Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements starred (*) below.
  • Updated Provider Manual now available*
  • Updates for specialty pharmacy are available*
  • National Accounts 2021 Pre-certification list*
  • Medical policy and clinical guidelines updates*
  • Prior authorization update for Commercial Individual Business*
  • Reimbursement policy update: Emergency department – Leveling of Evaluation and Management Services (Facility)*
  • Reimbursement policy update: Laboratory and venipuncture (Professional)*
  • Federal Employee Program® expands specialty pharmacy prior authorization list*



  • Prior authorization requirements updates
  • Medical policies and clinical utilization management guidelines update

Featured In:
October 2020 Anthem Provider News - Wisconsin