Provider News
The latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.
Prior Authorization Requirement Update for 95800
CPT® code 95800 (sleep study, unattended, simultaneous recording of heart rate, oxygen saturation, respiratory airflow, and respiratory) will require prior authorization (PA) beginning on February 1, 2023.
Psychiatric Diagnostic Evaluation Frequency
Claims analysis of psychiatric diagnostic evaluation frequency
Register today: Exploring the intersection of race and disability
Anthem is committed to making healthcare simpler and reducing health disparities. Open discussion about the disability experience for people of color and reducing implicit bias for those in healthcare is critical to improving the health and well-being of the communities in which we live and serve — all Americans.
SUD instructions: residential services billing update
Use the following guidelines when submitting claims for substance use disorder (SUD) services provided in a residential treatment center for Anthem Blue Cross and Blue Shield members.
School-based clinic resource guide
School-based clinics help provide a convenient point of care site for underserviced children and adolescents throughout Indiana. Medicaid pays for healthcare and related services provided through Indiana Medicaid and covered services specified in an Individual Education Plan (IEP) as outlined in the Disabilities Education Act (IDEA).