Ohio
Provider Communications

November 2022 Anthem Provider News - Ohio

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Title Category

Blue High Performance Network expanded to include Dayton, Ohio region

Administrative

CAA: Keep your provider directory information up to date

Administrative

Claims status message enhancements: providing clear descriptions and actionable next steps

Digital Tools

Authorization application enhancements: faster, easier, and more efficient

Digital Tools

Submit digital attachments within seven-calendar days for claims filed with a PWK segment indicator

Digital Tools

You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, too

Digital Tools

Visit the Provider Learning Hub to view our latest learning opportunities

Digital Tools

Remote EMR access service for HEDIS

Digital Tools

Specialty pharmacy updates - November 2022

Notice of Material Amendment/Change to Contract (MAC)

Pharmacy

Medical policy and clinical guideline updates - November 2022

Notice of Material Amendment/Change to Contract (MAC)
Medical Policy & Clinical Guidelines

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines

Correction to reimbursement policy: Place of Service - Facility

Notice of Material Amendment/Change to Contract (MAC)

Reimbursement Policies

Anthem Blue Cross and Blue Shield provider orientations

Medicaid

Access instant health plan information via Availity Essentials on December 1, 2022

Medicaid

Custom Learning Center located on Availity Essentials Payer Spaces

Medicaid

Keep up with Medicare News - November 2022

- Medical drug benefit Clinical Criteria updates
- New specialty pharmacy medical step therapy requirements (Avastin, Mvasi)
- New specialty pharmacy medical step therapy requirements (Zarxio)
Medicare

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list

Medicare

Personalized Match

Medicare
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