Anthem Blue Cross Updates on Specialty Drug Reviews
This document outlines the recent changes in medical non-oncology specialty drug reviews by Anthem Blue Cross. It provides vital information for providers on how to navigate the new process and contact the review team. Stay informed about the updates effective June 15, 2019.
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How do I fill this out?
To fill out the form, start by gathering all relevant patient information and medical history. Ensure you have the necessary details for the prior authorization request. Once you have all required information, you can easily submit your request by the preferred method.
How to fill out the Anthem Blue Cross Updates on Specialty Drug Reviews?
1
Gather patient information and medical history.
2
Contact Anthem's medical specialty drug review team.
3
Choose your submission method: phone, fax, or online.
4
Submit a new prior authorization request.
5
Follow up on your requests for any further inquiries.
Who needs the Anthem Blue Cross Updates on Specialty Drug Reviews?
1
Healthcare providers need this file to understand the updated drug review process.
2
Insurance agents require this file to inform clients about changes in drug coverage.
3
Pharmacists need it to assist patients in understanding their coverage options.
4
Patients who are prescribed specialty drugs should be informed of the review process.
5
Hospital administrators need the details for compliance and operational guidelines.
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Add any necessary annotations or highlights.
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What are the instructions for submitting this form?
To submit this form, you can contact Anthem's medical specialty drug review team at 1-833-293-0659. You may also fax your request to 1-888-223-0550. Alternatively, submit your prior authorization request online at Availity.com, which is available 24/7 for your convenience.
What are the important dates for this form in 2024 and 2025?
Important dates to consider include the effective change date of June 15, 2019. Keep an eye on further updates as Anthem Blue Cross continues to streamline its services. Always check for any changes that may arise in 2024 and 2025 regarding specialty drug reviews.
What is the purpose of this form?
The purpose of this form is to facilitate the prior authorization process for specialty drugs at Anthem Blue Cross. It serves to collect necessary patient information to ensure that all reviews are conducted efficiently and effectively. This ensures timely access to necessary medications for patients.
Tell me about this form and its components and fields line-by-line.
- 1. Patient Information: Details about the patient requiring the drug review, including name, ID number, and contact information.
- 2. Prescriber Information: Information about the healthcare provider prescribing the specialty drug, including name, contact info, and license number.
- 3. Drug Information: Details of the specialty drug prescribed, including dosage, frequency, and duration.
- 4. Clinical Information: A section for relevant medical history and clinical rationale for the drug prescription.
- 5. Submission Details: Instructions on how to submit the form, including all necessary contact information.
What happens if I fail to submit this form?
Failing to submit the form correctly may delay the approval of necessary treatments for patients. This can lead to potential health risks and increased complications for patients waiting for drug approval.
- Delayed Treatment: Without prompt submission, patient treatments may be postponed, worsening their health.
- Increased Costs: Delays in approvals may lead to increased treatment costs and unintended consequences for patients.
- Insufficient Information: Incomplete forms may lead to requests for additional information, causing further delays.
How do I know when to use this form?
- 1. New Drug Requests: Submit when requesting prior authorization for a specialty drug not previously reviewed.
- 2. Existing Authorization Refresh: Use this form for renewing or modifying existing prior authorizations.
- 3. Inquiries About Specific Drugs: Utilize the form to inquire about specific treatments and their coverage.
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