Tag: #anthembcbs

Posted in Insurance, Updates

Empire BCBS (Anthem) (NY, CT, CA, etc)-IngenioRx pharmacy network for 2021

Posted on by KR2Medical Billing

Effective 01/01/2021 IngenioRx will make a new standard pharmacy network available to Empire BCBS (Anthem) patients in 14 states (NY, CT, CA, CO, GA, IN, Kentucky, Main, Missouri, New Hampshire, Nevada, Ohio, Virginia, Wisconsin)

This standard network will include 58,000 pharmacies, including some of already well-known nationwide chains like Costco, CVS, Kroger, Sam’s club, Target and Walmart.

What you need to know:

  1. If currently your Empire BCBS (Anthem) patients do not use the pharmacy in this standard network, they will need to transfer their active RXs to the network pharmacy. This will ensure that there are no interruptions of their coverage.
  2. Empire BCBS (Anthem) will send a notification to the patients, informing them of this change
  3. There will be also a message in the EMR of your patients, that will notify you if the pharmacy the patient is using is in the standard network or not.

If your patients need to search the pharmacy standard network prior to the effective date, they can log into the empireblue.com and find the helpful link to Empire BCBS online pharmacy search tool. Patients can enter address/city/state or zip code to begin search.

If you have any more questions, please click here for FAQs attachment.

Posted in Insurance, My services, Training, Updates

Anthem BCBS acquires Beacon Health Options

Posted on by KR2Medical Billing

As of March 01/2020- Anthem BCBS finalized its acquisition of an independent behavioral health organization, Beacon Health Options.

Beacon Health Options serves over 36 million people across the country.

Things to consider:

  1. Members- can still use the phone number on the back of the cards and their health plan’s website to access self-services.
  2. Providers- continue using the provider service contact information on the back of the member’s card or online self-service portals or websites

According to the announcement the Beacon Health and Anthem provider networks, contracts and fees will remain separate at this time.

For full announcement please visit: https://providernews.empireblue.com/article/anthem-acquires-beacon-health-options

As well Anthem announcement to the investors: https://ir.antheminc.com/news-releases/news-release-details/anthem-inc-completes-acquisition-beacon-health-options?field_nir_news_date_value%5bmin%5d=

Posted in Insurance, Updates

Empire BCBS (an Anthem Company)- New Provider Network for 2020

Posted on by KR2Medical Billing

Episode 2.

Starting on 01/01/2020 Empire BlueCross BlueShield HealthPlus (Empire HealthPlus) will be introducing a new Network.

This network will replace the Pathway Enhanced Network. The name of this new network will be “Individual Network”. It will be used for commercial individual products that are available both on and off the healthcare exchanges.

Members that have benefits under this network will receive cards that say “Individual Network” on the bottom right side. (Example of the card is enclosed)

anthemcardexample

There Prefixes used will be: VJD or VFG

*Please take note that this is an HMO network. These members do not have out of network benefits.