August 1, 2021

August 2021 Anthem Provider News - Ohio

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Administrative

AdministrativeCommercialAugust 1, 2021

Register now for our August CME webinars

AdministrativeCommercialAugust 1, 2021

Clearing up coding confusion for retinal eye exams (DRE)

Digital SolutionsCommercialAugust 1, 2021

New! Schedule appointments online through Availity

Policy Updates

Medical Policy & Clinical GuidelinesCommercialAugust 1, 2021

Update: AIM Musculoskeletal Program effective November 1, 2021 - Site of care reviews*
*Notice of Material Amendment/Change to Contract (MAC)

Reimbursement PoliciesCommercialAugust 1, 2021

Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, & XU*
*Notice of Material Amendment/Change to Contract (MAC)

Reimbursement PoliciesCommercialAugust 1, 2021

Reimbursement policy update: Claims requiring additional documentation (Facility)*
*Notice of Material Amendment/Change to Contract (MAC)

Reimbursement PoliciesCommercialAugust 1, 2021

Reimbursement policy update: Virtual Visits (Professional and Facility)*
*Notice of Material Amendment/Change to Contract (MAC)

Products & Programs

Federal Employee Program (FEP)CommercialAugust 1, 2021

Change in email submission of service requests for Federal Employee Program® members*
*Notice of Material Amendment/Change to Contract (MAC)

PharmacyCommercialAugust 1, 2021

Pharmacy information available at anthem.com

PharmacyCommercialAugust 1, 2021

Updates for specialty pharmacy are available - August 2021*
*Notice of Material Amendment/Change to Contract (MAC)

PharmacyCommercialAugust 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit effective October 1, 2021*
*Notice of Material Amendment/Change to Contract (MAC)

State & Federal

State & FederalMedicare AdvantageAugust 1, 2021

Preventing claims denials: Shingles vaccine

State & FederalMedicare AdvantageAugust 1, 2021

Medicare News - August 2021
View these Medicare articles:
- Infliximab Step Therapy - Effective 7/15/2021
- Prior authorization requirement changes effective October 1, 2021 – UM AROW 1907