CommercialFebruary 1, 2019
February 2019 Anthem Ohio Provider Newsletter
Administrative
CommercialFebruary 1, 2019
Notice of Material Changes/Amendments to Contract and Prior Authorization Changes: February 2019Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
CommercialFebruary 1, 2019
Reminder: Inpatient commercial claim denialsCommercialFebruary 1, 2019
HEDIS® 2019: Controlling High Blood Pressure (CBP)Policy Updates
CommercialFebruary 1, 2019
Medical Policy and Clinical Guidelines: February 2019*CommercialFebruary 1, 2019
Pre-Service/Prior Authorization Clinical Review Update: February 2019*CommercialFebruary 1, 2019
Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines*CommercialFebruary 1, 2019
Update regarding E/M with modifier 25 - Professional*CommercialFebruary 1, 2019
Reimbursement Policy Updates: February 2019*CommercialFebruary 1, 2019
Reimbursement Policy Update: Injectable Substances with Related Injection Services - Professional*Products & Programs
CommercialFebruary 1, 2019
HEDIS 2019 Federal Employee Program® medical record request requirementsCommercialFebruary 1, 2019
Clinical criteria updates for specialty pharmacy*CommercialFebruary 1, 2019
Anthem expands specialty pharmacy prior authorization list*CommercialFebruary 1, 2019
Anthem expands specialty pharmacy medical step therapy drug list*CommercialFebruary 1, 2019
Pharmacy information available at anthem.comState & Federal
Medicare AdvantageFebruary 1, 2019
Reminder: Anthem follows Original Medicare policiesMedicare AdvantageFebruary 1, 2019
Use grouped CPT codes for AIM Specialty Health authorizationsMedicare AdvantageFebruary 1, 2019
Anthem eye refraction and routine eye exam billing informationMedicare AdvantageFebruary 1, 2019
New specialty Medicare Part B device preferred product programMedicare AdvantageFebruary 1, 2019
Keep up with Medicare newsTo view this publication online:
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