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Reimbursement policy update: Nurse Practitioner and Physician Assistant Services. Products & Programs | Commercial | November 1, 2024. High Performing and Blue National Designated Providers may also be known as Anthem Diamond Providers. Administrative Digital Solutions | Commercial | November 1, 2024.
Effective October 1, 2020, new BlueCare Prime HMO plans will become available to the State of Connecticut Employer Group, and on January 1, 2021 for individuals and small groups in Connecticut. These plans will require PCP referrals for specialized care.
As of July 1, 2023, the State of Connecticut employer group contracted with Quantum Health* as their healthcare navigation and care coordination service, including the State’s Health Enhancement Program (HEP) for the State of Connecticut Employer Group and Connecticut Partnership Plans.
ICR is also available for members enrolled in the Blue Cross and Blue Shield Service Benefit Plan (Federal Employee Program® or FEP). ICR is accessed through the Availity Portal and can be used for many of your medical and behavioral health prior authorization requests.
Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc.
Reimbursement policy update: Virtual Visits - professional and facility. Beginning with dates of service on or after November 1, 2021, Anthem’s current Telehealth policy will be renamed Virtual Visits. We allow reimbursement for professional and facility Virtual Visits when interactive services occur between the member and the provider, when ...
CONNECTICUT Provider Communications Reminder: AIM prior authorization phone number change for Medicare Published: Sep 1, 2022 - State & Federal / Medicare AIM Specialty Health®* (AIM) created new contact center phone numbers for Medicare. providers to call for prior authorization requests. The new phone numbers are listed below.
EnrollSafe is now available as the electronic funds transfer (EFT) enrollment portal for Anthem providers. Effective November 1, 2021, CAQH Enrollhub is no longer offering EFT enrollment to new users. CAQH Enrollhub is the only CAQH tool being decommissioned. All other CAQH tools are not impacted.
To use the new Digital Enrollment application, please ensure your provider data on CAQH is current and in a complete or re-attested status, then log into Availity and use the following navigation: Choose your state > Payer Spaces > Provider Enrollment.
Using Medical Policies and UM Guidelines, we’ve developed a tool that supplies you with a list of recommended documents when submitting prior authorizations or claims. The new Clinical Documentation Lookup Tool uses the CPT ® and HCPCS codes you enter to return real-time results.