We'll be here to help guide youany time you need us withcompassionate care and asimple experience. Marquette, MI 49855, Employee Inquiry Find out if your medication is available through CVS Specialty. 8:30 a.m. to noon and 1 to 5 p.m. Step 1: Say "claims" when the system asks why you're calling. Some drugs, and certain quantities of some drugs, require an approval before they are eligible for coverage. If your state isn't listed, check out bcbs.com to find coverage in your area. %PDF-1.5 Monday through Friday <> Here to Help You. Explore programs available in your state. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. We've provided the following resources to help you understand Anthem's prior authorization process and obtain authorization for your patients when it's required. The Blue Cross name and symbol are registered marks of the Blue Cross Association. 711. They will work with the pharmacy and the Anthem HealthKeepers Plus plan to review your case and replace your medicines as needed. Southfield, MI 48075. Attention: Claim Processing ??9h/dWn&}oS!LK$= -WY9#\3Lx]nO$~eRN s r^>}\;"YEL7%bl q!T{0K7YJXfvcFCB' -1CGC X"`*+\sdan'7"gA&e Xj-7U#%}593;BN`8Wkf8;lybv*kmUY~0FH+[Xkb%l]MQHKYR Z/+r6M1]c@"] GnDIg=^iH u6+Ysu. We support specialty treatments and take a hands-on approach to patient care that makes a meaningful imprint on the health and quality of life of each patient. Box 2227 P.O. <> Start a Live Chat with one of our knowledgeable representatives. You can also visit bcbs.com to find resources for other states. 1-800-822-2761 Pharmacy Information for Providers We look at our members holistically; offering coordinated medical and pharmacy benefits to help close gaps in care and improve members' overall heath. If a medication is selected that is not on the drug list, the member will be responsible for the full cost of the drug. Learn more. We've gathered resources and tools to help you work as efficiently and productively as possible and do what you do best- care for our members. We look at our members holistically; offering coordinated medical and pharmacy benefits to help close gaps in care and improve members overall heath. We look forward to working with you to provide quality service for our members. Get translation and interpretation services free of charge. When you write the new prescription, you can fax or efax the form and prescription to the phone number on the form. We offer flexible group insurance plans for any size business. Specialty Pharmacy Benefits | Anthem BlueCross BlueShield Kentucky Medicaid Specialty Pharmacy Extra care to manage your condition Specialty pharmacies are different. 1-800-344-8525 Serving Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin. You can order by phone whether or not you're already a member. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. Detroit, MI 48232-0593, UB-04 claims This applies to all specialty drugs covered through the Medicaid health maintenance organization (HMO) members medical benefits where Anthem has financial risk for the cost of specialty medications. Please call Accredo at 1-844-433-4878 or visit P.O. Help for members impacted by the winter storms emergency in California, March 2023 Anthem Blue Cross Provider News - California, Action required: 2023 Consumer Grievance and Appeals attestation Requirement, Group number change for Screen Actors Guild-American Federation of Television and Radio Artists Health Plan, June 2020 Anthem Blue Cross Provider News - California, Monday through Friday from 5 a.m. to 7:30 p.m. Pacific Time, Saturday from 6 a.m. to 10 a.m. Pacific Time. Products & Programs / Pharmacy. 20500 Civic Center Drive You purchased a plan on your state or federal Health Insurance Marketplace (also known as the exchange), You purchased coverage off the exchange and not through your employer, Your coverage is through a Small Group employer on, and in some cases, off the exchange. This applies to all Anthem Indiana commercial members. The list of specialty pharmacy medications subject to the above will be posted on anthem.com for reference and is subject to change. Search for specific text by using your Find function (Ctrl+F or Command+F). You can also talk to your provider consultant. 1-800-762-2382 8:30 a.m. to 6 p.m. Monday through Friday. If you're already a member, you can email us at DirectoryRequest_MMP@anthem.com to ask for a printed Drug List. Vision providers who can't access their account or need more information can read the Blue Vision Provider Summary Guide (PDF) to learn how to: Submit claims, appeals and attachments As one of the nation's leading health plans, Anthem serves millions of members in state-sponsored programs across the nation. 8 a.m. to 7 p.m. Policies are aligned. Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., 2023. out of your benefits, find the best healthcare, and stay healthy. CVS Specialty Pharmacy is an Anthem Blue Cross (Anthem) designated provider of certain specialty medications administered in the office or outpatient hospital setting. Monday through Friday, Care Management--Mail Code C355 endobj CVS Health ( NYSE: CVS ) is a coast-to-coast healthcare conglomerate comprised of retail / mail order. 8 a.m. to 7 p.m. Use of the Anthem websites constitutes your agreement with our Terms of Use. Birmingham, AL 35238-0518. Detroit, MI 48226. Click on the link below to view a complete list of pharmacies participating in the Performance Network. Find a Participating Pharmacy in Your Area. It can also send you a copy of your claim's status. 8 a.m. to noon and 1 to 5 p.m. 8:30 a.m. to 4:30 p.m. Monday through Friday. Our goal is to help improve your patients health outcomes by combining medical, pharmacy and lab data ensuring coordination of our people, programs and knowledge. Our goal is to help improve your patients' health outcomes by combining medical, pharmacy and lab data ensuring coordination of our people, programs and knowledge. These pharmacies serve members with complex or chronic conditions. The resources on this page are specific to your state. The Prior Authorization process allows for the request and approval of these medications. The resources for our providers may differ between states. AINPEC-2262-19 October 2019 Specialty Drug List Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan Monday through Friday. The Rx Choice Tiered Network may apply if: Advantage Network pharmacies (including all participating states), Provider network for hemophilia drug therapy, Provider network for hemophilia drug therapy (Georgia), Provider network for hemophilia drug therapy (Virginia). This will have no impact on how members obtain non-specialty pharmacy medications at retail pharmacies or by mail-order. You can also visit. Blue Vision providers submit claims electronically directly toVSP. Medical Prior Authorization requests can be submitted through CoverMyMeds. 8:30 a.m. to noon and 1 to 5 p.m. 8:30 a.m. to noon and 1 to 5 p.m. R-300913DescriptionThe Specialty Operations Pharmacy Technician 2 supports Pharmacists in SpecialtySee this and similar jobs on LinkedIn. Step 5: Tell the system the date of service provided. Step 2: Answer the prompts about your patient and whether you provided care in Michigan. Vision and hearing providers: 1-800-482-4047 1-855-504-2583 Available as CarelonRx core pharmacy network, the Advantage Network includes nearly 58,000 independent and well-known retail pharmacies and big box stores across the country. Our resources vary by state. As the monkeypox outbreak spreads across the United States, you may have a lot of questions and concerns. There is no cost for this service. Sydney Care is offered through an arrangement with Carelon Digital Platforms, Inc. Sydney Health and Sydney Care are service marks of Carelon Digital Platforms, Inc., 2023. Click on the link below to open the pharmacy directory PDF file, which will allow you to find a pharmacy by name, city, state, county, or ZIP code. Verify patient eligibility and benefits Llame a nuestro nmero de Servicio de Atencin al Cliente (TTY: 711). March 2023 Anthem Provider News - Indiana, February 2023 Anthem Provider News - Indiana, New ID cards for Anthem Blue Cross and Blue Shield members - Indiana, Telephonic-only care allowance extended through April 11, 2023 - Indiana, January 2021 Anthem Provider News - Indiana. Quickly and easily submit out-of-network claims online. 415 S. McClellan Ave. You can count on our guidance, education, and compassion throughout your entire course of treatment. CVS Specialty dedicated Anthem Provider Services: Phone number: 1-877-254-0015 Fax: 1-866-336-8479 Hours of operation: Monday through Friday from 5 a.m. to 7:30 p.m. Pacific Time Saturday from 6 a.m. to 10 a.m. Pacific Time * CVS Specialty is an independent company providing specialty pharmacy services on behalf of Anthem. All you need to know about the COVID-19 vaccines and boosters.Get the details. Call Specialty Pharmacy Member Services at 1-833-255-0646 (TTY 711) anytime, day or night to speak with our Care Team. Explore our comprehensive guides and video resources for more information regarding your condition. By using targeted, concise communication, we help members make good health care choices and improve health outcomes. Blue Cross Blue Shield of Michigan Call our Customer Service number, (TTY: 711). Both medical and pharmacy costs are our responsibility. Payments for services from a non-participating provider are generally sent to the member, except where federal or state mandates apply, or negotiated agreements are in place. Blue Care Network P.O. Once we identify a gap in care, the member receives a personalized Medication Review, which contains pharmacy messaging for our clinical and cost-of-care programs in one consolidated, health plan-branded, monthly member communication. Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. Anthem is a registered trademark of Anthem Insurance Companies, Inc. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Behavioral health services for Blue Cross Blue Shield of Michigan are managed by New Directions. Medicare Plus BlueSM PPO services are managed by Medicare Plus Blue Behavioral Health. Virginia Anthem HealthKeepers Plus plan offered by HealthKeepers, Inc. Wisconsin Anthem Blue Cross and Blue Shield. We send members personalized messages about medications that may reduce their costs and include specific cost savings. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. 1-888-803-4960 We also offer infusion services with Optum Infusion Pharmacy. Use of the Anthem Web sites constitutes your agreement with our Terms of Use. Effective for dates of service March 1, 2022, and beyond, requests for the medications listed above and the clinical information submitted will be reviewed for both medical necessity of the medication itself (as is done Monday through Friday Ascension reports 2.9% operating margin in H1 2023, says improvement plan is beginning to make headway. Our small business plans offer a full range of health insurance options for groups with 2 to 50 or 100 employees, depending on your state. CVS Specialty helps patients with complex conditions manage their medications and live their best lives. Review medical and pharmacy benefits for up to three years. Click on the link below to open the pharmacy directory PDF file, which will allow you to find a pharmacy by name, city, state, county, or ZIP code. Step 5: Tell the system the date of service. Payments for services from a non-participating provider are generally sent to the member, except where federal or state mandates apply, or negotiated agreements are in place. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), whichunderwrites or administersthe PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare Health Services Insurance Corporation (Compcare) underwritesor administers the HMO policies and Wisconsin Collaborative Insurance Company (WCIC) underwrites or administers Well Priority HMO or POS policies. Box 312599 We promise to always deliver simple ways to get the medication you need. Check ereferrals.bcbsm.com for detailed prior authorization information. Weve got the latest advice, tips, and news to help you get the mostout of your benefits, find the best healthcare, and stay healthy. <>>> 1-800-482-4047 Say "claims" when the system asks why you're calling. Contact customer service, Heritage Provider service: 1-800-252-2053. Manage your medicine from anywhere with the Anthem mobile app With the free app, you can: Order refills Track orders View all prescriptions Download the app now: Page Last Updated: 06/09/21 P.O. 232 S Capitol Ave Get access to your agent portal.Register Now. Monday through Friday. You can also visit bcbs.com to find resources for other states It looks like you're outside the United States. Choose your location to get started. Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. Step 6: You will then be transferred to the servicing center for assistance. Get access to your employer portal. With the Rx Choice Network, you can choose from two levels of coverage, helping to provide both savings and access: Level 1: You can get prescriptions filled at Level 1 pharmacies for the same copay or percentage of the drug costs you usually pay as part of your prescription drug plan. And to help ensure coordination of care and compliance, physicians also receive a consolidated communication with similar messages. Gaps-in-care messaging for our clinical and cost-of-care programs is included in one communication. stream The Availity Portal offers healthcare professionals free access to real-time information and instant responses in a consistent format regardless of the payer. Physicians and professionals: 1-800-344-8525 Providing care for those who need it most requires a team effort. The automated system is available anytime. 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