Administrative May 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

May 2019 Anthem New Hampshire Provider Newsletter Administrative May 1, 2019

Drug Screen Testing update: professional

May 2019 Anthem New Hampshire Provider Newsletter Reimbursement Policies May 1, 2019

Medical policy updates are available on anthem.com

May 2019 Anthem New Hampshire Provider Newsletter Medical Policy & Clinical Guidelines May 1, 2019

Clinical guideline updates are available on anthem.com

May 2019 Anthem New Hampshire Provider Newsletter Medical Policy & Clinical Guidelines May 1, 2019

Fall prevention tips

May 2019 Anthem New Hampshire Provider Newsletter Medicare May 1, 2019

Medical records request for risk adjustment

May 2019 Anthem New Hampshire Provider Newsletter Medicare May 1, 2019

Partial hospitalization services

May 2019 Anthem New Hampshire Provider Newsletter Medicare May 1, 2019

Keep up with Medicare news

May 2019 Anthem New Hampshire Provider Newsletter Medicare May 1, 2019

New AIM Rehabilitative program effective July 1, 2019

April 2019 Anthem New Hampshire Provider Newsletter Products & Programs Apr 1, 2019

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline

April 2019 Anthem New Hampshire Provider Newsletter Products & Programs Apr 1, 2019

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines

April 2019 Anthem New Hampshire Provider Newsletter Products & Programs Apr 1, 2019

Specialty pharmacy pre-service clinical review list expanded effective July 1, 2019

April 2019 Anthem New Hampshire Provider Newsletter Pharmacy Apr 1, 2019

Pharmacy information available on anthem.com

April 2019 Anthem New Hampshire Provider Newsletter Pharmacy Apr 1, 2019

Commercial risk adjustment (CRA) reporting update

April 2019 Anthem New Hampshire Provider Newsletter Administrative Apr 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

April 2019 Anthem New Hampshire Provider Newsletter Administrative Apr 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

April 2019 Anthem New Hampshire Provider Newsletter Administrative Apr 1, 2019

Chronic care management and advanced care planning service benefits

April 2019 Anthem New Hampshire Provider Newsletter Administrative Apr 1, 2019

New Partial Hospitalization Program and Intensive Outpatient Program Services Facility Reimbursement Policy

April 2019 Anthem New Hampshire Provider Newsletter Reimbursement Policies Apr 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

April 2019 Anthem New Hampshire Provider Newsletter Medicare Apr 1, 2019

Reimbursement for select HEDIS related CPT II codes for Medicare Advantage members coming soon

April 2019 Anthem New Hampshire Provider Newsletter Medicare Apr 1, 2019

Keep up with Medicare news

April 2019 Anthem New Hampshire Provider Newsletter Medicare Apr 1, 2019

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines

April 2019 Anthem New Hampshire Provider Newsletter Products & Programs Apr 1, 2019

Pharmacy information available on anthem.com

March 2019 Anthem New Hampshire Provider Newsletter Pharmacy Mar 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

March 2019 Anthem New Hampshire Provider Newsletter Administrative Mar 1, 2019

Some of your patients will begin moving to IngenioRx in Q2 2019

March 2019 Anthem New Hampshire Provider Newsletter Pharmacy Mar 1, 2019

Specialty pharmacy clinical site of care program important reminder

March 2019 Anthem New Hampshire Provider Newsletter Pharmacy Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem New Hampshire Provider Newsletter Pharmacy Mar 1, 2019

Commercial drug list important updates

March 2019 Anthem New Hampshire Provider Newsletter Pharmacy Mar 1, 2019

Sign up today for provider eUpdates

March 2019 Anthem New Hampshire Provider Newsletter Administrative Mar 1, 2019

Additional changes to anthem.com to launch in March

March 2019 Anthem New Hampshire Provider Newsletter Administrative Mar 1, 2019

Commercial Risk Adjustment Program update: Medical chart collection for ACA members due March 31, 2019

March 2019 Anthem New Hampshire Provider Newsletter Administrative Mar 1, 2019

Digital Provider Enrollment application now available

March 2019 Anthem New Hampshire Provider Newsletter Administrative Mar 1, 2019

Explore updates to medical attachment tool

March 2019 Anthem New Hampshire Provider Newsletter Administrative Mar 1, 2019

EDI Gateway migration updates

March 2019 Anthem New Hampshire Provider Newsletter Administrative Mar 1, 2019

HEDIS® 2019: Controlling High Blood Pressure

March 2019 Anthem New Hampshire Provider Newsletter Administrative Mar 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

March 2019 Anthem New Hampshire Provider Newsletter Administrative Mar 1, 2019

Dual eligible special needs plans: provider training required

March 2019 Anthem New Hampshire Provider Newsletter Medicare Mar 1, 2019

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Anthem New Hampshire Provider Newsletter Medicare Mar 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Anthem New Hampshire Provider Newsletter Medicare Mar 1, 2019
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