December 1, 2020
December 2020 Anthem Provider News - Wisconsin
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Administrative
CommercialDecember 1, 2020
Anthem makes going digital easy with the Provider Digital Engagement SupplementCommercialDecember 1, 2020
Plans accessing new Blue HPN® network go live Jan. 1, 2021CommercialDecember 1, 2020
Access to claim denial information is now self-serviceCommercialDecember 1, 2020
Updated BlueCard® Program Provider Manual available Jan. 1, 2021CommercialDecember 1, 2020
2-minute videos to engage patients about preventive careCommercialDecember 1, 2020
Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - December 2020CommercialDecember 1, 2020
Anthem contracted air ambulance providers for WisconsinCommercialDecember 1, 2020
PCP after-hours access requirementsCommercialDecember 1, 2020
Coordination of careCommercialDecember 1, 2020
Members’ rights and responsibilitiesCommercialDecember 1, 2020
Important information about utilization managementCommercialDecember 1, 2020
Case management programBehavioral Health
CommercialDecember 1, 2020
Access requirements for behavioral health care servicesPolicy Updates
CommercialDecember 1, 2020
Updates to AIM Advanced Imaging clinical appropriateness guideline*CommercialDecember 1, 2020
Updates to AIM Radiation Oncology clinical appropriateness guideline*CommercialDecember 1, 2020
Transition to AIM Rehabilitative Services clinical appropriateness guidelinesCommercialDecember 1, 2020
Clinical practice and preventive health guidelines available on anthem.comCommercialDecember 1, 2020
Updates to AIM Cardiology clinical appropriateness guidelines*CommercialDecember 1, 2020
Medical policy and clinical guideline updates - December 2020*CommercialDecember 1, 2020
Anthem expands hospice policyCommercialDecember 1, 2020
Reimbursement policy update: Bundled services and supplies (Professional)*CommercialDecember 1, 2020
Reimbursement policy update: DRG newborn inpatient stays (Facility)*Products & Programs
CommercialDecember 1, 2020
Prior authorization updates for specialty pharmacy are available - December 2020*CommercialDecember 1, 2020
AIM IVR changes for non-oncology medical specialty drug reviews effective Jan. 1, 2021CommercialDecember 1, 2020
Pharmacy information available at anthem.comState & Federal
BadgerCare Plus and Medicaid SSI ProgramsDecember 1, 2020
Resources to support your pregnant and postpartum patients and their familiesBadgerCare Plus and Medicaid SSI ProgramsDecember 1, 2020
Medicaid News - December 2020View these Medicaid article:
- Anti-VEGF Medical Step Therapy Notice
- Important reminder: Coding requirements for reimbursement for early elective deliveries
- Transition to AIM small joint guidelines
BadgerCare Plus and Medicaid SSI ProgramsDecember 1, 2020
CAHPS education for providersBadgerCare Plus and Medicaid SSI ProgramsDecember 1, 2020
Notifications on the Availity PortalBadgerCare Plus and Medicaid SSI ProgramsDecember 1, 2020
Sign up to receive email from Anthem Blue Cross and Blue ShieldBadgerCare Plus and Medicaid SSI ProgramsDecember 1, 2020
Digital transactions cut administrative tasks in halfMedicare AdvantageDecember 1, 2020
2021 Medicare Advantage individual benefits and formulariesMedicare AdvantageDecember 1, 2020
Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQMedicare AdvantageDecember 1, 2020
Medical policies and clinical utilization management guidelines updateMedicare AdvantageDecember 1, 2020
Policy Update: Emergency Department: Leveling of Evaluation and Management ServicesMedicare AdvantageDecember 1, 2020
Digital transactions cut administrative tasks in halfMedicare AdvantageDecember 1, 2020
Transition to AIM small joint guidelinesTo view this publication online:
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