Anthem HealthKeepers MedicareMedicaid Plan (MMP), a Commonwealth Coordinated Care Plan. Using This Manual. Designed for. Anthem HealthKeepers MMP. physicians, hospitals, longterm services and supports (LTSS) p roviders, behavioral health and ancillary providers who are participating in the Provider Manuals are available via the Medicare Claims Processing Manual.
Chapter 15 Ambulance. Table of Contents (Rev. 4021, ) Other requirements specified in this chapter or in the abovecited CMS Manuals may also apply to the providersupplier or to a particular transport or billing. 10. 3 Definitions Medicare Benefit Policy Manual, chapter 10 Ambulance Medicare Advantage Disenrollment Period (MADP): During the MADP, Medicare beneficiaries have the opportunity to disenroll from a Medicare Advantage plan and return to original Medicare.
Provider Training and FAQs These Medicare Specific Provider Training and FAQ documents are designed to better assist you in your day to day workings with Anthem. variety of subjects. If providers have any questions about the content of this manual, they can contact Anthem HealthKeepers Plus Provider Services at or Anthem HealthKeepers Plus Commonwealth Coordinated Care Plus (Anthem CCC Plus) Provider Services at.
or other health care provider has already filed a claim directly with Anthem Blue The name, address, and tax identification number of the health care provider. Provider Contacts for Medicare and Medicaid Questions CMS Medicare Plus Blue PPO Manual Revised July 1, 2018 1 Provider Manual Chapter for Medicare Plus Blue PPO NOTE: This manual is for use by Michigan providers only.
Many of the provisions do not apply to providers in other states. Below is a glossary of terms for the Empire Provider Manual (Manual). For better readability within the Manual, we do not capitalize many of the terms defined in Explore our provider manuals to find resources about Aetna policy guidelines that explain how to work with us. Behavioral Health Provider Manual. Answer YES if you get Aetna coverage through your job or your spouses job, or if you have an Aetna Medicare plan.
Continue. My ZIP code is: Select your county. Please enter a valid ZIP code In Virginia: Anthem Anthem medicare provider manual Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area i s all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. kentucky provider manual July 1, 2017 Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Kentucky, Inc.
an independent licensee of the Blue Cross Blue Shield Blue Cross Medicare Advantage PPO Provider Manual December 2017 10 3. 3 Coordination of Benefits If a Member has coverage with another plan that is primary to Medicare, and therefore the MA PPO Plan, submit