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05/17/21

Anthem BC Requires Modifiers on Outpatient Therapy Claims

Anthem BC has revised their policy concerning modifiers that are required on outpatient physical, occupational and speech therapy claims. Failure to append the applicable modifier will result in nonpayment of your claim. Anthem BC services the following states: California Colorado Connecticut Georgia Indiana Kentucky Maine Missouri New Hampshire Nevada New York Ohio Virginia Wisconsin To access the policy, click I hope you found this article helpful. Thank you for being a Gold Member!

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03/25/20

Anthem BCBS of Georgia and Telehealth

Anthem Blue Cross Blue Shield (BCBS) of Georgia has a webpage where they are posted updates regarding COVID-19. To access the BCBS of Georgia provider home page, click HERE.

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02/03/20

Aim Specialty Health Update

AIM Specialty Health has announced the launch dates for the AIM Rehabilitative program for Anthem’s Commercial Membership and Anthem’s Medicare Advantage Membership. This announcement impacts 2 states for Anthem’s Commercial Membership and 16 states for Anthem’s Medicare Advantage Membership. The AIM Rehabilitative program for Anthem’s Commercial Membership will relaunch April 1, 2020 for the states of The AIM Rehabilitative program for Anthem’s Medicare Advantage membership will launch April 1, 2020 and will impact the following states: I hope you found this article helpful. Thank you for being a Gold Member!

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07/17/19

Anthem Blue Cross Further Delays Implementation of AIM Specialty Health

Anthem Blue Cross has announced they will further delay the implementation of AIM Specialty Health and the prior authorization process for outpatient therapy services for the 13 states that were originally scheduled to begin with dates of service on and after July 1, 2019. On July 2, Anthem Blue Cross announced the implementation that began July 1, 2019 was being halted and would resume with dates of service on and after August 1, 2019. On July 16, 2019, Anthem Blue Cross announced they are

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07/03/19

Anthem Delays Preauthorization Implementation for Outpatient Therapy

Breaking News July 2, 2019: Anthem BC announces they will delay implementation of AIM until August 1, 2019. Here is the statement issued by Anthem:

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06/25/19

Anthem BCBS to Require Preauthorization for Outpatient Therapy

Effective July 1, 2019, Anthem Blue Cross patients in several states will require preauthorization to receive outpatient physical, occupational and speech therapy services. This will be true not only for new patients beginning therapy on or after July 1, 2019, but also for current Anthem patients who are being seen now and will continue to be seen for therapy on or after July 1, 2019. The states where prior authorization will be required effective for dates of service on and after July 1, 2019 are:

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03/19/19

Anthem Delays Implementation of New Utilization Management Program

Anthem BC has announced its delayed implementation of AIM for the state of California. The AIM Utilization Management program will not go live on March 25, 2019. The new implementation date will be communicated once it becomes available.

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02/12/19

AIM Specialty Health

Anthem Blue Cross-Blue Shield has announced they are initiating a new utilization management (UM) program with AIM Specialty Health, a subsidiary of Anthem beginning in 5 states. This program will begin on March 1, 2019 in the states of Indiana, Louisiana, New York and Wisconsin and March 25, 2019 in California. This new UM program will impact all commercial enrollees receiving outpatient physical, occupational and speech therapy services. AIM has already completed 3 webinars and has 2 more 10-hour webinars planned. The next webinar is February 26, 2019 at 3:00pm ET and the last webinar is on March 20, 2019

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