Anthem indiana provider manual

This Manual is designed to assist you with education about BlueCard®and Inter-Plan business. As information is updated by the Blue Cross Blue Shield Association and/or Anthem Blue Cross and Blue Shield, we will communicate this information to you via the Anthem website at anthem.com or through our provider services staff. We are •After logging in, select Payer Spaces. •Select the Anthem logo. •Select Applications, then Provider Enrollment. Enrollment dashboard 24 The left-hand navigation options allow providers to find their applications and check their status. Select Begin new application to start the enrollment process. My Dashboard is the place to track your submission. 6 | MHS Provider Manual 2020 | mhsindiana.com Chapter 1: Managed Health Services (MHS) Managed Health Services (MHS) is a managed care entity (MCE) that has contracted with the state of Indiana to serve The state of Indiana's Family and Social Services Administration's (FSSA) department administers these state and federal benefit plans years of age in facilities that qualify as institutions for mental disease (IMD). Providers enrolled as psychiatric hospitals (provider type 01 and provider specialty 011) that have 17 or more beds are currently the only providers recognized as qualified IMDs. Inpatient stays are allowed to be authorized for up to 15 days in a calendar month. The provider manual is a resource for working with our health plan. It communicates policies and programs and outlines key information such as claim submission and reimbursement processes, authorizations, member benefits and more to make it easier for you to do business with us. To view this file, you may need to download Adobe Acrobat Reader. members are able to call after hours with questions or concerns. Anthem monitors BH provider compliance with after-hours access on a regular basis. Failure to comply may result in corrective action. • Access to care is outlined in the provider contract and the following resources: Anthem Blue Cross and Blue Shield Indiana Medicaid Provider Manual Indiana Health Coverage Programs (IHCP) offers some types of care for HCC members. These are called carve-outs. You may get these services from any IHCP-enrolled doctor. Services from providers that aren't in the Anthem plan 24 Continuity of care 24 Getting a second medical opinion 24 Indiana Right Choices Program 24 insurance. If so, providers must obtain information about the other policy and send it to the IHCP by written notice, telephone call, notification through the IHCP Provider Healthcare Portal (Portal), or inclusion on a claim form. Providers should request that the IHCP member sign an assignment of benefits authorization form. Hoosier Healthwise and Health Indiana Plan: 1-866-408-6131; TTY 711 Hoosier Care Connect: 1-844-284-1797; TTY 711 Get the mobile app Let's make healthy happen. Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc., independent licensee of the Blue Cross and Blue Shield Association. Find a Superior Vision eye doctor. For more information and to search for providers, call Superior Vision toll free at: HHW, HIP: 1-866-866-5641. HCC: 877-478-7561. TTY: 800-428-4833. Superior Vision, an independent company that does not provide Blue Cross and Blue Shield products, administers vision benefits for Anthem. 276-277-Companion-Guide (PDF) 270-271 Companion Guide (PDF) EDI COB Mapping Guide (PDF) Edifecs Ramp Manager