Resources are here that help health care professionals do what they do best — care for our members.
At Anthem Blue Cross and Blue Shield Healthcare Solutions (Anthem), we value you as a provider in our network. That's why we’ve redesigned the provider site to make it more useful for you and easier to use.
Interested in joining our provider network? We look forward to working with you to provide quality services to our members.
The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format regardless of the payer.
In order to communicate more efficiently with providers, Anthem is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email. Email is the quickest and most direct way to receive important information from Anthem. To receive email from Anthem (including some sent in lieu of fax or mail), fill out our sign-up form.
The latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.
The State Fiscal Year 2021 quarter 3 rate updates have been implemented for free-standing nursing facilities for standard bed day services. Impacted provider types (PTs) are 19 (Nursing Facility) and 65 (Hospice, Long Term Care). The updated rates are effective on claims with dates of service on or after January 1, 2021. The rates were updated in the Medicaid Management Information System (MMIS) on January 19, 2021. No claims will be reprocessed as no claims were found in MMIS that were paid the previous rates on or after January 1, 2021, through January 19, 2021.
Enjoy informative webinars designed specifically for network providers, coders, billers and office staff. A variety of helpful and educational topics relating to coding and documentation, claims and billing issues, member care, quality measures, and more are available.
Updates to the AIM Clinical Appropriateness Guidelines for Advanced Imaging for claims with dates of service on and after March 14, 2021.
H.O.P.E. Counseling Services
Search for up-to-date drug information, including hundreds of brand-name and generic medications.
When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. That’s why we encourage all our moms-to-be to take part in our New Baby, New LifeSM program, which is a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.
We work collaboratively with hospitals, group practices and independent behavioral health care providers, community and government agencies, human service districts, and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.
We’ve been helping Nevada families get and stay healthy since 2009.
