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Important Update:
H1N1 Update
Please note that effective 9/28/2009, the American Medical Association (AMA) CPT Editorial Panel published a new code specific to administration of the H1N1 vaccine.
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Anthem Blue Cross and Blue Shield is now offering new Lumenos plans designed to help consumers make better personal choices about their health care dollars.
To help protect our members from identity theft, Anthem is removing Social Security Numbers from member ID cards and Explanation of Benefits (EOBs) statements.
Providers have asked for access to Anthem’s “customized” edits and now they will be made available online.
In serving the people of Ohio for over 60 years, Anthem has become part of the fabric of life in the state.
Access the latest news, updates, and learn how EDI can be used to submit claims and other transactions, saving you time and money.
We are partnering with MD On-Line, Inc., a leading national clearinghouse, to offer professional providers the ability to exchange secure HIPAA-compliant transactions with Anthem Blue Cross and Blue Shield through a web-based suite of services – at no charge. The only requirement for professional providers is a personal computer with Internet access. Take advantage of the free online service and reduce administrative expenses.
As a member of the Council for Affordable Quality Healthcare (CAQH), Anthem has begun to implement the Universal Credentialing DataSource System.
View and print our Physician Guidelines.
Anthem’s policies and procedures including clinical guidelines, utilization management, quality improvement and appeals.
You can get Anthem Medical Policies and Clinical UM Guidelines any time you need them with a click of your mouse.
Precertification is the determination that selected inpatient and outpatient medical services, including surgeries, major diagnostic procedures and referrals meet criteria fro medical necessity under the member’s benefits contract. For details on Pharmacy Precertification Requirements, please visit our pharmacy website.
The latest tools, training, resources and information to help bridge cultural and linguistic barriers to care.
We understand your time is valuable, so we developed this site to help you access the information you need when you need it. Here, you'll find a one-stop-shop for all things dental.
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