New Hampshire
Provider Communications

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

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

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sort test - NH March 2019 Pharmacy Mar 13, 2019

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sort test - NH March 2019 Pharmacy Mar 13, 2019

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sort test - NH March 2019 Pharmacy Mar 13, 2019

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sort test - NH March 2019 Pharmacy Mar 13, 2019

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sort test - NH March 2019 Medicare Mar 13, 2019

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sort test - NH March 2019 Medicare Mar 13, 2019

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sort test - NH March 2019 Medicare Mar 13, 2019

AIM Specialty Health radiation oncology clinical guidelines updates

Shae_Anthem October 2018 Newsletter - New Hampshire Products & Programs Nov 6, 2018

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

Shae_Anthem October 2018 Newsletter - New Hampshire Products & Programs Nov 6, 2018

AIM Specialty Health sleep disorder management clinical guidelines update

Shae_Anthem October 2018 Newsletter - New Hampshire Products & Programs Nov 6, 2018

Anthem fights opioid addiction

Shae_Anthem October 2018 Newsletter - New Hampshire Products & Programs Nov 6, 2018

Integrated Medical and Behavioral Healthcare Services

Shae_Anthem October 2018 Newsletter - New Hampshire Behavioral Health Nov 6, 2018

LiveHealth Online Psychology - easy access to therapists and psychologists from the comfort of home

Shae_Anthem October 2018 Newsletter - New Hampshire Behavioral Health Nov 6, 2018

Access patient-specific drug benefit information through EMR

Shae_Anthem October 2018 Newsletter - New Hampshire Pharmacy Nov 6, 2018

Prior authorization requests for prescription medications accepted online

Shae_Anthem October 2018 Newsletter - New Hampshire Pharmacy Nov 6, 2018

Specialty pharmacy pre-service clinical review list expanded January 1, 2019

Shae_Anthem October 2018 Newsletter - New Hampshire Pharmacy Nov 6, 2018

Specialty pharmacy clinically equivalent drug list expanded effective January 1, 2019

Shae_Anthem October 2018 Newsletter - New Hampshire Pharmacy Nov 6, 2018

Specialty pharmacy level of care (clinical site of care) drug list expanded effective January 1, 2019

Shae_Anthem October 2018 Newsletter - New Hampshire Pharmacy Nov 6, 2018

Pharmacy information available on anthem.com

Shae_Anthem October 2018 Newsletter - New Hampshire Pharmacy Nov 6, 2018

Sign up today for provider eUpdates

Shae_Anthem October 2018 Newsletter - New Hampshire Administrative Nov 6, 2018

Additional changes to anthem.com to be launched in October

Shae_Anthem October 2018 Newsletter - New Hampshire Administrative Nov 6, 2018

Provider Manual to be updated with new format

Shae_Anthem October 2018 Newsletter - New Hampshire Administrative Nov 6, 2018

Avality to provide EDI Gateway services

Shae_Anthem October 2018 Newsletter - New Hampshire Administrative Nov 6, 2018

Availity EDI Gateway Webinars Scheduled

Shae_Anthem October 2018 Newsletter - New Hampshire Administrative Nov 6, 2018

Explore new enhancements to Availity’s Education and Reference Center

Shae_Anthem October 2018 Newsletter - New Hampshire Administrative Nov 6, 2018

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

Shae_Anthem October 2018 Newsletter - New Hampshire Administrative Nov 6, 2018

Tips for billing CPT modifier 33

Shae_Anthem October 2018 Newsletter - New Hampshire Administrative Nov 6, 2018

Special Investigations Unit updates – recent FDA warnings

Shae_Anthem October 2018 Newsletter - New Hampshire Administrative Nov 6, 2018

Clinical practice and preventive health guidelines available on anthem.com

Shae_Anthem October 2018 Newsletter - New Hampshire Administrative Nov 6, 2018

HEDIS® 2018: provider incentive winners announced

Shae_Anthem October 2018 Newsletter - New Hampshire Administrative Nov 6, 2018

Assistant Surgeon Coding update – professional

Shae_Anthem October 2018 Newsletter - New Hampshire Reimbursement Policies Nov 6, 2018

Documentation and Reporting Guidelines for E/M Services update

Shae_Anthem October 2018 Newsletter - New Hampshire Reimbursement Policies Nov 6, 2018

Routine Obstetrical Services update

Shae_Anthem October 2018 Newsletter - New Hampshire Reimbursement Policies Nov 6, 2018

Multiple Diagnostic Imaging Reimbursement Policy update

Shae_Anthem October 2018 Newsletter - New Hampshire Reimbursement Policies Nov 6, 2018

Readmissions Reimbursement Policy update

Shae_Anthem October 2018 Newsletter - New Hampshire Reimbursement Policies Nov 6, 2018

New Facility Revenue Code Billing Reimbursement Policy

Shae_Anthem October 2018 Newsletter - New Hampshire Reimbursement Policies Nov 6, 2018

Medical policy updates are available on anthem.com

Shae_Anthem October 2018 Newsletter - New Hampshire Medical Policy & Clinical Guidelines Nov 6, 2018

Clinical guideline updates are available on anthem.com

Shae_Anthem October 2018 Newsletter - New Hampshire Medical Policy & Clinical Guidelines Nov 6, 2018

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

Shae_Anthem October 2018 Newsletter - New Hampshire Medicare Nov 6, 2018

MA back pain management and cardiology UM programs to transition from OrthoNet to AIM

Shae_Anthem October 2018 Newsletter - New Hampshire Medicare Nov 6, 2018

Please evaluate statin use for MA members with diabetes, cardiovascular disease

Shae_Anthem October 2018 Newsletter - New Hampshire Medicare Nov 6, 2018

Medicare pharmacy and prescriber home starts January 2019

Shae_Anthem October 2018 Newsletter - New Hampshire Medicare Nov 6, 2018

Keep up with Medicare news

Shae_Anthem October 2018 Newsletter - New Hampshire Medicare Nov 6, 2018

AIM Specialty Health radiation oncology clinical guidelines updates test

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

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

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

Anthem fights opioid addiction

Test Anthem New Hampshire provider newsletter October 2018 Administrative Oct 23, 2018

Additional changes to anthem.com to be launched in October 

Test Anthem New Hampshire 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 New Hampshire provider newsletter October 2018 Administrative Oct 23, 2018

AIM Radiation Oncology Clinical Appropriateness Guidelines updates – WAVE - Andrea Garren, legal approver Nancy Armatas

October UAT_Shae_Sofia Products & Programs Oct 23, 2018

AIM Level of Care Musculoskeletal Surgery Clinical Appropriateness Guidelines updates – WAVE – Andrea Garren, legal approver Nancy Armatas

October UAT_Shae_Sofia Administrative Oct 23, 2018

Pre-service clinical review drug list changes effective November 1, 2018 – WAVE - Julee Oh

October UAT_Shae_Sofia Medical Policy & Clinical Guidelines Oct 23, 2018

Gestational age required for professional delivery claims effective November 1, 2018 – WAVE #2990 - Shawn Forrester, legal approver Deborah Rothman

Provider Communications Newsletter October TEST New Hampshire_Shae_ CalPERS Oct 23, 2018

NH - Amendment to Physician Agreement

NH April Newsletter _ Test Shae Administrative May 14, 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.
N/A 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 NH 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 NH 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 NH 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 NH 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 NH 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 NH 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 NH Behavioral Health Feb 22, 2018

Shae's Test - P&P - Pharmacy

Revised Medical Policy Effective 11-09-2017
Shae's Test Publication 2018 NH 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 NH State & Federal Feb 22, 2018

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

Improve member medication regimen
Shae's Test Publication 2018 NH 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 NH 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 NH Medicare Feb 22, 2018
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