![]() Recently, Anthem expanded its collaboration with Mindoula to offer similar supports to more Medicaid members, including adolescents and young adults who are at risk for a suicidal event as well as members with severe mental health needs who also struggle with complex physical health challenges. Individuals received physical and mental health support as well as help accessing resources such as financial aid, housing, food, education, rehabilitation, employment and transportation.Īfter a thorough pilot, outcomes demonstrated fewer hospitalizations, reduced emergency room visits and lower pharmacy costs, so Anthem formally adopted the program at the beginning of 2020. 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.She is responsible for creating, editing, and managing all content, design, and interaction on the company website and social media channels in order to promote CIPROMS as a thought leader in healthcare billing and management.įor more information about how we use your data, please review our privacy policy. Charity Singleton CraigĬharity Singleton Craig is a freelance writer and editor who provides communications and marketing services for CIPROMS. For use or reprint in your blog, website, or publication, please contact us at. Meanwhile Medicare’s filing limit remains 12 months from the date of service, and traditional Indiana Medicaid has a 180-day filing limit.įor more information about the change, review Anthem’s Provider Communications article “ Reminder: Changes to timely filing requirements coming in October.” ![]() ![]() Indiana’s Medicaid Managed Care Entities also have a 90-day filing limit. The new 90-day requirement reflects Anthem’s commitment to “simplify processes, improve efficiencies, and better support coordination of care.” The change also aligns Anthem with other commercial payers, including Aetna, Cigna, and United Healthcare, all of whom have 90-day timely filing limits for claims. “One hundred eighty days has been the Anthem Blue Cross and Blue Shield (Anthem) standard since 2007,” the payer explained. In 2016, when some professional and ancillary provider contracts inadvertently included a 90-day filing limit, Anthem issued a blanket correction, confirming their 180-day filing limit at that time. Beginning October 1, 2019, all claims will be subject to a 90-day filing requirement, and according to the payer, “Anthem will refuse payment if submitted more than 90 days after the date of service.”įor years, Anthem’s timely filing limit has been 180 days. Anthem is changing their timely filing limit for professional claims.
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