Providers are responsible for providing medical advice and treatment, are independent contractors, and are not employees or agents of Independence. Policy Bulletins are written with medical terminology and in a style common to scientific literature and convention. The Policy Bulletins are used in making decisions as to medical necessity only CONNECTICUT PROVIDER MANUAL July 1, 2017 Contents Page Introduction and Guide to Manual 7 Purpose and Introduction Information Sources Legal and Administrative Requirements Overview 8 Insurance Requirements Dispute Resolution and Arbitration Misrouted Protected Health Information (PHI) Risk Adjustments Directory of Services 12 Medicare News - July 2021. View these Medicare articles: - Prior authorization requirement changes effective September 1, 2021 - UM Authorization Rule Operations Workgroup (AROW) Item 1845. - Provider notification for UM Authorization Rule Operations Workgroup (AROW) Item 1846. Medicare. providerpayments.com Utilization management authorization rule operations: September 2021 Anthem Provider News - Ohio: Medicare: Sep 1, 2021 DEXA bone scan criteria for the Federal Employee Program® June 2021 Anthem Provider News - Ohio: Federal Employee Plan (FEP) Jun 1, 2021 Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered Anthem offering Advance Medical Directives program for 2022: November 2021 Anthem Provider News - Wisconsin: Medicare: Nov 1, 2021 Updated provider manual: November 2021 Anthem Provider News - Wisconsin: Administrative: Nov 1, 2021 Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Complex case management program: August 2021 Anthem Provider News - Kentucky: Medicaid: Aug 1, 2021 Important update to provider UM reimbursement penalties and corresponding entry in Provider Manual: July 2021 Anthem Provider News - Kentucky: Administrative: Jul 1, 2021 Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Welcome! Thank you for becoming a participating provider with Arkansas Blue Cross and Blue Shield. Arkansas Blue Cross and Blue Shield is the largest health insurer in Arkansas. Established by a group of physicians in 1948, Arkansas Blue Cross has provided its members with quality health coverage for more than 55 years. A mutual insurance company, Updated Provider Manual now available: May 2021 Anthem Provider News - Kentucky: Administrative: May 1, 2021 In-Office Assessment program: April 2021 Anthem Provider News - Kentucky: Medicare: Apr 1, 2021 Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products Update to provider UM reimbursement penalties and corresponding language in Provider Manual: July 2021 Connecticut Provider News: Administrative: Jul 1, 2021 DEXA bone scan criteria for the Federal Employee Program: June 2021 Anthem Connecticut Provider News: Federal Employee Plan (FEP) Jun 1, 202