New: Provider manual now available

Please note, this communication applies to Anthem HealthKeepers Plus and Anthem HealthKeepers Plus, Commonwealth Coordinated Care Plus (Anthem CCC Plus) offered by HealthKeepers, Inc.

 

The new Anthem HealthKeepers Plus Provider Manual is now live on our provider website. This recently updated provider manual contains everything you need to know about our programs and how we work with you to provide quality care to our members. You can access the provider manual by visiting https://mediproviders.anthem.com/va > Manuals, Directories, Training & More > Anthem HealthKeepers Plus Manuals, Directories, Trainings & Resources > Anthem HealthKeepers Plus Provider Manual.

 

There were several important updates made this year that we encourage you to review. These include:

 

• High-dollar inpatient claims review: removed references to Equian — CERiS* is our vendor managing this process.

 

• Credentialing: added language to confirm compliance with Virginia House Bill 822.

 

• Interpretation services: notice of changes to face-to-face interpretation services.

 

• Provider preventable conditions: added language to confirm compliance with 42 CFR and Department of Medical Assistance Services requirements.

 

While we strive to keep our provider manual current, please be sure to check https://mediproviders.anthem.com/va > News & Announcements for the most up-to-date plan policy information.

 

If you have any questions about this communication, call Provider Services at 1‑800‑901‑0020 or Anthem CCC Plus Provider Services at 1‑855‑323‑4687.

 

* CERiS is an independent company providing claims review services on behalf of HealthKeepers, Inc.

 

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