Provider Forms & Guides. Easily find and download forms, guides, and other related documentation that you need to do business with Anthem all in one convenient location! Contact Us. or D.O. A major grouping of service (s) or occupation (s) of health care providers. Healthy Indiana Plan (HIP) The Healthy Indiana Plan (HIP) is an affordable health plan for low-income adult Hoosiers between the ages of 19 and 64. 55 430 homemaker services . PCP# LAST NAME FIRST NAME TITLE PROVIDER LOCATION/PRACTICE NAME CITY STATE ZIP PHONE PRIMARY SPECIALTY ANTHEM PARTICIPATING PRIMARY CARE PROVIDER (PCP) LIST - 2021 This list includes PCPs who participate with Anthem BCBS in New Hampshire. To find a specific provider in the network for your plan, enter the name of the provider to search the alphabetical index in this directory. Launches the next generation Medical Oncology Solution for Anthem (formerly WellPoint). Florida Blue may notify providers of updates in a variety of ways, depending upon the nature of the update, including mailings, publication in BlueLine, our provider newsletter, or posting to our website at www.floridablue.com. During this time, you can still find all forms and guides on our legacy site. You can also search for doctors who are accepting new patients and can serve as your PCP. It is the largest for-profit managed health care company in the Blue Cross Blue Shield Association.As of 2018, the company had approximately 40 million members. 26/511 - Ambulance / Advanced Life Support Statewide. Forms. 26/515 - Ambulance / Advanced Life Support Milwaukee County. Code Cross-reference Guide; Anthem medical policy site: For a complete listing of Anthem medical policies, please go to Anthem Provider site > select your state > Scroll down page, select Review Policies > view Medical Policies & Clinical UM Guidelines The improved solution integrates evidence-based AIM Cancer Treatment Pathways with provider incentives to operationalize health plan value-based reimbursement initiatives. Availity is an independent company providing a wide variety of online tools that allow providers to access real -time information from multiple payers via one secure sign- on. ProviderPortal. Occupational Medicine) Physician (M.D. Treatment codes and re-evaluation codes will require a utilization management (UM) prior authorization review through AIM. Does Anthem cover medically necessary telehealth (audio and video) for physical, occupational, and speech therapy for all lines of business? Yes. The forms in this online library are updated frequently—check often to ensure you are using the most current versions.Some of these documents are available as PDF files. Use the ProviderPortal SM to accelerate your advanced imaging requests and get a response in real time 24/7. Welcome! October 2020 Anthem Provider News - Georgia Page 3 of 36 REMINDER: Expansion of AIM Musculoskeletal Program effective November 1, 2020 Published: Oct 1, 2020 - Products & Programs As recently communicated in the August 2020 edition of Anthem’s Provider News , AIM Specialty Health (AIM), a specialty health benefits company, will expand the AIM View our COVID-19 FAQ for details . )/Group Physician Please note this nomination does not guarantee the nominated provider will become a participating provider of Anthem Workers' Compensation Network. It’s sponsored by the state and for some members requires a small monthly payment through your Personal Wellness and Responsibility (POWER) Account. 1. Provider Forms & Guides. Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc. At Empire, we understand that we’re all in this together. The code set is structured into three distinct "Levels" including Provider Grouping, Classification, and Area of Specialization. Out of area : 01 . The general code listed as “Dentist” may be used instead of any of the other codes. You can also search for doctors who are accepting new patients and can serve as your PCP. Experience Health is committed to developing affordable and accessible products and services focused on: reached at 855-580-1200 or through our website: www.anthem.com. Make sure to bill drugs under the medical benefit for the administration fee with an HCPCS code (J, S, 90000, etc.). While we strive to keep this list up to date, it's always best to check with your health plan to determine the specific details of your coverage, including benefit designs and Sutter provider participation in your provider network. Our preferred way to accept prescriptions for IngenioRx Specialty Pharmacy is through ePrescribing. If you are an individual with a disability and require a reasonable accommodation to complete the application process, please email Human Resources at [email protected] for further assistance. Anthem joined Blue Cross and Blue Shield Association and 17 independent Blues companies in the spinoff CivicaScript, which will be led by former OptumRx executive Gina Guinasso. Provider Home. June 2021 Anthem Provider News - Indiana Page 8 of 45 E ffective for dates of service on and after July 1, 2021, the following specialty pharmacy codes from current or new clinical criteria documents will be included in our existing specialty pharmacy medical step therapy review process. TTY Provider search tool. Refer to their Anthem contract manager to decide if a contract amendment Anthem Blue Cross and Blue Shield Medicare-Medicaid Plans (MMP) Members. Anthem is ranked 29th on the Fortune 500.. Description . Independent licensee of the Blue Cross and Blue Shield ... same specialty and subspecialty who belongs to the same group ... (E/M) visit code. We’ve provided the following resources to help you understand Anthem’s prior authorization process and obtain authorization for … July 2020 Anthem Provider News - Georgia Page 6 of 23 A nthem’s prior authorization clinical review of non-oncology specialty pharmacy drugs will be managed by Anthem’s medical specialty drug review team. The resources below will direct you to the right place. Anthem, Inc. is committed to helping individuals with disabilities participate in the workforce and ensuring equal opportunity to apply and compete for jobs. 55 431 homemaker / chore services . We are currently in the process of enhancing this forms library. Click on the “Find a Doctor Search Tool” link below to search for a PCP by name, location or specialty. Here is the list of Medicare provider/supplier specialty codes you can use as a reference during the enrollment process. We’re pleased you’ve joined our network, which represents some of the finest health care providers in the state. Outside the United States. Anthem’s EAP Electronic Data Interchange (EDI) allows providers to submit claims and retrieve remittance advices and claim file acknowledgements from the insurance carrier or clearinghouse online. Provider demographics. Earns recognition in a Health Affairs study for the impact of Specialty Care Shopper. A fast, easy way to access AIM Specialty Health. Healthy Indiana Plan (HIP) The Healthy Indiana Plan (HIP) is an affordable health plan for low-income adult Hoosiers between the ages of 19 and 64. Updates for specialty pharmacy are available - April 2021. Jul 1, 2020 • State & Federal / Medicare. To determine the availability of a specific drug, call AllianceRx Walgreens Prime at 1-866-515-1355. Behavioral Health Crisis Hotline. 1 (555) 555-1234 (TTY 711) Mon-Fri, 5:30 a.m. to … Prior authorization required for specialty pharmacy drugs Effective for dates of service on and after June 1, 2021, the following specialty pharmacy codes from current or new Clinical Criteria documents will require prior authorization. Apr 1, 2021 • Products & Programs / Pharmacy. Provider Type and Specialty Code Reference. Refer to their Anthem contract manager to decide if a contract amendment or PMF submission is required. 5 1 INTRODUCTION Welcome to the Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem) network! Any specialty : 90 . For more information and to search for providers, call DentaQuest toll free at 888-291-3762 (TTY 800-466-7566). *ING-CC-0095. Anthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect Please use the QR code or the weblink below to complete a survey about the session you just attended. From here you can filter based on specialty… Find a provider. If you have questions, call AIM at 866-666-0776 . Behavioral Health Provider Quality Manager (Clinical) – Pittsburgh Area (PS51483) Primary care provider roles and responsibilities. 1-855-690-7784 (TTY 711) Monday through Friday, 7 a.m. to 7 p.m. Care on Call. Please direct all questions about the Surgical Site of Care review process to: Anthem offers incentives to providers certified for integrated care. In addition, servicing providers must submit ordering/referring provider information, per guidelines from the Centers for Medicare and Medicaid Services (CMS), in boxes 17 and 17b on CMS-1500 forms. Anthem, Inc. is committed to helping individuals with disabilities participate in the workforce and ensuring equal opportunity to apply and compete for jobs. Anthem, Inc. is committed to helping individuals with disabilities participate in the workforce and ensuring equal opportunity to apply and compete for jobs. Any Specialty : 99 . (Additional codes were added on 12/21/2020 due to AMA code updates) AIM Specialty Health (AIM) is an operating subsidiary of Anthem and an independent medical benefits management company that provides utilization management services for Blue Cross and Blue Shield of Texas. Anthem Blue Cross - CA All Anthem contracted providers can provide telehealth services if clinically appropriate. 1 This facility indicated voluntarily that Radiologists, Anesthesiologists, Pathologists, Hospitalists, and Intensivists who provide services for elective (scheduled) procedures related to this Blue Distinction Specialty Care program are in the local Plan's BlueCard PPO network. Call the ProviderPortal SM Support Team at 800-252-2021 for help using ProviderPortal.. Each code is a representation of an organization’s type and services specialty. Visit the Clinical Criteria website to search for specific clinical criteria. Any Specialty . Medi-Cal: 1-800-407-4627 (TTY 711) MRMIP: 1-877-687-0549 (TTY 711) Anthem Blue Cross is the trade name of Blue Cross of California. In a recent notification, we shared that effective April 1, 2021, the following codes would be included in our prior authorization review process.Please be advised that these codes will NOT be included in our prior authorization process at this time. During this time, you can still find all forms and guides on our legacy site. Anthem Blue Cross and Blue Cross of California Partnership Plan, Inc. are independent licensees of the Blue Cross Association. Ronald W. Penczek – Anthem, Inc., Senior Vice President and Chief Accounting Officer. More details. Easily find and download forms, guides, and other related documentation that you need to do business with Anthem all in one convenient location! Review of specialty pharmacy drugs for oncology indications will be managed by AIM Specialty Health (AIM), a separate If you are having problems, feeling overwhelmed, or experiencing a mental health crisis, we can help. August 2020 Anthem Provider News - Virginia Page 1 of 52 Virginia Provider News August 2020 Anthem Provider News - Virginia Products & Programs: ... 2020 , the following specialty pharmacy codes from current or new clinical criteria documents will be included in our existing prior authorization quantity limit review process. )/Group Physician (Multiple Physician Practice) 02 . Anthem, Inc. is committed to helping individuals with disabilities participate in the workforce and ensuring equal opportunity to apply and compete for jobs. Phone: (310)645-0444. May 2021 Anthem Provider News - Missouri Page 1 of 23 Missouri Provider News May 2021 Anthem Provider News - Missouri ... 2021 , the following specialty pharmacy codes from current or new clinical criteria documents will be included in our prior authorization review process. DentaQuest, an independent company that does not provide Blue Cross and Blue Shield products, administers dental benefits for Anthem. General Surgery : 20/22 . Code . At Anthem, we believe providers like you and your organization play an important role in managing the care of our members. In collaboration with your patients’ health plan, we are implementing the Anthem Cancer Care Quality Program including enhanced reimbursement* for certain Pathways. The address for Anthem HealthKeepers administrative offices is: Anthem HealthKeepers PO Box 27401 Richmond, VA 23279 . Download a helpful spreadsheet to find current and archived procedure codes for each solution! Quality Care That’s Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find.BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Prior to 2014, it was named WellPoint, Inc. Provider Forms Anthem.com. Our robust medical necessity review process is fully compliant with regulatory and accrediting organizations, while offering a superior experience for you and the health plan’s providers. Does Anthem require a prior authorization for physical, occupational and speech therapy services?
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