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Medicare Advantage Providers

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Important Medicare Advantage Updates
Anthem BlueCross BlueShield Medicare Advantage Plan & Administrative Updates. 
 
Anthem Blue Cross and BlueShield Medicare Advantage Plans and Benefits 
 
Medicare Advantage Provider Guides 
Medicare Advantage HMO & PPO Provider Guidebook
Medicare Advantage Out of Network Payment Guide
 
 
Provider Forms
Precertification, Beneficiary Notices, Part D Coverage Determination, and Corrected Claims Forms  
 
Provider Training and FAQs
These Medicare Specific Provider Training and FAQ documents are designed to better assist you in your day to day workings with Anthem. 
 
Information and educational materials published by the CDC, CMS, NGS and others 
 
Medicare Advantage Reimbursement Policies Employer Group Plans *
*These policies are for contracting providers only, you will need to sign into our secure site to view 
 
Practice Guidelines 
 
Information about our ICD-10 implementation, ICD-10 testing with providers and links to implementation resources  
 
Quality Improvement Program
Anthem BlueCross BlueShield’s comment to excellence in quality of care and service 
 

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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. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), underwrites or administers PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare Health Services Insurance Corporation (Compcare) or Wisconsin Collaborative Insurance Corporation (WCIC). Compcare underwrites or administers HMO or POS policies; WCIC underwrites or administers Well Priority HMO or POS policies. Independent licensees of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem Web sites constitutes your agreement with our Terms of Use