December 30, 2022

January 2023 Anthem Provider News - Virginia

Filter By: AllAnthem Blue Cross and Blue Shield | Commercial

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Professional system updates for 2023

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Outpatient system updates for 2023

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 30, 2022

Notification regarding reimbursement changes to COVID-19 laboratory services codes

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 30, 2022

Childhood Immunization Status and Lead Screening in Children for HEDIS

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 30, 2022

Engagement with your patient counts

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Anthem Blue Cross and Blue Shield local precertification change in Virginia for HMO

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Anthem Blue Cross and Blue Shield local precertification change in Virginia for PPO

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Primary care physician after-hours access requirements

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Virginia Commercial with Anthem Blue Cross and Blue Shield: local precertification change notification

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Submitting prior authorizations digitally through Interactive Care Reviewer

Guideline Updates

Guideline UpdatesAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 30, 2022

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Coverage and Clinical Guidelines update (effective April 1, 2023)

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines - Material adverse change

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Anthem in Virginia’s upcoming amendment will allow posting of Commercial professional reimbursement policies online at anthem.com

Products & Programs

Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Federal Employee Program observation conversion for musculoskeletal cases

PharmacyAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Specialty pharmacy updates

State & Federal

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 30, 2022

Engagement with your patient counts

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 30, 2022

Childhood Immunization Status and Lead Screening in Children for HEDIS

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 30, 2022

Monkeypox and smallpox vaccines: Product code on claims

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 30, 2022

Attention physicians and lab providers: COVID-19 update regarding reimbursement

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 30, 2022

Submitting prior authorizations digitally through ICR

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 30, 2022

Implementation of Cardinal Care

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsDecember 30, 2022

Keep up with Medicaid news: January 2023
  • This is Quitting: Helping teens and young adults quit vaping
  • HEDIS measure for prenatal and postpartum care
  • Prior authorization requirement changes updated effective January 1, 2023
  • AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update
  • Change to vaccine age limitations

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 30, 2022

Keep up with Medicare news: January 2023
  • Prior authorization requirement changes
  • New specialty pharmacy medical step therapy requirements
  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
  • Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines