Ohio
Provider Communications

February 2023 Anthem Provider News - Ohio

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Title Category

Controlling High Blood Pressure and Submitting Compliant Readings

Administrative

AIM Specialty Health will transition to Carelon Medical Benefits Management Inc.

Administrative

Have you reviewed your online provider directory information lately?

Administrative

Do you offer telehealth services? Let us know!

Administrative

Enhancing Provider News website and email communications

Digital Tools

Helping to reduce delays when submitting attachments: Make sure your correspondence includes one of these elements

Digital Tools

Medical Policies and Clinical Guidelines updates - February 2023*

*Notice of Material Amendment/Change to contract (MAC)

Medical Policy & Clinical Guidelines

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update*

*Notice of Material Amendment/Change to contract (MAC)

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines*

*Notice of Material Amendment/Change to contract (MAC)

Medical Policy & Clinical Guidelines

Specialty pharmacy updates - February 2023*

*Notice of Material Amendment/Change to contract (MAC)

Pharmacy

2023 FEP benefit information available online

Federal Employee Plan (FEP)

Electronic data interchange overview

Medicaid

Custom Learning Center located on Availity Essentials Payer Spaces

Medicaid

Electronic remittance advice (835)

Medicaid

Anthem Blue Cross and Blue Shield reimbursement policies

Medicaid

Provider Pathways - eLearning from Anthem Blue Cross and Blue Shield

Medicaid

The difference between Medicaid and Commercial

Medicaid

Access instant health plan information via Availity Essentials

Medicaid

Introducing the Provider Learning Hub for Anthem Blue Cross and Blue Shield

Medicaid

Pregnancy notification process using the benefit look-up tool

Medicaid

Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023

Medicare

Keep up with Medicare News - February 2023

- Introducing the Provider Learning Hub for Anthem Blue Cross and Blue Shield
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Fylnetra)
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Spevigo, Xenpozyme)
- Specialty pharmacy precertification list expansion (Rolvedon, Stimufend)
- New specialty pharmacy medical step therapy requirements
- Prior authorization requirement changes effective April 1, 2023
- Medical Policies and Clinical Utilization Management Guidelines update
Medicare
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