Anthem Blue Cross and Blue Shield | CommercialSeptember 1, 2019

September 2019 Anthem Provider News - Virginia

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2019

An update about Anthem’s direct contracting effort for NPs and PAs

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2019

Receive important email notifications

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2019

Register today for Anthem’s fall webinar scheduled for October 10

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2019

Misrouted protected health information (PHI)

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2019

PCP after-hours access requirements

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2019

Anthem launches Sydney on September 1; New app offers better digital health care support to members

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2019

Commercial fee schedule update from Anthem Blue Cross and Blue Shield in Virginia

Behavioral Health

Behavioral HealthAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2019

Access requirements for behavioral health care services

Guideline Updates

Guideline UpdatesAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2019

Clinical practice and preventive health guidelines available on the Web

Coverage and Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2019

New Clinical Guideline: Pneumatic Compression Devices, effective December 1, 2019

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2019

Claim editing update for Excludes1 notes

Products & Programs

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Risk Adjustment Data Validation (RADV) audit happening now

PharmacyAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2019

Pharmacy information available on anthem.com

PharmacyAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2019

Clinical Criteria and prior authorization updates for specialty pharmacy are available

State & Federal

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2019

Keep up with Medicare news

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2019

Pharmacy benefit manager change to IngenioRx

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2019

Changes to PA requirements

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2019

Clinical Criteria updates

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2019

Coming soon: Electronic attachments

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsSeptember 1, 2019

Medical necessity review for appropriate level of care

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsSeptember 1, 2019

Medical drug Clinical Criteria updates for second quarter

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsSeptember 1, 2019

Medical drug Clinical Criteria updates for first quarter

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsSeptember 1, 2019

MCG Care Guidelines update and customizations

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsSeptember 1, 2019

Wound care requests

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsSeptember 1, 2019

Evaluation and management services: Over-coded services

State & FederalHealthKeepers, Inc. | Anthem HealthKeepers Plus Medicaid productsSeptember 1, 2019

Prior authorization changes