Virginia
Provider Communications

September 2021 Anthem Provider News - Virginia

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Title Category

Utilization management authorization rule operations

Medicare

Updates for specialty pharmacy are available

Pharmacy

UPDATE: Company to implement provider claim payment dispute process for Commercial lines of business on September 21

Administrative

Statin therapy for patients with diabetes

Achieve 90% patient statin therapy adherence with a personalized approach
Administrative

Six SIMPLE strategies to help increase medication adherence

Administrative

Reimbursement policy update: DRG inpatient facility transfers effective November 30, 2021

Medicare

Register now for our September CME webinars

Administrative

Prior authorization/precertification form notification

Medicare

National Accounts 2022 Pre-certification list

Administrative

Keep up with Medicare news - September 2021

View this Medicare article:
  • Clinical Criteria updates notification
Medicare

Keep up with Medicaid news - September 2021

View these Medicaid articles:
  • Clinical Criteria updates notification 
  • New specialty pharmacy medical step therapy requirements:  Iron Infusion Step Therapy
  • Prior authorization required for specialty pharmacy drugs:  Iron Infusion Prior Authorization Update

 

Medicaid

HEDIS® medical record submission made easier with Anthem’s Remote Electronic Medical Record Access Service

Digital Tools

Get your payments faster when you sign up for electronic funds transfer

Introducing EnrollSafe, the new electronic funds transfer enrollment portal for Anthem providers - replacing CAQH Enrollhub effective November 1, 2021.
Digital Tools

Federal Employee Program® AIM Radiology prior authorization review transition delayed until November 1

Federal Employee Plan (FEP)

Cure for the common cold: Rest, fluids and this free prescription pad

Be Antibiotic Aware campaign offers a prescription solution to antibiotics.

 

Administrative
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