Anthem Blue Cross and Blue Shield | CommercialNovember 1, 2022

November 2022 Anthem Provider News - Virginia

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2022

Provider contract and fee schedule notifications via Availity

AdministrativeAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2022

Support documentation for AIM prior authorization requests

AdministrativeAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2022

Post office boxes are being retired because of low usage

AdministrativeAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2022

Consolidated Appropriations Act: Keep your provider directory information up to date

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2022

Remote EMR access service for HEDIS

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2022

Claims status message enhancements: Providing clear descriptions and actionable next steps

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2022

Authorization application enhancements: Faster, easier, and more efficient

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2022

Submit digital attachments within seven calendar days for claims filed with a PWK segment indicator

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2022

You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, too

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2022

Visit the Provider Learning Hub to view our latest learning opportunities

Guideline Updates

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2022

Coverage guidelines effective February 1, 2023

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2022

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2022

Improve patient outcomes for colorectal cancer screening with Labcorp’s FIT test

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2022

Reminder: Professional reimbursement policies to be posted online

Products & Programs

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2022

Attention providers who intend to provide physical, occupational or speech therapy services
The AIM Rehabilitation Program is effective November 1, 2022.

PharmacyAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2022

Specialty pharmacy updates effective February 1, 2023

PharmacyAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2022

Clinical Criteria updates for specialty pharmacy are available

State & Federal

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 1, 2022

Important information about utilization management

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 1, 2022

Remote EMR access service for HEDIS

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 1, 2022

Important information about utilization management

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 1, 2022

Guidance for coding evaluation and management services for new and established patients

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 1, 2022

Retraction of policy: Private duty nursing reimbursement

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsNovember 1, 2022

Keep up with Medicaid news: November 2022
  • Prior authorization requirement changes effective November 1, 2022
  • Medical drug benefit Clinical Criteria updates

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 1, 2022

Personalized Match

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 1, 2022

Keep up with Medicare news: November 2022
  • New specialty pharmacy medical step therapy requirements
  • New specialty pharmacy medical step therapy requirements
  • Medical drug benefit Clinical Criteria updates