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  2. Anthem hammers out new coverage pact with Cleveland ... - AOL

    www.aol.com/anthem-hammers-coverage-pact...

    Cleveland Clinic patients insured with Anthem Blue Cross and Blue Shield in Ohio can breathe a little easier knowing their coverage will continue intact.. Anthem announced Tuesday that Cleveland ...

  3. Prior authorization - Wikipedia

    en.wikipedia.org/wiki/Prior_authorization

    After a request comes in from a qualified provider, the request will go through the prior authorization process. The process to obtain prior authorization varies from insurer to insurer but typically involves the completion and faxing of a prior authorization form; according to a 2018 report, 88% are either partially or entirely manual. [5]

  4. Anthem Blue Cross Blue Shield calls off plan to cap ... - AOL

    www.aol.com/news/anthem-blue-cross-blue-shield...

    Anthem Blue Cross Blue Shield announced last month that starting in 2025 it would stop covering anesthesia during patient surgeries in Connecticut, Missouri and New York if the procedure exceeds a ...

  5. Elevance Health - Wikipedia

    en.wikipedia.org/wiki/Elevance_Health

    In August 1997, Anthem acquired Blue Cross and Blue Shield of Connecticut. [18] It also sold Acordia to management. [19] In 1999, Anthem acquired Blue Cross and Blue Shield of New Hampshire and Blue Cross and Blue Shield of Colorado and Nevada. The acquisitions made since 1996 added 850,000 policy holders.

  6. Utilization management - Wikipedia

    en.wikipedia.org/wiki/Utilization_management

    Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...

  7. Anthem Blue Cross contract fight could see 22K Sloan ... - AOL

    www.aol.com/news/anthem-blue-cross-contract...

    Thousands of Memorial Sloan Kettering cancer patients could lose access to life-saving treatments in 2025 because of an ongoing contract fight with insurance giant Anthem Blue Cross Blue Shield.