August 17, 2018
August 2018 Anthem Provider Newsletter -- Virginia
Administrative
Anthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
New state legislation prompts changes for reimbursement of physician services during credentialing processAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Important Message: A new look is coming to provider communicationsAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Register soon for the last Anthem webinar for 2018 – Scheduled October 10Anthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Member explanation of benefits gets a makeoverAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Anthem streamlines member identification cards – Use Availity to verify members’ cost shares and benefits at time of serviceAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Important billing update for professional delivery claimsAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Avastin – Intravitreal treatment for retinal vascular conditions: Report using HCPCS code C9257Anthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Anthem to enhance automated claim edits for professional claimsAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Important information about billing colonoscopy and related anesthesia servicesAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Access standards for PCPs, specialists and behavioral health practitioners in 2018Anthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Vaginal birth after cesarean (VBAC) certified shared decision making aid available on the WebAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Clinical practice and preventive health guidelines available on the WebAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Refer to anthem.com for information about health care reform and the exchangeBehavioral Health
Anthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Anthem engages with Alliant Health SolutionsAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Anthem engages Availity as our EDI gatewayGuideline Updates
Anthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Coverage guidelines effective November 1, 2018Anthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Coverage guidelines informational noticeProducts & Programs
Anthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Additional support available for members with rare conditionsAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Care and Cost Finder – New sort optionAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
An important reminder from Anthem about home sleep testing with NovaSomAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Provider transparency updateAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
MyDiversePatients.com – A website to support your diverse patientsAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Updates to AIM level of care Musculoskeletal Surgery Clinical Appropriateness GuidelinesAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Updates to AIM Radiation Oncology Clinical Appropriateness GuidelinesAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Updates to AIM Advanced Imaging Clinical Appropriateness GuidelinesAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
New pregnancy notification process using Availity’s benefit look-up toolAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
New functionality added to Availity’s provider enrollment tool for VirginiaAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Anthem sponsors webinars about Availity’s EDI gateway servicesAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Mailing address for Federal Employee Program® paper claims and related correspondenceAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Anthem removes drugs from specialty pharmacy clinical site of care (level of care) drug listAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Anthem expands specialty pharmacy prior authorization listAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Anthem expands specialty pharmacy clinical site of care (level of care) drug listAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Anthem accepts prior authorization requests for prescription medications onlineAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Anthem to update drug lists supporting commercial health plansAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Anthem applies daily morphine equivalent dosing limitAnthem Blue Cross and Blue Shield | CommercialAugust 17, 2018
Pharmacy information available on anthem.comState & Federal
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 17, 2018
Anthem HealthKeepers Plus coding spotlight — ObesityHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 17, 2018
Reimbursement policy: Medical RecallsHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 17, 2018
Normal newborn diagnosis-related group claims processing updateHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 17, 2018
Prior authorization requirements for Cabazitaxel (Jevtana)HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 17, 2018
Prior authorization requirements for injectable/infusible drugs: mepolizumab (Nucala) and reslizumab (Cinqair)HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 17, 2018
New pregnancy notification process using the Availity portal Benefit Look-up tool for Anthem HealthKeepers Plus membersHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 17, 2018
Orientations and training sessions offered to all providersHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 17, 2018
Important information about utilization management from HealthKeepers, Inc.HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 17, 2018
Anthem HealthKeepers Plus Member’s Rights and Responsibilities Statement from HealthKeepers, Inc.HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 17, 2018
Postpartum outreach initiativeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 17, 2018
New collaboration with Edgepark for breast pump supply managementHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 17, 2018
HealthKeepers, Inc. adopts 22nd edition of the MCG care guidelinesHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsAugust 17, 2018
Electronic Data Interchange migration to AvailityAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 17, 2018
DME providers and physicians: Important wheelchair prior authorization informationAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 17, 2018
Submit PA medication requests electronically; new phone number for Medicare Advantage prescription PAs effective September 1Anthem Blue Cross and Blue Shield | Medicare AdvantageAugust 17, 2018
MyDiversePatients.com addresses health care disparitiesAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 17, 2018
CMS issues regulatory changes for short- and long-acting narcotics; days’ supply limits effective January 1, 2019Anthem Blue Cross and Blue Shield | Medicare AdvantageAugust 17, 2018
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