Anthem Medicaid mobile app. Find a doctor or urgent care center and get directions. Get the app Choose the plan with more than 25,000 doctors across Virginia. Enroll today. Enroll Renew. Get Care. Find a doctor in your plan. Talk to a nurse any time: 24/7 NurseLine. Anthem offers practical solutions that help states achieve their goals by generating positive outcomes and cost savings. Visit Site Anthem Blue Cross and Blue Shield is the trade name of: In Indiana, Anthem Insurance Companies, Inc. Medallion Medicaid and CCC Plus members — There’s no copay for up to a 31-day supply for brand-name or generic drugs,. Anthem HealthKeepers Plus also covers many over-the-counter. Your pharmacy benefits allow up to a 31-day supply of medicine.
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. Anthem Blue Cross and Blue Shield and its affiliate HealthKeepers, Inc. are. Reimbursement Policies. These policies serve as a guide to assist you in accurate claims submissions and to outline the basis for reimbursement by HealthKeepers, Inc. if the service is covered by a member’s Anthem HealthKeepers Plus benefit plan. Credentialing is the process Anthem uses to evaluate and select licensed independent practitioners to provide care to our members. Anthem uses the Council for Affordable Quality Healthcare CAQH ProView application for credentialing. This secure and private portal reduces the amount of paperwork you need to fill out to complete the credentialing process.
If you qualify for Medicare and Medicaid, you can select an Anthem Blue Cross and Blue Shield Medicare Advantage plan at any time. By enrolling in one of our Special Needs Plans, you can get the same benefits as Original Medicare plus the added benefits and health care options of an Anthem plan. Want to switch to the Anthem HealthKeepers Plus plan? You can switch plans during the first 90 days of enrollment and then each year during open enrollment. Open enrollment dates depend on where you live. Find your open enrollment period. Here are the ways you can switch health plans. Contact Anthem Blue Cross Blue Shield in Virginia by phone or email. Login to find contact information specific to your area. Visittoday. Welcome to Anthem! To get started: Choose your state. California; Indiana; Kentucky; Nevada.
PHYSICIAN PROVIDER NETWORK MANAGERS Responsible for all network-participating MD, DO, DPM, and Behavioral Health providers throughout VIRGINIA and Contiguous Cities/Counties in DC, MD, WVA, TN, KY, and NC. CENTRAL REGIONNC Contiguous Counties VANESSA LACEY 804 354-7812 / vanessa.lacey@ VA: Henrico County including zip codes 23222, 23223, 23226,. Anthem CCC Plus Therapeutic Day Treatment TDT H0035 Initial Service Authorization Request Form; Coordination of Care Form & Letter Templates. The Coordination of Care Form can be used by both medical and behavioral health practitioners to communicate information for improved coordination of care with other treating practitioners. ANTHEM PHYSICIAN OFFICE LAB POL LIST FOR VIRGINIA HMO HealthKeepers & HealthKeepers Plus SPECIALIST PHYSICIANS Revised 01.01.2019 THIS COLUMN APPLIES TO ALL SPECIALISTS 80047 BASIC METABOLIC PANEL Calcium, ionized 80048 BASIC METABOLIC PANEL Calcium, total 80051 ELECTROLYTE PANEL 81001 AUTOMATED, WITH MICROSCOPY.
Most Medicaid and FAMIS enrollees get their care through a Managed Care Organization MCO. An MCO also known as a health plan. Anthem HealthKeepers Plus, Magellan Complete Care of Virginia, OptimaHealth Family Care, UnitedHealthcare Community Plan, and Virginia Premier. contact Anthem HealthKeepers Plus Provider Services at 1-800-901-0020 or Anthem HealthKeepers Plus, Commonwealth Coordinated Care Plus Anthem CCC Plus Provider Services at 1-855-323-4687. Note: To access the LTSS dedicated line and address LTSS-specific questions, providers may. If you are currently a user supporting an organization associated with a Medicaid provider, enrolled with the Department of Medical Assistance Services, then as a new Primary Account Holder you must complete the following steps: 1. Establish a User ID, Password and security profile 2. Request secured access for your organization 3. Anthem is no longer covering synovial joint fluid for individuals with osteoarthritis! People over 40 beware! Do not buy anthem insurance if you have this condition and require the twice-yearly injections to maintain mobility and activity levels! I was just denied having knee injections after having had them twice yearly for about 6 years!
Anthem HealthKeepers is a Medicare Advantage HMO plan with a Medicare contract. Enrollment in Anthem HealthKeepers depends on contract renewal. These events will include discussions of Medicare Advantage and Part D prescription drug plans. Anthem, Inc. is committed to helping individuals with disabilities participate in the workforce and ensuring equal opportunity to apply and compete for jobs. If you are an individual with a disability and require a reasonable accommodation to complete the application process, please email Human Resources at ability@ for further assistance. If the claim is denied by Medicaid, it should be filed to Anthem for payment, following your standard process. Timely filing. Effective immediately for offenders covered by Anthem’s Inmate Services Program, claims for Covered Services rendered to Anthem Covered Individuals must be submitted within 12 months of the date of service. Apply for and manage the VA benefits and services you’ve earned as a Veteran, Servicemember, or family member—like health care, disability, education, and more. Anthem VA Clinic - Northern Arizona VA Health Care System. If you qualify for Medicare and Medicaid, you can select an Anthem Blue Cross Medicare Advantage plan at any time. By enrolling in one of our Special Needs Plans, you can get the same benefits as Original Medicare plus the added benefits and health care options of an Anthem plan.
1-800-727-7536 TTY 711 Northern Virginia members with Kaiser Permanente: 1-855-249-5025. To see a list of services covered by all plans, go to Basic health benefits. Shop Medicare Plans - Anthem. Mar 1, 2019 • Administrative. In 2019, Anthem Blue Cross and Blue Shield in Virginia and our affiliate HealthKeepers, Inc. will launch an effort that will allow us to begin direct contracting and credentialing of nurse practitioners NPs and physician assistants PAs, so they may begin billing their services under their own 10-digit National Provider Identifier NPI.
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