December Anthem Updates to Know About
Anthem Reaches Agreement with Two Physician Groups
As of December 1, 2020, Anthem reached an agreement to keep Hospitalist Medicine Physicians of Ohio and Hospitalist Medicine Physicians of Richland County (Sound Physicians) in their clients’ plans. Clients’ employees will remain covered for care with both physician groups.
Site of Care Expansion
Anthem has expanded our Site of Care review program to determine whether it’s medically necessary for members to have various surgical procedures, such as hernia repair, biopsy, and hysteroscopy, in addition to upper endoscopy and colonoscopy, in a hospital outpatient facility.
Remember to Use EDE Technology to Simplify Individual ACA Enrollment
Enhanced Direct Enrollment (EDE) technology makes it easier for customers to compare plans and apply, renew and enroll in health coverage with Anthem. It’s available for on-exchange ACA plans in federally facilitated marketplace (FFM) states. EDE technology lets you and your Individual clients complete the eligibility and enrollment process on a single website instead of healthcare.gov.
