Virginia
Provider Communications

October 2020 Anthem Provider News - Virginia

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Title Category

Anthem Commercial Risk Adjustment Reporting Update: New guidance on telephone-only service CPT codes for Risk Adjustment Program

Products & Programs

Anthem updates formulary lists for commercial health plan pharmacy benefit

Pharmacy

FDA approvals and expedited pathways used: New Molecular Entities

Pharmacy

Anthem prior authorization updates for specialty pharmacy are available

Pharmacy

Updated coverage for breast cancer prevention medications

Pharmacy

Pharmacy information available on anthem.com

Pharmacy

Anthem Chat: A fast, easy way to have your questions answered

Administrative

Prior authorization update for commercial business

Administrative

New Blue HPN® network included in plans available for employee open enrollment fall 2020

Administrative

New medical claim attachment webinars: Register today

Administrative

Electronic member ID cards available on the Availity Portal

Administrative

National Accounts 2021 pre-certification list

Administrative

What Matters Most: Improving the patient experience

Administrative

Register today for Anthem’s fall webinar scheduled for November 12

Administrative

REMINDER: Expansion of AIM Musculoskeletal Program effective November 1, 2020

Coverage and Clinical Guidelines

Emergency department reimbursement policy

Reimbursement Policies

Federal Employee Program® expands specialty pharmacy prior authorization list

Federal Employee Plan (FEP)

Coding spotlight: Providers’ guide to coding for behavioral health disorders

Medicaid

Patient360 enhancement for medical providers

Medicaid

Prior authorization requirements for E0482

Medicaid

Claim payment disputes: Update

Medicaid

Social determinants of health support expanding with GroundGame Health

Medicaid

Provider Chat: A fast, easy way to have your questions answered

Medicaid

Keep up with Medicaid news

Medicaid

Social determinants of health support expanding with GroundGame Health

Medicare

Update: Notice of changes to the AIM musculoskeletal program

Medicare

Patient360 enhancement for medical providers

Medicare

Prior authorization requirements for the below codes (Effective December 1, 2020)

Medicare

Prior authorization requirements for the below codes (Effective January 1, 2021)

Medicare

Provider transparency update

Medicare

Medical drug benefit Clinical Criteria updates

Medicare

Keep up with Medicare news

Medicare
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