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| Title | Publication | Category | Date |
|---|---|---|---|
Site of Care* medical necessity reviews for a wide range of surgical procedures beginning January 1, 2021Bullets: can't select the full list and move bullets. The indent function is grayed out. When you select in front of an individual line you can indent and get a second, third, etc level of bullet. Except for the first bullet. THat one is fixed.Bullets seem to line up correctly on PDF. |
Digital Tools Test 2 - Word Count Limit is 65 - Digital Tools - CA | Products & Programs | May 18, 2021 |
Request referrals for Empire Individual Network Plan through Interactive Care Reviewer |
Digital Tools Test 2 - Word Count Limit is 65 - Digital Tools - CA | Administrative | May 18, 2021 |
Clinical Criteria updates for specialty pharmacy are availableCHanged footer font and saved. Changed it again and saved. Did not change the article order in the publication: passed |
Digital Tools Test 2 - Word Count Limit is 65 - Digital Tools - CA | Medical Policy & Clinical Guidelines | May 18, 2021 |
Test Digital Tools |
Digital Tools Test 2 - Word Count Limit is 65 - Digital Tools - CA | Digital Tools | May 18, 2021 |
Check Hyperlink Issue - Site of Care* medical necessity reviews for a wide range of surgical procedures beginning January 1, 2021 (MAC) - ExcerptEmpire BlueCross BlueShield (“Empire”) is committed to being a valued health care partner in identifying ways to achieve better health outcomes, lower costs and deliver access to a better healthcare experience for consumers. Members enrolled in Empire commercial plans will require a medical necessity review of the site of care for numerous surgical procedures performed in an outpatient hospital setting with dates of service on or after January 1, 2021. Clinical guideline CG-SURG-52, Site of Care: Hospital-Based Ambulatory Surgical Procedures and Endoscopic Services will apply to the review process. AIM Specialty Health® (AIM) will administer the review.When conducting an eligibility and benefits inquiry for Anthem members, simply select View Member ID Card on the Eligibility and Benefits results page. Note: the Availity portal requires you to enter the member’s ID number as well as a date of birth or the member’s first and last name into the search options in order to submit an E&B inquiry. When conducting an eligibility and benefits inquiry for Anthem members, simply select View Member ID Card on the Eligibility and Benefits results page. Note: the Availity portal requires you to enter the member’s ID number as well as a date of birth or the member’s first and last name into the search options in order to submit an E&B inquiry. Provider NewsWhen conducting an eligibility and benefits inquiry for Anthem members, simply select View Member ID Card on the Eligibility and Benefits results page. Note: the Availity portal requires you to enter the member’s ID number as well as a date of birth or the member’s first and last name into the search options in order to submit an E&B inquiry. |
N/A | Administrative | Dec 4, 2020 |
Issue - Site of Care* medical necessity reviews for a wide range of surgical procedures beginning January 1, 2021 (MAC) - ExcerptEmpire BlueCross BlueShield (“Empire”)© is committed to being a valued health care partner in identifying ways to achieve better health outcomes, lower costs and deliver access to a better healthcare experience for consumers. Members enrolled in Empire commercial plans will require a medical necessity review of the site of care for numerous surgical procedures performed in an outpatient hospital setting with dates of service on or after January 1, 2021. Clinical guideline CG-SURG-52, Site of Care: Hospital-Based Ambulatory Surgical Procedures and Endoscopic Services will apply to the review process. AIM Specialty Health® (AIM) will administer the review. |
Test Oct Publication - SB | Products & Programs | Nov 17, 2020 |
Empire updates formulary lists for commercial health plan pharmacy benefit (Featured Article) |
Test Oct Publication - SB | Pharmacy | Nov 17, 2020 |
Designated Specialty Pharmacies in 2021 |
Test Oct Publication - SB | Pharmacy | Nov 17, 2020 |
National Drug Code requirement on outpatient claims (MAC) |
Test Oct Publication - SB | Pharmacy | Nov 17, 2020 |
Prior authorization updates for specialty pharmacy are available |
Test Oct Publication - SB | Pharmacy | Nov 17, 2020 |
Updated Coverage for Breast Cancer prevention medications |
Test Oct Publication - SB | Pharmacy | Nov 17, 2020 |
FDA approvals and expedited pathways used - New Molecular Entities (NMEs) |
Test Oct Publication - SB | Pharmacy | Nov 17, 2020 |
Pharmacy information available on empireblue.com |
Test Oct Publication - SB | Pharmacy | Nov 17, 2020 |
Keep up with important news from Empire and receive notifications by email (FEATURED/SPOTLIGHT) |
Test Oct Publication - SB | Administrative | Nov 17, 2020 |
New Digital Provider Enrollment tool added to Availity for New York |
Test Oct Publication - SB | Administrative | Nov 17, 2020 |
New Blue HPN® network included in plans available for employee open enrollment Fall 2020 |
Test Oct Publication - SB | Administrative | Nov 17, 2020 |
Charges for Personal Protective Equipment by Participating Providers |
Test Oct Publication - SB | Administrative | Nov 17, 2020 |
Electronic member ID cards available on the Availity Portal |
Test Oct Publication - SB | Administrative | Nov 17, 2020 |
Empire Chat: A fast, easy way to have your questions answered |
Test Oct Publication - SB | Administrative | Nov 17, 2020 |
Interactive Care Reviewer adds outpatient medical authorization requests for Empire local, State and City plans |
Test Oct Publication - SB | Administrative | Nov 17, 2020 |
Request referrals for Empire Individual Network Plan through Interactive Care Reviewer |
Test Oct Publication - SB | Administrative | Nov 17, 2020 |
New Medical Claim Attachment Webinars: Register Today |
Test Oct Publication - SB | Administrative | Nov 17, 2020 |
National Accounts 2021 Pre-certification list |
Test Oct Publication - SB | Administrative | Nov 17, 2020 |
CRA Reporting Update: New guidance on telephone-only service CPT codes for Risk Adjustment Program |
Test Oct Publication - SB | Administrative | Nov 17, 2020 |
What Matters Most: Improving the Patient Experience |
Test Oct Publication - SB | Administrative | Nov 17, 2020 |
Issue - Medical Policy Updates (MAC) - bullets |
Test Oct Publication - SB | Medical Policy & Clinical Guidelines | Nov 17, 2020 |
Clinical Criteria updates for specialty pharmacy are available (MAC) |
Test Oct Publication - SB | Medical Policy & Clinical Guidelines | Nov 17, 2020 |
Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines |
Test Oct Publication - SB | Medical Policy & Clinical Guidelines | Nov 17, 2020 |
REMINDER: Expansion of AIM Musculoskeletal Program Effective November 1, 2020 |
Test Oct Publication - SB | Medical Policy & Clinical Guidelines | Nov 17, 2020 |
Reimbursement Policy Update: Emergency Department: Leveling of Evaluation and Management Services (Facility) (MAC) |
Test Oct Publication - SB | Reimbursement Policies | Nov 17, 2020 |
Reimbursement policy update: Laboratory and Venipuncture (Professional) (MAC) |
Test Oct Publication - SB | Reimbursement Policies | Nov 17, 2020 |
Federal Employee Program® Expands Specialty Pharmacy Prior Authorization List (MAC) |
Test Oct Publication - SB | Federal Employee Plan (FEP) | Nov 17, 2020 |
Update: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determinations |
Test Oct Publication - SB | Medicare | Nov 17, 2020 |
SOMOS to manage delegated functions effective October 1, 2020 |
Test Oct Publication - SB | Medicare | Nov 17, 2020 |
Prior authorization requirements for E0482 |
Test Oct Publication - SB | Medicare | Nov 17, 2020 |
Asthma controller medications |
Test Oct Publication - SB | Medicare | Nov 17, 2020 |
Patient360 enhancement for medical providers |
Test Oct Publication - SB | Medicare | Nov 17, 2020 |
Issue - Coding spotlight: providers guide to coding for behavioral health disorders Behavioral health disorders are classified in Chapter 5 of the ICD-10-CM |
Test Oct Publication - SB | Medicare | Nov 17, 2020 |
Keep up with Medicaid news |
Test Oct Publication - SB | Medicare | Nov 17, 2020 |
Prior authorization requirements for the below codes (December 1, 2020) |
Test Oct Publication - SB | Medi-Cal Managed Care | Nov 17, 2020 |
Prior authorization requirements for the below codes (January 1, 2021) |
Test Oct Publication - SB | Medi-Cal Managed Care | Nov 17, 2020 |
Patient360 enhancement for medical providers |
Test Oct Publication - SB | Medi-Cal Managed Care | Nov 17, 2020 |
Social determinants of health support expanding with GroundGame Health |
Test Oct Publication - SB | Medi-Cal Managed Care | Nov 17, 2020 |
Evaluation and management services correct coding |
Test Oct Publication - SB | Medi-Cal Managed Care | Nov 17, 2020 |
Provider transparency update |
Test Oct Publication - SB | Medi-Cal Managed Care | Nov 17, 2020 |
Medical drug benefit Clinical Criteria updates |
Test Oct Publication - SB | Medi-Cal Managed Care | Nov 17, 2020 |
Keep up with Medicare news |
Test Oct Publication - SB | Medi-Cal Managed Care | Nov 17, 2020 |
Prior authorization requirements for the below codes (January 1, 2021) - Clone |
Test Oct Publication - SB | Policy Updates | Nov 17, 2020 |
Issue - Table Test |
Test Oct Publication - SB | Medical Policy & Clinical Guidelines | Nov 17, 2020 |
Testing Bullets |
N/A | Administrative | Oct 21, 2020 |
QA-Testing Format |
N/A | Pharmacy | Oct 16, 2020 |
QA-Formatting (Copy Paste) MS Word |
QA Testing Publication Register now to learn about COVID-19 relief for providers – Webinar this Thursday | Medicare | Oct 14, 2020 |
QA Table Test - 0901.2 (Keep up with Medicare news) (Keep up with Medicare news) (Keep up with Medicare news) (Keep up with Medicare news) (Keep up with Medicare news) |
QA Testing Publication Register now to learn about COVID-19 relief for providers – Webinar this Thursday | Medicare | Oct 9, 2020 |
QA-1-Test (Keep up with Medicare news) |
QA Testing Publication Register now to learn about COVID-19 relief for providers – Webinar this Thursday | Medicare | Oct 8, 2020 |
QA-Test Environment 2sadfasdfasfd asfd safd as fdsadfas Stay Informed About the COVID–19 Virusfsa fdColor sa fdsad safdsafd |
QA Testing Publication Register now to learn about COVID-19 relief for providers – Webinar this Thursday | Guideline Updates | Oct 8, 2020 |
QA-1This is just a test. Adding sample here. |
QA Testing Publication Register now to learn about COVID-19 relief for providers – Webinar this Thursday | Administrative | Oct 8, 2020 |
Top-Testing New Article |
QA Testing Publication Register now to learn about COVID-19 relief for providers – Webinar this Thursday | Administrative | Oct 8, 2020 |
COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated May 11, 2020) 2For the latest COVID-19 information, please check Provider News often. |
N/A | Policy Updates | May 18, 2020 |
Anthem to host webinar for network providers on SBA loans and other federal relief programs in response to COVID-19 5We are committed to helping care providers learn how you can secure resources to support yourselves and your business during the COVID-19 crisis. This Thursday, April 30, 2020, Anthem is hosting a webinar to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19 on care providers that are also small employers. The federal Coronavirus, Aid, Relief and Economic Security (CARES) Act included an initial $350 billion Paycheck Protection Program that provides 100% federally guaranteed loans to small employers. On Monday, April 27, 2020, the SBA resumed accepting applications for PPP loans in response to an additional $320 billion added to the program in recent days. These loans may be forgiven if borrowers maintain or restore their payrolls to pre-COVID-19 levels. Register now to learn more about federal financial relief for providers in response to COVID-19 (space is limited). A webinar recording will be available on our Provider News page on Anthem.com. Webinar date and timeThursday, April 30, 2020 5 p.m. to 6 p.m. EDT Select “Learn more” for details and to register now. |
N/A | Products & Programs | May 18, 2020 |
Anthem to host webinar for network providers on SBA loans and other federal relief programs in response to COVID-19 1We are committed to helping care providers learn how you can secure resources to support yourselves and your business during the COVID-19 crisis. This Thursday, April 30, 2020, Anthem is hosting a webinar to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19 on care providers that are also small employers.The federal Coronavirus, Aid, Relief and Economic Security (CARES) Act included an initial $350 billion Paycheck Protection Program that provides 100% federally guaranteed loans to small employers. On Monday, April 27, 2020, the SBA resumed accepting applications for PPP loans in response to an additional $320 billion added to the program in recent days. These loans may be forgiven if borrowers maintain or restore their payrolls to pre-COVID-19 levels. Register now to learn more about federal financial relief for providers in response to COVID-19 (space is limited). A webinar recording will be available on our Provider News page on Anthem.com. Webinar date and time Thursday, April 30, 2020 5 p.m. to 6 p.m. EDT REGISTER NOW to learn more about federal financial relief for providers in response to COVID-19. Select “Learn more” for details and to register now. |
N/A | Administrative | May 18, 2020 |
Should be 2nd articleExcerpt link test. |
Updated COVID-19 Medicare Information - TEST Disappearing states - CA | Administrative | May 12, 2020 |
Telehealth Billing |
N/A | Administrative | May 4, 2020 |
Information from [BRAND] for Care Providers about COVID-19 (Updated [Current date]) |
N/A | Administrative | May 4, 2020 |
Anthem Blue Cross to host webinar for network providers on SBA loans and other federal relief programs in response to COVID-19We are committed to helping care providers learn how you can secure resources to support yourselves and your business during the COVID-19 crisis. As previously communicated, Anthem is hosting a webinar today to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19 on care providers that are also small employers.The federal Coronavirus, Aid, Relief and Economic Security (CARES) Act included an initial $350 billion Paycheck Protection Program that provides 100% federally guaranteed loans to small employers. On Monday, April 27, 2020, the SBA resumed accepting applications for PPP loans in response to an additional $320 billion added to the program in recent days. These loans may be forgiven if borrowers maintain or restore their payrolls to pre-COVID-19 levels. Register now to learn more about federal financial relief for providers in response to COVID-19 (space is limited). A webinar recording will be available on our Provider News page on Anthem.com. Webinar date and time Thursday, April 30, 2020 5 p.m. to 6 p.m. EDT Select “Learn more” for details and to register now. |
N/A | Administrative | Apr 30, 2020 |
Anthem Blue Cross to host webinar for network providers on SBA loans and other federal relief programs in response to COVID-19We are committed to helping care providers learn how you can secure resources to support yourselves and your business during the COVID-19 crisis. As previously communicated, Anthem is hosting a webinar today to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19 on care providers that are also small employers. |
N/A | Administrative | Apr 30, 2020 |
Anthem to host webinar for network providers on SBA loans and other federal relief programs in response to COVID-19.We are committed to helping care providers learn how you can secure resources to support yourselves and your business during the COVID-19 crisis. On Thursday, April 30, 2020, Anthem is hosting a webinar to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19 on care providers that are also small employers. REGISTER NOW to learn more about federal financial relief for providers in response to COVID-19. |
COVID-19 Information | Administrative | Apr 28, 2020 |
TestIf you have questions that you would like to submit in advance, please submit them by April 29 at 5 p.m. EDT. |
N/A | Administrative | Apr 28, 2020 |
Anthem to host webinar for network providers on SBA loans and other federal relief programs in response to COVID-19We are committed to helping care providers learn how you can secure resources to support yourselves and your business during the COVID-19 crisis. This Thursday, April 30, 2020, Anthem is hosting a webinar to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19 on care providers that are also small employers.The federal Coronavirus, Aid, Relief and Economic Security (CARES) Act included an initial $350 billion Paycheck Protection Program that provides 100% federally guaranteed loans to small employers. On Monday, April 27, 2020, the SBA resumed accepting applications for PPP loans in response to an additional $320 billion added to the program in recent days. These loans may be forgiven if borrowers maintain or restore their payrolls to pre-COVID-19 levels. Register now to learn more about federal financial relief for providers in response to COVID-19 (space is limited). A webinar recording will be available on our Provider News page on Anthem.com. Webinar date and time Thursday, April 30, 2020 5 p.m. to 6 p.m. EDT Select “Learn more” for details and to register now. |
COVID-19 News from Anthem Blue Cross - April 28, 2020 (California) | Administrative | Apr 28, 2020 |
4.24 Table Test |
N/A | Administrative | Apr 24, 2020 |
4.24 Bullet Test 2 |
N/A | Administrative | Apr 24, 2020 |
4.24 Font TestWe recently updated FAQs about coding for telephonic-only visits, and Anthem’s affiliated health plan’s membership. |
N/A | Administrative | Apr 24, 2020 |
Anthem Commercial Risk Adjustment (CRA) Reporting Update: Risk Adjustment Data Validation (RADV) audit happening now |
N/A | Products & Programs | Apr 24, 2020 |
Access requirements for behavioral health care services |
N/A | Behavioral Health | Apr 24, 2020 |
Clinical Criteria and prior authorization updates for specialty pharmacy are available |
N/A | Pharmacy | Apr 24, 2020 |
Pharmacy information available on anthem.com |
N/A | Pharmacy | Apr 24, 2020 |
An update about Anthem’s direct contracting effort for NPs and PAs |
N/A | Administrative | Apr 24, 2020 |
Commercial fee schedule update from Anthem Blue Cross and Blue Shield in Virginia |
N/A | Administrative | Apr 24, 2020 |
Anthem launches Sydney on September 1; New app offers better digital health care support to members |
N/A | Administrative | Apr 24, 2020 |
PCP after-hours access requirements |
N/A | Administrative | Apr 24, 2020 |
Misrouted protected health information (PHI) |
N/A | Administrative | Apr 24, 2020 |
Register today for Anthem’s fall webinar scheduled for October 10 |
N/A | Administrative | Apr 24, 2020 |
Receive important email notifications |
N/A | Administrative | Apr 24, 2020 |
Claim editing update for Excludes1 notes |
N/A | Reimbursement Policies | Apr 24, 2020 |
New Clinical Guideline: Pneumatic Compression Devices, effective December 1, 2019 |
N/A | Medical Policy & Clinical Guidelines | Apr 24, 2020 |
Clinical practice and preventive health guidelines available on the Web |
N/A | Guideline Updates | Apr 24, 2020 |
Prior authorization changes |
N/A | Medical Policy & Clinical Guidelines | Apr 24, 2020 |
Coming soon: Electronic attachments |
N/A | Medicare | Apr 24, 2020 |
Clinical Criteria updates |
N/A | Medicare | Apr 24, 2020 |
Customizations to the 23rd edition of the MCG Care Guidelines |
N/A | Medicare | Apr 24, 2020 |
Changes to PA requirements |
N/A | Medicare | Apr 24, 2020 |
Pharmacy benefit manager change to IngenioRx |
N/A | Medicare | Apr 24, 2020 |
Keep up with Medicare news |
N/A | Medicare | Apr 24, 2020 |
4.24 Bullet Test |
N/A | Administrative | Apr 24, 2020 |
4.24 Excerpt TestWe recently updated FAQs about coding for telephonic-only visits, and Anthem’s affiliated health plan’s membership. |
N/A | Administrative | Apr 24, 2020 |
Keep up with Medicare news |
April 2020 Anthem Provider News | Medicare | Apr 23, 2020 |
Anthem Commercial Risk Adjustment (CRA) Reporting Update: Risk Adjustment Data Validation (RADV) audit happening now |
April 2020 Anthem Provider News | Products & Programs | Apr 23, 2020 |
Access requirements for behavioral health care services |
April 2020 Anthem Provider News | Behavioral Health | Apr 23, 2020 |
Clinical Criteria and prior authorization updates for specialty pharmacy are available |
April 2020 Anthem Provider News | Pharmacy | Apr 23, 2020 |
Pharmacy information available on anthem.com |
April 2020 Anthem Provider News | Pharmacy | Apr 23, 2020 |
An update about Anthem’s direct contracting effort for NPs and PAs |
April 2020 Anthem Provider News | Administrative | Apr 23, 2020 |
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