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Review of professional claims with emergency department level 5 E&M codes

PDF disclaimer font size test Administrative Jul 2, 2019

Prior approval required for pharmaceutical for Federal Employee Health Benefit Program (FEP) PPO members

PDF disclaimer font size test Federal Employee Plan (FEP) Jul 2, 2019

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sort test2 - CT March 2019 Administrative Mar 22, 2019

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sort test2 - CT March 2019 Administrative Mar 22, 2019

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sort test2 - CT March 2019 Administrative Mar 22, 2019

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sort test2 - CT March 2019 Products & Programs Mar 22, 2019

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sort test2 - CT March 2019 Medicare Mar 22, 2019

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sort test - CT March 2019 Products & Programs Mar 13, 2019

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sort test - CT March 2019 Products & Programs Mar 13, 2019

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sort test - CT March 2019 Pharmacy Mar 13, 2019

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sort test - CT March 2019 Pharmacy Mar 13, 2019

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sort test - CT March 2019 Medicare Mar 13, 2019

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sort test - CT March 2019 Medicare Mar 13, 2019

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sort test - CT March 2019 Medicare Mar 13, 2019

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Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

February 2019 Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Jan 18, 2019

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines *UPDATED - Please refer to updated article published January 18, 2019 

January 2019 Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019

AIM Specialty Health radiation oncology clinical guidelines updates test

Test Anthem Connecticut provider newsletter October 2018 Products & Programs Oct 23, 2018

AIM Specialty Health clinical guidelines update: advanced imaging of the heart thalassemia

Test Anthem Connecticut provider newsletter October 2018 Products & Programs Oct 23, 2018

Anthem fights opioid addiction

Test Anthem Connecticut provider newsletter October 2018 Administrative Oct 23, 2018

Additional changes to anthem.com to be launched in October 

Test Anthem Connecticut provider newsletter October 2018 Administrative Oct 23, 2018

Are you looking for innovative ways to improve your patients’ experiences and earn CME credits? – Beth Thompson Are you looking for innovative ways to improve your patients’ experiences and earn CME credits? – Beth Thompson

Test Anthem Connecticut provider newsletter October 2018 Administrative Oct 23, 2018

Test Test Search

Testing Search Functionality
CT Test Formatting Administrative Sep 26, 2018

CT Amendment to Physician Agreement

CT April Newsletter _ Test Shae Administrative May 14, 2018

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N/A N/A Mar 15, 2018

Kim Test Article

N/A Administrative Feb 23, 2018

Test Article Table

N/A N/A Feb 23, 2018

Kay's Demo

Beginning March 16, 2018 the Empire BlueCross BlueShield (“Empire”) secure provider facility and professional portals are transitioning a majority of online tools and resources to the Availity Portal (www.availity.com). At that time, Availity will be your exclusive secure web portal to access these important Empire electronic tools and resources.
Kay Demo Newsletter - CT Administrative Feb 23, 2018

Shae's Test Featured Article - Medicare Advantage

Improve member medication regimen Empire and the Centers for Medicare & Medicaid Services consider medication review and reconciliation a top priority to help ensure members take their medications safely. Our pharmacists use medication review and reconciliation to help members understand what medications they are taking, why they are taking them, how they should be taking their medication and to answer any questions or concerns they have about their medication regimen.
Shae's Test Publication 2018 CT Administrative Feb 22, 2018

Shae's Test Empire’s Electronic Tools and Resources Migrating to the Availity Portal

Beginning March 16, 2018 the Empire BlueCross BlueShield (“Empire”) secure provider facility and professional portals are transitioning a majority of online tools and resources to the Availity Portal (www.availity.com). At that time, Availity will be your exclusive secure web portal to access these important Empire electronic tools and resources.
Shae's Test Publication 2018 CT Administrative Feb 22, 2018

Shae's Test Policy Update - Not registered on the Availity Portal yet?

Visit www.availity.com to register today. If you already use Availity, no additional registration is needed. Empire will appear as one of your options in the payer drop-down lists.
Shae's Test Publication 2018 CT Policy Updates Feb 22, 2018

Shae's Test Med Policy and Clinical Guidelines

Empire expands specialty pharmacy prior authorization list
Shae's Test Publication 2018 CT Medical Policy & Clinical Guidelines Feb 22, 2018

Shae's Test - Reimbursement Policies

Effective for dates of service on and after May 1, 2018, intra-articular injections of hyaluronan for the treatment of pain due to reducing and non-reducing disc displacement disease of temporomandibular joint disorders, are considered investigational and not medically necessary. No prior authorization for these agents will be required, but rather reviewed post-service.
Shae's Test Publication 2018 CT Reimbursement Policies Feb 22, 2018

Shae's Test - Products and Programs - Empire expands specialty pharmacy prior authorization list

Effective for dates of service on and after May 1, 2018, the following specialty pharmacy codes from new or current medical policies or clinical UM guidelines will be included in our existing prior authorization review process.
Shae's Test Publication 2018 CT Products & Programs Feb 22, 2018

Shae's Test - P&P Behavioral Health - Hyaluronan Injections in joints other than the Knee (DRUG.00017)

Medical policy DRUG.00017 addresses the use of injections of hyaluronan in joints other than the knee, including osteoarthritis and temporomandibular joint disease. This therapy may also be referred to as viscosupplementation.
Shae's Test Publication 2018 CT Behavioral Health Feb 22, 2018

Shae's Test - P&P - Pharmacy

Revised Medical Policy Effective 11-09-2017
Shae's Test Publication 2018 CT Pharmacy Feb 22, 2018

Shae's Test - State and Federal - Medical Policy Updates

Archived Medical Policies Effective 12-27-2017 (The following policies have been archived and their content has been transferred to new Clinical UM Guidelines.)
Shae's Test Publication 2018 CT State & Federal Feb 22, 2018

Shae's Test - S&F - Federal Employee Plan (FEP)

Improve member medication regimen
Shae's Test Publication 2018 CT Federal Employee Plan (FEP) Feb 22, 2018

Shae's Test - Medicaid - New pharmacy electronic prior authorization request tool effective January 1, 2018

Empire BlueCross BlueShield HealthPlus (Empire) has partnered with CoverMyMeds to offer an electronic prior authorization (ePA) request tool that simplifies the process for requesting medications and checking the status of your submissions.
Shae's Test Publication 2018 CT Medicaid Feb 22, 2018

Shae's Test - S&F - Medicare - Availability The tool will be available beginning January 1, 2018.

These new features help simplify the prior authorization process. You will be able to:
Shae's Test Publication 2018 CT Medicare Feb 22, 2018

Medical Policy Updates

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N/A Medical Policy & Clinical Guidelines Feb 13, 2018

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N/A Administrative Feb 12, 2018

Improve member medication regimen

Empire and the Centers for Medicare & Medicaid Services consider medication review and reconciliation a top priority to help ensure members take their medications safely. Our pharmacists use medication review and reconciliation to help members understand what medications they are taking, why they are taking them, how they should be taking their medication and to answer any questions or concerns they have about their medication regimen.
September 2018 Newsletter State & Federal Feb 11, 2018

New pharmacy electronic prior authorization request tool effective January 1, 2018

Empire BlueCross BlueShield HealthPlus (Empire) has partnered with CoverMyMeds to offer an electronic prior authorization (ePA) request tool that simplifies the process for requesting medications and checking the status of your submissions.
September 2018 Newsletter Medi-Cal Managed Care Feb 11, 2018

Empire expands specialty pharmacy prior authorization list

Effective for dates of service on and after May 1, 2018, the following specialty pharmacy codes from new or current medical policies or clinical UM guidelines will be included in our existing prior authorization review process.
September 2018 Newsletter Medical Policy & Clinical Guidelines Jan 12, 2017

Empire’s Electronic Tools and Resources Migrating to the Availity Portal

Beginning March 16, 2018 the Empire BlueCross BlueShield (“Empire”) secure provider facility and professional portals are transitioning a majority of online tools and resources to the Availity Portal (www.availity.com). At that time, Availity will be your exclusive secure web portal to access these important Empire electronic tools and resources.
September 2018 Newsletter N/A Feb 8, 2016
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