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Provider resources | Anthem
- https://providers.anthem.com/indiana-provider/resources
- Many of the tools you need — such as eligibility and benefits inquiry, claims submission, claims status inquiry, and authorizations — can now be accessed by logging into your account on the Availity Portal. Learn about Availity Behavioral health
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Provider communications | Anthem
- https://providers.anthem.com/indiana-provider/communications
- Log in to Availity Learn about Availity Precertification Lookup Tool Prior Authorization Requirements Claims Overview Member Eligibility & Pharmacy Overview Provider Manuals and Guides Referrals Forms Training Academy Pharmacy Benefits Electronic Data Interchange (EDI) Interested in becoming a provider in our network?
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Join Our Network | Anthem
- https://providers.anthem.com/indiana-provider/join-our-network
- You can contact Anthem via phone or email using the Master Contact Lists for Indiana Provider Solutions. Anthem will notify you within five business days if your application is determined to be incomplete. Page Last Updated: 3/8/2022 Provider tools & resources Log in to Availity Learn about Availity Precertification Lookup Tool
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Provider Communications
- https://providernews.anthem.com/indiana
- December 2021 Anthem Provider News - Indiana: Administrative: Dec 1, 2021 Clinical practice and preventive health guidelines available on anthem.com: December 2021 Anthem Provider News - Indiana: Administrative: Dec 1, 2021 Submitting prior authorizations is getting easier Anthem is transitioning to the Availity Authorization app ...
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Provider manuals and guides | Anthem
- https://providers.anthem.com/indiana-provider/resources/manuals-and-guides
- Anthem Blue Cross and Blue Shield (Anthem) is committed to supporting you in providing quality care and services to the members in our network. Here you will find information for assessing coverage options, guidelines for Clinical Utilization Management (UM), practice policies and support for delivering benefits to our members. Provider manual
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HCP Provider Portal > Home
- https://portal.indianamedicaid.com/hcp/provider/Home/SiteTokenPassword/tabid/226/Default.aspx
- HCP Provider Portal > Home What can you do in the Provider Healthcare Portal? Through the Indiana Health Coverage Programs (IHCP) secure and easy-to-use internet portal, healthcare providers can: Submit claims Check on the status of their claims Inquire on a patient's eligibility View their Remittance Advices Request prior authorization
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Hoosier Healthwise (HHW) | Anthem BlueCross BlueShield ...
- https://mss.anthem.com/in/benefits/hoosier-healthwise-medicaid.html
- Hoosier Healthwise and Health Indiana Plan: 1-866-408-6131; TTY 711 Hoosier Care Connect: 1-844-284-1797; TTY 711 Get the mobile app Let's make healthy happen. Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc., independent licensee of the Blue Cross and Blue Shield Association.
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Network Relations Map | Anthem
- https://providers.anthem.com/indiana-provider/network-relations-map
- Log in to Availity Learn about Availity Precertification Lookup Tool Prior Authorization Requirements Claims Overview Member Eligibility & Pharmacy Overview Provider Manuals and Guides Referrals Forms Training Academy Pharmacy Benefits Electronic Data Interchange (EDI) Interested in becoming a provider in our network?
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Healthy Indiana Plan (HIP) | Anthem BlueCross BlueShield ...
- https://mss.anthem.com/in/benefits/healthy-indiana-plan-medicaid.html
- Hoosier Healthwise and Health Indiana Plan: 1-866-408-6131; TTY 711 Hoosier Care Connect: 1-844-284-1797; TTY 711 Get the mobile app Let's make healthy happen. Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc., independent licensee of the Blue Cross and Blue Shield Association.
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Hoosier Care Connect (HCC) | Anthem BlueCross BlueShield ...
- https://mss.anthem.com/in/benefits/hoosier-care-connect-medicaid.html
- Hoosier Healthwise and Health Indiana Plan: 1-866-408-6131; TTY 711 Hoosier Care Connect: 1-844-284-1797; TTY 711 Get the mobile app Let's make healthy happen. Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc., independent licensee of the Blue Cross and Blue Shield Association.
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Pharmacy Benefits | Anthem BlueCross BlueShield Indiana ...
- https://mss.anthem.com/in/benefits/pharmacy-benefits.html
- We make getting your prescriptions filled as convenient as possible. HIP Plus and Hoosier Care Connect members can log in to their account and manage prescriptions filled through home delivery. With a secure online account, you can: Order refills Track your shipments Get notifications Log in to your account Prescription Drug Home Delivery Form
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Provider Communications - providernews.anthem.com
- https://providernews.anthem.com/indiana/article/prior-authorization-requirement-changes-for-codes-a0426-and-a0428-effective-october-1-2021
- A0428 — ambulance service, basic life support, nonemergency transport (BLS) Not all PA requirements are listed here. Detailed PA requirements are available to contracted providers by accessing the provider self-service tool on the Availity* Portal at availity.com or on the provider website at anthem.com/medicareprovider > Login.
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For Providers - MDwise Inc.
- https://www.mdwise.org/for-providers
- Prior Authorization requests can be submitted via fax, email, or via our Authorization Portal. Fax MDwise Hoosier Healthwise (HHW) Excel: 1-888-465-5581. Fax MDwise Healthy Indiana Plan (HIP) Excel: 1-866-613-1642. Email: [email protected]
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Anthem running billions of dollars behind on payments to ...
- https://www.modernhealthcare.com/payment/anthem-running-billions-dollars-behind-payments-providers
- Anthem profits were $4.6 billion in 2020 and $3.5 billion in the first half of 2021. Alexis Thurber, who lives near Seattle, was insured by Anthem when she got an $18,192 hospital bill in May for ...
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Provider Communications - providernews.anthem.com
- https://providernews.anthem.com/indiana/article/resources-to-support-your-diverse-patient-panel-12
- Free accessibility from any device (for example, desktop computer, laptop, phone or tablet), no account or login required. To access these resources, go to providers.anthem.com/in > Resources > Training Academy > Cultural Competency Resources > Caring for Diverse Populations.
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Provider Communications - providernews.anthem.com
- https://providernews.anthem.com/indiana/article/provider-notification-for-utilization-management-authorization-rule-operations-workgroup-item-2662-3
- Mar 1, 2022 • State & Federal / Medicare. On June 1, 2022, prior authorization (PA) requirements will change for a code covered by Anthem Blue Cross and Blue Shield.Federal and state law, as well as state contract language and CMS guidelines, including definitions and specific contract provisions/exclusions take precedence over these precertification rules and must be considered first when ...
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Provider Communications - providernews.anthem.com
- https://providernews.anthem.com/indiana/article/utilization-management-authorization-rule-operations-2
- Detailed PA requirements are available to contracted providers on the provider website at anthem.com > Login or by accessing Availity.* Once logged in to availity.com, select Patient Registration > Authorizations & Referrals, then choose Authorizations or Auth/Referral Inquiry, as appropriate.
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Updates & Announcements | Indiana - Marketplace | CareSource
- https://www.caresource.com/in/providers/tools-resources/updates-announcements/marketplace/
- We strive to make partnering with us simple. We're aware things may change in the way we do business with you and want to communicate these changes to you in an efficient manner. Visit the Updates & Announcements page frequently to find all the latest CareSource news. We share updates regarding: COVID-19 information Pharmacy […]
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Anthem Medicaid Ky Dental Providers - MedicAidTalk.net
- https://www.medicaidtalk.net/anthem-medicaid-ky-dental-providers/
- LOUISVILLE Anthem Blue Cross and Blue Shield Kentucky Medicaid, a commonwealth-wide provider of Medicaid managed care services, announced that is has been recognized by the National Committee for Quality Assurance , which awards distinction to organizations that meet or exceed its rigorous requirements for multicultural health care. In acknowledgement of these efforts, NCQA awarded the ...
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Member Handbooks and Helpful Resources | Anthem BlueCross ...
- https://mss.anthem.com/in/benefits/member-materials.html
- Find out if you're eligible by calling us at 1-866-408-6131 (Hoosier Healthwise, Healthy Indiana Plan); 1-844-284-1797 (Hoosier Care Connect); TTY 711. The RCP lasts for two years. Within that time, a nurse care manager will help you: Learn how to best use your medical benefits.
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Smoking Cessation Provider Incentive - Indiana Primary ...
- https://www.indianapca.org/resource/resource-link/smoking-cessation-provider-incentive/
- IPHCA partner Anthem has launched its 2021 Smoking Cessation Provider Incentive Program (SCPIP). Anthem has designed SCPIP to encourage providers to provide smoking cessation counseling to Members who use tobacco, including referring them to Indiana's Tobacco Quitline.. SCPIP will offer an incentive on paid professional claims, in addition to the reimbursable amount for the service, to ...
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Anthem Blue Cross and Blue Shield and Kroger Health Offer ...
- https://www.anthem.com/press/ohio/anthem-kroger-medicare-advantage-plans/
- Cincinnati, OH - Employing their complementary experiences in helping individuals lead healthier lives, Anthem Blue Cross and Blue Shield in Ohio and Kroger Health, the healthcare division of the Kroger Co. (NYSE: KR), will offer new 2022 Medicare Advantage plans with benefits and services to address an individual's whole-health needs and wellbeing.
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Find a Doctor - MDwise Inc.
- https://www.mdwise.org/find-a-doctor
- MDwise provides health care for two different Medicaid health plans: Hoosier Healthwise and Healthy Indiana Plan (HIP). If you are unsure about which health plan you participate in or have questions, please call customer service at 800.356.1204 or 317.630.2831 in the Indianapolis area. MDwise customer service can provide language services or an ...
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185 AIM Guidelines and AIM ... - AIM Specialty Health
- https://aimspecialtyhealth.com/anthem185/radiation-oncology/
- Radiation Therapy (excludes Proton) Radiation Therapy effective November 7, 2021 - March 12, 2022 for commercial and Medicare. Radiation Therapy effective March 14, 2021 - November 6, 2021 for commercial and Medicare. Radiation Therapy effective February 9, 2020 - March 13, 2021. Radiation Therapy effective March 9, 2019 - February 8, 2020.
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Shop Medicare Plans - shop.anthem.com
- https://shop.anthem.com/medicare/quote/ma-plan-documents?planId=4317&role=broker&state=KY&brand=ABCBS#!
- Anthem Blue Cross and Blue Shield is a PDP plan with a Medicare contract. Anthem Blue Cross and Blue Shield is a HMO plan, LPPO plan, and RPPO plan with a Medicare contract. For Dual-Eligible Special Needs Plans: Anthem Blue Cross and Blue Shield is a HMO D-SNP plan with a Medicare contract and a contract with the Kentucky Medicaid program.
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Anthem pays $4.5M to Indiana hospitals in ER billing ...
- https://www.theindianalawyer.com/articles/anthem-pays-4-5m-to-indiana-hospitals-in-er-billing-dispute
- Under the arrangement, Indiana's Medicaid program gives Anthem a fixed monthly payment for each enrolled member for use in paying for covered costs and services. Anthem agrees to pay the hospitals for treating the patients. But the relationship between Anthem and hospitals took a big turn in 2017, when the insurer started restricting ER payments.
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