Ohio
Provider Communications

Articles Month: December 2018

Title Publication Category Date

Changes in Automotive Accounts AIM Processing effective Jan. 1

Dec. 14, 2018 Anthem Ohio Network eUpdate Products & Programs Dec 14, 2018

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - December 2018

Notice 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.
December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Upcoming Changes for Automotive Accounts

December 2018 Anthem Ohio Provider Newsletter Products & Programs Dec 1, 2018

GM Precertification and Integrated Health Management (360 Health) changes for CY 2019

December 2018 Anthem Ohio Provider Newsletter Products & Programs Dec 1, 2018

Anthem Accepts Electronic Prior Authorization Requests for Prescription Medications Online

December 2018 Anthem Ohio Provider Newsletter Pharmacy Dec 1, 2018

Introducing the New Clinical Criteria Page for Injectable, Infused or Implanted Drugs

December 2018 Anthem Ohio Provider Newsletter Pharmacy Dec 1, 2018

Pharmacy Information Available at anthem.com

December 2018 Anthem Ohio Provider Newsletter Pharmacy Dec 1, 2018

Anthem Streamlines Member ID Cards - Use Availity to Verify Members' Cost Shares and Benefits at Time of Service

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Availity to Serve as EDI Entry Point for Electronic Submissions

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Anthem to Enhance Claim Edits for Outpatient Facility Claims

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Members Can Shop for Cost-Efficient Health Care Using SmartShopper

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

HEDIS® 2018 Commercial Results Are In

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Case Management Program

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

ConditionCare Program Benefits Patients and Physicians

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Integrated Care Model for Plans Purchased on the Health Insurance Marketplace Benefits Patients and Physicians

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Coordination of Care

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Important Information about Utilization Management

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Members’ Rights and Responsibilities

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid Available on the Web

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Restructure of AIM Advanced Imaging Clinical Appropriateness Guidelines

December 2018 Anthem Ohio Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Update to AIM Clinical Appropriateness Guidelines

December 2018 Anthem Ohio Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

December 2018 Anthem Ohio Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Interactive Care Reviewer (ICR) New Features

December 2018 Anthem Ohio Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Bundled Services and Supplies (Professional)

December 2018 Anthem Ohio Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement for Convenience Surgical Supply Kits: Professional

December 2018 Anthem Ohio Provider Newsletter Reimbursement Policies Dec 1, 2018

Clinical practice and preventive health guidelines available on anthem.com

December 2018 Anthem Ohio Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Medical Polices and Clinical Guidelines Updates - December 2018

December 2018 Anthem Ohio Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

View reimbursement policies online at anthem.com

December 2018 Anthem Ohio Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement Policy Updates - December 2018

December 2018 Anthem Ohio Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement Policy Update - Scope of License (Professional)

December 2018 Anthem Ohio Provider Newsletter Reimbursement Policies Dec 1, 2018

2019 FEP Benefit information available online

December 2018 Anthem Ohio Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Coordination of Benefits for an FEP® member

December 2018 Anthem Ohio Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Benefit change for Infliximab for Federal Employee Program (FEP)

December 2018 Anthem Ohio Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

When and how to initiate Medicare Advantage reopenings

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

Anthem MA Ohio Field Based Case Management Program

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

Members with COPD eligible for health improvement program

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

Keep up with Medicare news

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018
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