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Behavioral health quick reference benefit grid

WebBenefit MMC and Medicaid SSI Health and Recovery Plan (HARP) Child Health Plus (CHPlus) Essential Plan Foster Care Outpatient mental health (OPMH) Covered …

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URL: https://mediprovider.empireblue.com/docs/gpp/NYE_CAID_BehavioralHealth_QuickRefGuide.pdf?v=202209202137

Behavioral Health Reference Guide

WebIntensive outpatient services (IOP)}}Effective February 1, 2017, IOP covers Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect members.}}Authorization …

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Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier …

WebMember Services 1-866-408-6131 (TTY 711) Hours: Monday through Friday, 8 a.m. to 8 p.m. Eastern time. Call for questions about your Anthem health plan, including utilization …

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Anthem Blue Cross and Blue Shield Indiana Medicaid Provider …

WebProviders can verify member eligibility by doing any one of the following: Log in to www.availity.com and enter the member ID. Use the Indiana Health Coverage Program …

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A message for providers: Healthy Rewards

WebNYEPEC-0622-16 04.16 Empire BlueCross BlueShield HealthPlus (Empire) shares your commitment to your patients’ health and well-being. We have implemented a new, easily …

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Claim related FAQ

WebMedicaid Provider Bulletin October 2022 * Payspan is an independent company providing healthcare reimbursement and payment services on behalf of Empire BlueCross BlueShield

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Pharmacy Prior Authorization Form

WebAnthem Blue Cross and Blue Shield Pharmacy Prior Authorization Form Page 3 of 3 Diagnostic studies and/or laboratory tests performed (List all tests done within the past …

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MCG care guidelines 24th edition

WebAnthem Blue Cross and Blue Shield MCG care guidelines — 24th edition Page 2 of 2 Anthem’s customizations to MCG care guidelines 24th edition Effective August 1, 2020, …

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A Message for Providers: Healthy Rewards Program

WebHere’s how patients can report their activities: 1. Log in to https://mss.empireblue.com/ healthyrewards. 2. Call Healthy Rewards at 1-877-868-2004

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Claim payment appeal

WebA payment appeal is defined as a request from a health care provider to change a decision made by Empire BlueCross BlueShield HealthPlus (Empire) related to claim payment for …

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Medical Policies and Clinical Utilization Management …

WebEmpire BlueCross BlueShield HealthPlus Medical Policies and Clinical Utilization Management Guidelines update Page 2 of 4 • MED.00142 — Gene Therapy for Cerebral …

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Provider Quick Reference Card

WebPersonalized recoveryorientedservices Yes Assertive community treatment Yes Intensive case management/supportive case management Now under health home (HH) — no …

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Medical Policies and Clinical Utilization Management Guidelines

WebAttached is a list of the Clinical UM Guidelines and/or Medical Policies the health plan has adopted. The full list of Medical Policies and Clinical Utilization Management (UM) …

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Information from Empire BlueCross BlueShield (Empire) for …

WebEmpire BlueCross BlueShield HealthPlus Empire for care providers about COVID-19 (Updated [insert date]) Page 3 of 8 Empire is also providing coverage for members to …

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Retroactive eligibility prior authorization/utilization …

WebAnthem Blue Cross and Blue Shield Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect June 12, 2018 www.anthem.com/inmedicaiddoc

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AIM Specialty Health Outpatient Rehabilitative and …

WebProvider Bulletin February 2022 * AIM Specialty Health is an independent company providing some utilization review services on behalf of Empire BlueCross BlueShield …

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Frequently asked questions: Our upcoming rebrand to Anthem

WebIndependent licensee of the Blue Cross Blue Shield Association. NYBCBS-CDCRCM-038547-23-CPN38394 November 2023. 2. Member Services phone number (above) to …

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