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Important Updates:
New claim editing software to be implemented in future
Implementation of a new claims editing software product, referenced in the June 2010 issue of Network Update, has been deferred to ensure better alignment with other system enhancements and product deployments. Information regarding the new estimated release date will be communicated promptly once available. Under current plans, the new software will not apply to claims billed on a UB04 claim form
Anthem now available on Availity
Sign up for Availity to access information from multiple payers, including Anthem Blue Cross and Blue Shield. With a single sign-on, you are able to check eligibility, claims, and more. It’s easy to register: Go to www.availity.com or contact your local eBusiness consultant at central.eprovider.rep@anthem.com
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.
Network Rapid Updates: ( past issues | sign-up)
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.
Access the latest news, updates, and learn how EDI can be used to submit claims and other transactions, saving you time and money.
Provider Maintenance Form and Provider Adjustment Form
Web claim submission MD On-Line, Inc., a leading national clearinghouse, to offer professional providers the ability to exchange secure HIPAA-compliant transactions through a web-based suite of services – 60 Day Free Trial.
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.
Anthem Medical Policies and Clinical UM Guidelines
You can get Anthem Medical Policies and Clinical UM Guidelines any time you need them with a click of your mouse.
View and print our Physician Guidelines.
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.
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