Colorado
Provider Communications

October 2021 Anthem Provider News and Important Updates - Colorado

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Title Category

Federal Price Transparency and Consolidated Appropriations Act phase in new mandates beginning January 1, 2022

Administrative

Clarification: Anthem’s enhanced claim edits for outpatient facility claims

Administrative

Drug fee schedule update

Administrative

Your recommendation is key to encouraging cancer screenings for your female patients

Administrative

Good news! Non-payment remittance advice enhancements coming soon

Administrative

Looking to earn continuing medical education credits? Register for these on-demand webinars

Administrative

Clinical appeals

Administrative

Are you talking to ALL of your patients about breast cancer screenings?

African American and Hispanic women have higher risk of death from breast cancer than their White counterparts.1

Administrative

Working with Anthem webinars – October 2021 schedule: Blue High Performance Network (HPN)

Administrative

REMINDER: EnrollSafe, the new electronic funds transfer enrollment portal for Anthem providers – replacing CAQH Enrollhub effective November 1, 2021

Digital Tools

Medical policy and clinical UM guidelines notification – October 2021 (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

New policy: Sexually transmitted infections testing - professional

Medicare

Information about 2021 special needs plans

Medicare

HEDIS® medical record submission made easier with our Remote EMR Access Service

Medicare

New medical step therapy requirements

Medicare

Get your payments faster when you sign up for electronic funds transfer

Medicare

Keep up with Medicare news – October 2021

Medicare

Pharmacy information available on anthem.com

Pharmacy

Reminder: Updated AIM Musculoskeletal Program site of care reviews effective November 1, 2021

Products & Programs

Reimbursement policy clarification: Claims Requiring Additional Documentation - facility

Reimbursement Policies

New reimbursement policy: Multiple and Bilateral Surgery Processing – facility (MAC)

Material Adverse Change (MAC)
Reimbursement Policies
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