Anthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
December 2018 Anthem Provider Newsletter - Virginia
Administrative
Anthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
New autism codes effective January 1, 2019Anthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Company works to simplify payment recovery process for National Accounts membershipAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Anthem streamlines member identification cards reminder; Use Availity to verify members’ cost shares and benefits at time of serviceAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Availity to serve as EDI entry point for electronic submissionsAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Explore new enhancements to the Education and Reference CenterAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Claims system updates for 2019: ProfessionalAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Modifier 79: Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period - ProfessionalAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Misrouted protected health information (PHI)Anthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Receive e-mail notifications via our Network eUPDATEAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Anthem in Virginia to offer new Exclusive Provider Organization plans beginning January 1, 2019Guideline Updates
Anthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Update to AIM Clinical Appropriateness GuidelinesAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Coverage guidelines effective March 1, 2019Anthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Clinical practice and preventive health guidelines available on the WebAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Restructure of AIM Advanced Imaging Clinical Appropriateness GuidelinesAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Updates to AIM Musculoskeletal Surgery Clinical Appropriateness GuidelinesProducts & Programs
Anthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Updates on Anthem’s Inmate Medical Services ProgramAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
HEDIS® 2018 results are in for our Anthem PPO and HealthKeepers commercial productsAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Case Management ProgramAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
ConditionCare Program benefits patients and physiciansAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Integrated Care Model for plans purchased on the Health Insurance Marketplace benefits patients and physiciansAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Coordination of careAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Important Information about utilization managementAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Members’ Rights and ResponsibilitiesAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Vaginal Birth after Cesarean (VBAC) Certified shared decision making aid available on the WebAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
2019 FEP® benefit information available onlineAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Benefit change for Infliximab for Federal Employee ProgramAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Coordination of benefits for FEP® membersAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Pharmacy information available on anthem.comAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Anthem accepts electronic prior authorization requests for prescription medications onlineAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2018
Introducing the new Clinical Criteria page for injectable, infused or implanted drugsState & Federal
HealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 30, 2018
Precertification requirements reminderHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 30, 2018
Orientations and training sessions offered to all providersHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 30, 2018
Reimbursement policy: Claims requiring additional documentationHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 30, 2018
Coding spotlight: Substance use disorders and smokingHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 30, 2018
Prior authorization requirements for SublocadeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 30, 2018
Prior authorization requirements for Subcutaneous Implantable Defibrillator systemHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 30, 2018
Quality of care reviewHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 30, 2018
Coverage Guidelines and Clinical Utilization Management Guidelines updateHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 30, 2018
Anthem HealthKeepers Plus pharmacy management informationHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 30, 2018
Practitioners’ rights during credentialing processHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 30, 2018
Quarterly pharmacy formulary change noticeHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 30, 2018
Electronic data interchange gateway updateHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 30, 2018
MyDiversePatients.comAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2018
New Medicare Advantage provider service phone number beginning January 1, 2019Anthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2018
2019 Medicare Advantage individual benefits and formulariesAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2018
CMS Medicare Preclusion List effective April 1, 2019Anthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2018
When and how to initiate Medicare Advantage re-openingsAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2018
Individual Medicare plans move compound drugs off formulary beginning January 1, 2019Anthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2018
Medicare Part B drugs may include Step Therapy beginning January 1, 2019Anthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2018
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