CommercialAugust 1, 2021
August 2021 Anthem Provider News - Wisconsin
Administrative
CommercialAugust 1, 2021
Register now for our August CME webinarsCommercialAugust 1, 2021
Clearing up coding confusion for retinal eye exams (DRE)CommercialAugust 1, 2021
Telehealth visits can impact after hospitalization follow-up care for mental illnessCommercialAugust 1, 2021
New! Schedule appointments online through AvailityPolicy Updates
CommercialAugust 1, 2021
Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, & XU**Material Adverse Change (MAC)
CommercialAugust 1, 2021
Reimbursement policy update: Claims requiring additional documentation (Facility)**Material Adverse Change (MAC)
CommercialAugust 1, 2021
Reimbursement policy update: Virtual Visits (Professional and Facility)**Material Adverse Change (MAC)
Products & Programs
CommercialAugust 1, 2021
Change in email submission of service requests for Federal Employee Program® members**Material Adverse Change (MAC)
CommercialAugust 1, 2021
Pharmacy information available at anthem.comCommercialAugust 1, 2021
Immune globulin adjusted body weight dosing program beginning August 1, 2021CommercialAugust 1, 2021
Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021CommercialAugust 1, 2021
Specialty dose rounding program for certain oncology medicationsCommercialAugust 1, 2021
Updates for specialty pharmacy are available - August 2021**Material Adverse Change (MAC)
CommercialAugust 1, 2021
Anthem to update formulary lists for commercial health plan pharmacy benefit effective October 1, 2021**Material Adverse Change (MAC)
State & Federal
Medicare AdvantageAugust 1, 2021
Preventing claims denials: Shingles vaccineMedicare AdvantageAugust 1, 2021
Medicare News - August 2021View these Medicare articles:
- Infliximab Step Therapy - Effective 7/15/2021
- Prior authorization requirement changes effective October 1, 2021 – UM AROW 1907
- Infliximab Step Therapy - Effective 7/15/2021
- Prior authorization requirement changes effective October 1, 2021 – UM AROW 1907
BadgerCare Plus and Medicaid SSI ProgramsAugust 1, 2021
Medicaid News - August 2021View these Medicaid articles:
-Iron Infusion Step Therapy
-Prior authorization requirement changes effective September 1, 2021 – UM AROW 1837
-Iron Infusion Prior Authorization Update
-Iron Infusion Step Therapy
-Prior authorization requirement changes effective September 1, 2021 – UM AROW 1837
-Iron Infusion Prior Authorization Update
To view this publication online:
Or scan this QR code with your phone