Ohio
Provider Communications

Articles

Title Publication Category Date

New on Interactive Care Reviewer (ICR): Request Clinical Appeals

April 2019 Anthem Provider Newsletter - Ohio Administrative Apr 1, 2019

New Reimbursement Policy - Facility Revenue Code Billing

October 2018 Anthem Ohio Provider Newsletter Reimbursement Policies Sep 28, 2018

New Reimbursement Policy: Partial Hospitalization Program and Intensive Outpatient Program Services Facility*

April 2019 Anthem Provider Newsletter - Ohio Reimbursement Policies Apr 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Ohio Provider Newsletter Medicare Feb 1, 2019

New Year Brings New ID Cards - and New ID Numbers - for Many Anthem Members

Jan. 23, 2019 Anthem Ohio Provider Network eUpdate Administrative Jan 23, 2019

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

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - May 2019

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 starred (*) below.
May 2019 Anthem Provider Newsletter - Ohio Administrative May 1, 2019

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes: April 2019

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.
April 2019 Anthem Provider Newsletter - Ohio Administrative Apr 1, 2019

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes: February 2019

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.
February 2019 Anthem Ohio Provider Newsletter Administrative Feb 1, 2019

Now Available: Get patient payments faster with Healthcare Bill Payments at anthem.com

September 2018 Anthem Ohio eUpdate Administrative Aug 30, 2018

Paradigm Senior Care Advantage a delegated provider for Akron MA membership

January 2019 Anthem Ohio Provider Newsletter Medicare Jan 1, 2019

Pharmacy information available at anthem.com

October 2018 Anthem Ohio Provider Newsletter Pharmacy Sep 28, 2018

Pharmacy information available at anthem.com

February 2019 Anthem Ohio Provider Newsletter Pharmacy Feb 1, 2019

Pharmacy information available at anthem.com

May 2019 Anthem Provider Newsletter - Ohio Pharmacy May 1, 2019

Pharmacy Information Available at anthem.com

December 2018 Anthem Ohio Provider Newsletter Pharmacy Dec 1, 2018

Pharmacy information available at anthem.com

January 2019 Anthem Ohio Provider Newsletter Pharmacy Jan 1, 2019

Please evaluate statin use for MA members with diabetes, cardiovascular disease

October 2018 Anthem Ohio Provider Newsletter Medicare Sep 28, 2018

Pre-Service/Prior Authorization Clinical Review Update: February 2019*

February 2019 Anthem Ohio Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Provider Transparency Update

March 2019 Anthem Provider Newsletter - Ohio Administrative Mar 1, 2019

Reimbursement for Convenience Surgical Supply Kits: Professional

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

Reimbursement Policy Update - Claims requiring additional documentation (Facility)

September 2018 Anthem Ohio eUpdate Reimbursement Policies Aug 30, 2018

Reimbursement Policy Update - Readmissions (Facility)

October 2018 Anthem Ohio Provider Newsletter Reimbursement Policies Sep 28, 2018

Reimbursement Policy Update - Scope of License (Professional)

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

Reimbursement Policy Update: Injectable Substances with Related Injection Services - Professional*

February 2019 Anthem Ohio Provider Newsletter Reimbursement Policies Feb 1, 2019

Reimbursement Policy Updates - December 2018

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

Reimbursement Policy Updates: February 2019*

February 2019 Anthem Ohio Provider Newsletter Reimbursement Policies Feb 1, 2019

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem Ohio Provider Newsletter Medicare Feb 1, 2019

Reminder: Correspondence must include a valid Anthem member ID number

November 2018 Anthem Ohio Network eUpdate Administrative Nov 1, 2018

Reminder: HCPCS code A0998 Ambulance response and treatment with no transport is active and available for use

January 2019 Anthem Ohio Provider Newsletter Reimbursement Policies Jan 1, 2019

Reminder: Inpatient commercial claim denials

February 2019 Anthem Ohio Provider Newsletter Administrative Feb 1, 2019

Restructure of AIM Advanced Imaging Clinical Appropriateness Guidelines

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

Review of professional claims with emergency room level 5 E/M codes

May 2019 Anthem Provider Newsletter - Ohio Administrative May 1, 2019

Simplifying medication prior authorization processes

January 2019 Anthem Ohio Provider Newsletter Pharmacy Jan 1, 2019

Some of your patients will begin moving to IngenioRx in Q2 2019

March 2019 Anthem Provider Newsletter - Ohio Pharmacy Mar 1, 2019

Special Investigations Unit (SUI) Updates: FDA Warnings

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

Submit electronic SOAP notes today using ePASS® and receive $100 each

September 2018 Anthem Ohio eUpdate Administrative Aug 30, 2018

The 2019 Provider Manual is now available for your review

April 2019 Anthem Provider Newsletter - Ohio Administrative Apr 1, 2019

Tips for billing CPT modifier 33

October 2018 Anthem Ohio Provider Newsletter Reimbursement Policies Sep 28, 2018

UM Process Change: Courtesy approval determination notifications

April 2019 Anthem Provider Newsletter - Ohio Administrative Apr 1, 2019

Upcoming Changes for Automotive Accounts

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

Update regarding drugs not approved by the FDA

January 2019 Anthem Ohio Provider Newsletter Pharmacy Jan 1, 2019

Update regarding E/M with modifier 25 - Professional*

February 2019 Anthem Ohio Provider Newsletter Reimbursement Policies Feb 1, 2019

Update regarding evaluation and management with modifier 25

April 2019 Anthem Provider Newsletter - Ohio Medicare Apr 1, 2019

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Ohio Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline*

April 2019 Anthem Provider Newsletter - Ohio Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Clinical Appropriateness Guidelines

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

Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Ohio Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines*

February 2019 Anthem Ohio Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Ohio Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Specialty Health clinical appropriateness guidelines

October 2018 Anthem Ohio Provider Newsletter Products & Programs Sep 28, 2018

Update to AIM Specialty Health radiation oncology clinical appropriateness guidelines

October 2018 Anthem Ohio Provider Newsletter Products & Programs Sep 28, 2018

Update to AIM Specialty Health sleep disorder management clinical appropriateness guidelines

October 2018 Anthem Ohio Provider Newsletter Products & Programs Sep 28, 2018

Update to Durable Medical Equipment - effective October 14, 2018

October 2018 Anthem Ohio Provider Newsletter Administrative Oct 12, 2018

Update: Drug Screen Testing - Professional*

May 2019 Anthem Provider Newsletter - Ohio Reimbursement Policies May 1, 2019

Updated Provider Manual posted to anthem.com

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

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

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Ohio Provider Newsletter Medicare Feb 1, 2019

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

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

View reimbursement policies online at anthem.com

October 2018 Anthem Ohio Provider Newsletter Reimbursement Policies Sep 28, 2018

View reimbursement policies online at anthem.com

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

When and how to initiate Medicare Advantage reopenings

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

Why do patients stop taking their prescribed medications and what can you do to help them?

April 2019 Anthem Provider Newsletter - Ohio Administrative Apr 1, 2019
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