Anthem Healthkeepers Provider Manual

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Policies, Guidelines & Manuals HealthKeepers, …

(5 days ago) WEBThe Anthem HealthKeepers Plus Provider Manual is your key source for information about covered benefits, case management and UM programs, claims and appeal …

https://providers.anthem.com/virginia-provider/resources/manuals-and-guides

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Long-Term Services and Supports Authorization …

(5 days ago) WEBA Call Anthem HealthKeepers Plus Provider Services at 800 901 0020. or log into Patient360 and the primary case manager’s name will be noted at the top of the …

https://providers.anthem.com/docs/gpp/VA_CAID_CCCPlusQuickReferenceGuide.pdf.pdf?v=202301010330

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Coverage and clinical guideline update - Anthem

(4 days ago) WEBAnthem and HealthKeepers, Inc. – Coverage guidelines effective January 1, 20 22 Anthem Provider News October 2021 Page 1 . Coverage and clinical guideline update . …

https://files.providernews.anthem.com/1337/Coverage-guidelines-effective-January-1%2C-2022.pdf

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Claim payment disputes — update - Anthem

(9 days ago) WEBHealthKeepers Plus Manuals, Directories, Training, & Resources > Anthem HealthKeepers Plus Provider Manual. The Anthem HealthKeepers Plus provider …

https://files.providernews.anthem.com/827/Anthem-HealthKeepers-Plus-Claim-Payment-Disputes-AVA-NU-0285-20.pdf

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Home Anthem HealthKeepers Plus Virginia Medicaid

(4 days ago) WEBIn Virginia, we: Work with over 25,000 doctors, hospitals, and specialists statewide. Are the largest Medicaid plan. Serve more than 750,000 Medicaid members. *According to …

https://mss.anthem.com/va/virginia-home.html

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Provider Medical Policies Anthem.com

(1 days ago) WEBThere are several factors that impact whether a service or procedure is covered under a member’s benefit plan. Medical policies and clinical utilization management (UM) …

https://www.anthem.com/provider/policies/clinical-guidelines/

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Provider News - Anthem

(5 days ago) WEBIn accordance with the Commonwealth of Virginia’s 2020 Appropriation Act, HealthKeepers, Inc. will implement the following new reimbursement policy for inpatient …

https://providernews.anthem.com/virginia/articles/dmas-specifications-for-readmission-payment-reduction-policy-5480

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Provider Communications VIRGINIA - Anthem

(6 days ago) WEBProvider Communications Submitting prior authorizations digitally through ICR Published: Dec 30, 2022 - State & Federal / Medicaid Please note, this communication applies to …

https://files.providernews.anthem.com/pdf/articles/Submitting%20prior%20authorization...%20-%20va12508.pdf

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Contact Us Anthem HealthKeepers Plus Virginia Medicaid

(9 days ago) WEBAnthem HealthKeepers Plus Member Services. Anthem HealthKeepers Plus Member Services 1-800-901-0020 (TTY 711), Monday - Friday, 8 a.m. to 8 p.m. Eastern time. …

https://mss.anthem.com/va/support/contact-us.html

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Provider Communications VIRGINIA - Anthem

(Just Now) WEBbelieve you have received a denial in error, please follow the Anthem HealthKeepers Plus. standard claim payment dispute process as outlined in the provider manual. If you …

https://files.providernews.anthem.com/pdf/articles/Correct%20coding%20for%20hospital%20ou...%20-%20va12959.pdf

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Provider Policies, Guidelines and Manuals Anthem.com

(1 days ago) WEBPolicies, Guidelines & Manuals. We’re committed to supporting you in providing quality care and services to the members in our network. Here you will find information for assessing …

https://www.anthem.com/provider/policies/

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Provider News - Anthem

(5 days ago) WEBFax lines. Early and Periodic Screening Diagnostic Treatment Personal Care Assistance (EPSDT PCA) expedited and new waiver requests. 888-235-8390. EPSDT PCA …

https://providernews.anthem.com/virginia/articles/personal-care-services-prior-authorization-change-10587

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12-Month Continuous Eligibility (CE) for Children – Provider …

(9 days ago) WEBThe purpose of this bulletin is to notify providers and Managed Care Organizations (MCOs) that updates have been made to Chapter III of all manuals to reflect the new policy of …

https://vamedicaid.dmas.virginia.gov/memo/12-month-continuous-eligibility-ce-children-provider-manual-updates

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