Billing Beat

Anthem Missouri: Medical Policies and Clinical UM Guidelines updates — September 2024

September 26, 2024

Anthem’s medical policies and clinical utilization management (UM) guidelines were reviewed for Indiana, Kentucky, Missouri, Ohio, and Wisconsin, and consist of changes that focus on specific procedures and treatments that require pre-authorization or medical necessity review, impacting areas like diagnostic imaging, drug therapies, and surgical interventions.

Source: https://providernews.anthem.com/missouri/articles/medical-policies-and-clinical-um-guidelines-updates-septembe-21406

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