ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. These medications are delivered to your home or shipped to a local CVS pharmacy for pickup. Anthem is a registered trademark of Anthem Insurance Companies, Inc. CVS Specialty makes living with your condition easier. Log in at availity.com. 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. Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. 232 S Capitol Ave stream Please update your browser if the service fails to run our website. 2 0 obj Members should talk with their doctor about prescribing a drug that is on the drug list. CVS Specialty Pharmacy is an Anthem Blue Cross (Anthem) designated provider of certain specialty medications administered in the office or outpatient hospital setting. 1 0 obj To stay covered, Medicaid members will need to take action. Verify patient eligibility and benefits P.O. Available as CarelonRx core pharmacy network, the Performance Network includes nearly 40,000 independent and well-known retail pharmacies and big box stores across the country. submittal. These pharmacies serve members with complex or chronic conditions. 8:30 a.m. to 6 p.m. Vision and hearing providers: 1-800-482-4047. Choose your location to get started. We look at our members holistically; offering coordinated medical and pharmacy benefits to help close gaps in care and improve members overall heath. Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. Medicare Complaints, Grievances & Appeals. 1-844-396-2329 (TTY 711). You get your health insurance plan from an employer or if you have certain grandfathered plans. Physicians and professionals: 1-800-344-8525 Search for brand and generic medications by condition, or download the CVS Specialty drug list as a PDF (PDF). Say "claims" when the system asks why you're calling. If you misplace your medicine or it is stolen, contact your provider. It can also send you a copy of your claim's status. Use of the Anthem websites constitutes your agreement with our Terms of Use. CVS Specialty dedicated Anthem Provider Services: Anthem Blue Cross is the trade name of Blue Cross of California. Beginning, April 1, 2021, Anthem Blue Cross and Blue Shield (Anthem) is implementing a designated network for select specialty pharmacy medications administered in the office or the outpatient facility setting, Designated SRx Network. IngenioRx is a separate company that provides pharmacy services and pharmacy benefit management services on behalf of Anthem Blue Cross and Blue Shield. Step 6: Tell the system the total amount charged. The notice states that the requirement applies to Anthem's commercial HMO effective with July 1, 2020, dates of service . Monday through Friday When you write the new prescription, you can fax or efax the form and prescription to the phone number on the form. Explore programs available in your state. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. National Accounts, Posts about using health Insurance and managing your health, Collections of learning resources and links to services, For Sydney Health users connect with others and find care programs, An Important Message for Members receiving care from Advanced Infusion Solutions (AIS). Our Patient Highlights communication is focused on controlled substance care opportunities, including the identification of members receiving multiple controlled substance medications, high-dose opioids or opioids from multiple providers and filled at multiple pharmacies, or combinations of controlled substances that may indicate risk. Just keep in mind you'll need to go through the prompts before you're connected to someone. Box 310166 Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? Please update your browser if the service fails to run our website. CVS Specialty helps patients with complex conditions manage their medications and live their best lives. Health equity means that everyone has the chance to be their healthiest. Register Now, Not registered? Medicaid renewals are starting. Talk to a health plan consultant: 833-828-6962 (TTY: 711) Mon-Fri, 8 a.m. to 8 p.m. ET/CT, 7 a.m. to 7 p.m. MT/PT. Find yours in our list ofphysician organization consultants (PDF). 42I]?evMJz8q9|eszwdZL9}owq1}s&,/K{IP,xW^.` Manage your medicine from anywhere with the Sydney Health mobile app With the free app, you can: Understand your care options ahead of time so you can save time and money. The Rx Choice Tiered Network may not be available in all states. 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. One Woodward Avenue, Suite 2020 If specialty medications are obtained through other pharmacies, the claim will be denied. 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. Members dont receive multiple letters focused on individual clinical and cost-of-care programs. Say "fax or email" to receive a copy of your claim's status. Motivating your patients to adhere to their medication can contribute to improved outcomes and increased STARS performance. This group performs regular clinical reviews, rates drugs based on how they work in real life, evaluates drug costs to make sure they are affordable, and chooses drugs that are safe, work well and offer the best value. For help with AcariaHealth, call 1-800-511-5144 (TTY 1-800-955-8770), Monday through Friday, 8:00 a.m. to 10:00 p.m., Eastern time. We also offer infusion services with Optum Infusion Pharmacy. Blue Cross Blue Shield of Michigan We created these videos to offer you best practices for helping your patients remain adherent to their medication therapies and educate them on the role that statins play. Ascension reports 2.9% operating margin in H1 2023, says improvement plan is beginning to make headway. Box 7355 P.O. 1-800-344-8525 You can order by phone whether or not you're already a member. CVS Specialty dispenses a wide array of specialty medication used to treat many health conditions. Box 32593 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. Specialty medications are used to treat these conditions and often require special storage or extra support. Blue Care Network Grand Rapids, MI 49523-0589, Provider Inquiry Automated information is available anytime. Use our app, Sydney Health, to start a Live Chat. Medical Prior Authorization requests can be submitted through CoverMyMeds. Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. Drugs used for the treatment of Oncology will still require pre-service clinical review by AIM. 8:30 a.m. to noon and 1 to 5 p.m. Anthem ( NYSE: ANTM ) is one of the largest managed care organizations in the United States. If you need additional guidance, read the Dentaquest Dental Manual (PDF). Blue Cross Blue Shield of Michigan. State and Federal Privacy laws prohibit unauthorized access to Member's private information. If you have questions, please contact your group administrator or your Anthem network representative. Featured In: Jun 1, 2020 Your browser is not supported. If you have questions or need assistance, we're always here to help. All specialty pharmacy prior authorization requirements will still apply and are the responsibility of the ordering provider. Taking time for routine mammograms is an important part of staying healthy. You can also visit bcbs.com to find resources for other states. Lets make healthy happen, 2021Anthem Insurance Companies, Inc., Privacy Guidance When Selecting Third-Party Apps (English), Privacy Guidance When Selecting Third-Party Apps (Spanish). Providers may continue to submit a claim for administration of the specialty pharmacy medications, which will be reimbursed at the current contracted rates. Provider Inquiry Mail Code 0301 Not sure which region you're in? 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. Pay outstanding doctor bills and track online or in-person payments. There are some things in life that we depend on. Language Assistance / Non-Discrimination Notice, Asistencia de Idiomas / Aviso de no Discriminacin. Register Now, Not registered? Monday through Friday, Care Management--Mail Code C355 You can also visit. It looks like you're in . Monday through Friday, 1-800-431-1059 You can write to us by matching your area code with the relevant mailing address. Anthem Blue Cross and Blue Shield Healthcare Solutions is the trade name of Community Care Health Plan of Nevada, Inc., an independent licensee of the Blue Cross and Blue Shield Association. We engage members and you, their doctors. Products & Programs / Pharmacy. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. Lansing, MI 48933. Whether you need to check on a claim, pay a bill, or talk to a representative, you can easily access all your member features. Monday through Friday You can write to us by finding your area code with the relevant mailing address. This applies to all Anthem Indiana commercial members. Southfield, MI 48075, 1-877-293-2788 Hospitals or facilities: 1-800-249-5103 Use of the Anthem Web sites constitutes your agreement with our Terms of Use. 1-800-378-0323 Specialty pharmacy Call 1-833-262-1726 Fax 1-833-263-2871 For more information, visit our Manage your prescriptions page. Detroit, MI 48231-0166, Federal Employee Program claims Call Member Services at 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. The failure to do so may result in claim denials and the member cannot be billed for these specialty medications. Box 2227 Hospitals or facilities: 1-800-249-5103. Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. P.O. The Blue Cross name and symbol are registered marks of the Blue Cross Association. 2005 - 2022 copyright of Anthem Insurance Companies, Inc. You can also visit bcbs.com to find resources for other states. The automated system is available anytime. Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan CarelonRx is the pharmacy benefits manager (PBM) for Anthem HealthKeepers Plus members in Virginia. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. 1-800-762-2382 8:30 a.m. to 6 p.m. Monday through Friday. Register now, or download the Sydney Health app to access your benefits, ID card, pharmacy info, and more. Attention: Claim Processing Blue Care Network Vision and hearing providers: 1-800-482-4047 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). 415 S. McClellan Ave. Monday through Friday This applies to members with Preferred Provider Organization (PPO), HealthKeepers (HMO), POS AdvantageOne, and Act Wise (CDH plans). 8 a.m. to noon and 1 to 5 p.m. Medication is often one of them. If you are a member with Anthems pharmacy coverage, click on the link below to log in and search for network pharmacies. Say "no" when asked if you have additional questions about the determination of a claim. 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. If you don't have an account yet, you can check claims for with our automated system. Our automated interactive voice response system provides claims, benefit and cost-share information. P.O. 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. x][s8~OUS6M/U[[{cgv2n\HCcIlt ^/NgO_M{{tX>]|Y['D;fcIG_aQ We look forward to working with you to provide quality service for our members. Weve got the latest advice, tips, and news to help you get the mostout of your benefits, find the best healthcare, and stay healthy. New member? 1-888-826-8152 Here to Help You. %PDF-1.5 Make your mental health a priority. You can use our automated system to reach a representative to discuss your claim's outcome. Step 5:Tell the system the date of service provided. Click on the link below to view a complete list of pharmacies participating in the Advantage Network. 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. You can also visit bcbs.com to find resources for other states It looks like you're outside the United States. Step 1: Say "claims" when the system asks why you're calling. The list of specialty pharmacy medications subject to the above will be posted on anthem.com for reference and is subject to change. When you're contracted with us you have access to a provider consultant. Blue Cross Blue Shield of Michigan Providers who are not Designated SRx Network providers will be required to acquire the select specialty pharmacy medications administered in the office or the hospital outpatient setting through CVS Specialty Pharmacy. 1-844-876-7917 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. 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