Telehealth: as of Maand until further notice, Anthem and its delegated entities will waive cost sharing for members using Anthem’s telemedicine service, LiveHealth Online, as well as care received from other in-network providers delivering virtual care through internet video + audio services for our fully insured employer plans, Individual plans, Medicare plans and Medicaid plans.Coverage: Patient newsletter on COVID-19 details coverage optionsĪnthem: (Note: Anthem will ask you to select your state).For treatment of COVID-19, they cover medically necessary health benefits, including physician services, hospitalization and emergency services consistent with the terms of each member's benefit plan. Coding & Reimbursement: covering testing to diagnose COVID-19 for most members with no prior authorization needed and no member copays or deductibles.Otherwise, standard credentialing and processes will apply. The temporary modifications are only in place during the COVID-19 emergency and subject to change based upon state and federal action. This complies with emergency state and federal regulations and is effective April 3, 2020. Credentialing: Temporarily updating credentialing policy and processes. Testing : (New 4.23.20) coverage for medically necessary testing and antibody testing will be covered without cost sharing.The revised 3/10/20 policy also does not include ED E/M codes as appropriate for telehealth services. Some plans also provide access to MDLive or a similar vendor with a network of physicians who provide telehealth services. Only members with coverage for telehealth visits will be covered as a regular office visit for providers who offer the service. Telehealth: Coverage will depend on the type of plan the patient has.Additionally, they're waiving site visit requirements. For providers who are already credentialed, they will not require additional credentialing to practice in a new location. Credentialing: UHC is temporarily updating their credentialing policies until Jto implement provisional credentialing for OON care providers who are licensed independent practitioners and want to participate in one or more of their networks.Coverage: This link takes patients to the COVID-19 resources available from UHC.The policy focuses on professional ED claims submitted with a level 5 (99285) E/M code for Medicare Advantage claims. 1, 2020 due to the COVID-19 public health emergency. Medicare Advantage ED Coding Policy delayed: implementation date delayed until Aug.1, 2020 will not be denied for failure to meet timely filing deadlines if submitted through June 30, 2020. Claims with a date of service (DOS) on or after Jan. Extending Timely Filing Guidelines: Extended timely filing deadlines for claims during the COVID-19 public health emergency period for Medicare Advantage, Medicaid, and Individual and Group Market health plans.Submitting Testing: UHC requires "proper office visit E/M code".Note: some self-funded plans will implement a similar plan option, but must opt-in. COVID-19 Treatment: waiving member cost sharing for the treatment of COVID-19 through for its Medicare Advantage, Medicaid plans, Individual and Group Market fully insured health plans.This coverage applies to Medicare Advantage, Medicaid, Individual and Group Market health plan members.
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