Through this pilot, Anthem Medicaid members who were dealing with trauma were connected with support teams and innovative technology tools that could help address their needs. “Anthem understands that violence, trauma, stress, isolation, financial instability and other adverse social experiences can severely impact health, so we are adding programs and interventions that address disparities and help empower our most vulnerable members to achieve a better quality of life.”Īnthem engaged Mindoula, a population health management company, to pilot a program that offers specialized care for individuals who have been impacted by interpersonal violence, including gang and domestic violence. “In Nevada and across the country, we are seeing more people of all ages who are struggling with life challenges, especially amid the COVID-19 pandemic and social unrest,” said Lisa Bogard, President, Anthem Blue Cross and Blue Shield Nevada, Medicaid. A newly added program that offers in-person care teams and virtual supports that are available 24/7, has been expanded to help more members address trauma, suicide risk and complex mental health conditions. Las Vegas, NV – Anthem Blue Cross and Blue Shield Nevada has increased access to tools and resources for Medicaid members who are struggling with physical, behavioral and life challenges. Capabilities & Initiatives Show Capabilities & Initiatives submenu.The BCBS System Show The BCBS System submenu.Individuals & Families Show Individuals & Families submenu.Member Services Show Member Services submenu.Second, you have to accurately verify a patient’s insurance before or at the time of appointment because if you send an Anthem claim to the wrong insurer, you may not have time to send it again. First, you and your staff obviously have to be efficient about filing claims. 1.Ī shorter time limit for filing claims increases the importance of two office functions. However, if you and Anthem can’t agree on a timely filing limit within 30 days, your contract will end no later than Oct. The notice goes on to say that practices that object to this change can file a written appeal with the company within 30 days of receiving the notice and attempt to negotiate the timely filing limit. This means all claims submitted on or after Octowill be subject to a ninety (90) day timely filing requirement. 1, 2019, your Anthem Blue Cross and Blue Shield (Anthem) Provider Agreement(s) will be amended to require the submission of all commercial and Medicare Advantage professional claims within ninety (90) days of the date of service. The company has reportedly notified all practices that have non-Medicare or Medicare Advantage contracts with them that:Įffective for all commercial and Medicare Advantage Professional Claims submitted to the plan on or after Oct. If you have a contract with one of Anthem’s commercial or Medicare Advantage plans, your window to timely file a claim may be shrinking.
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