Colorado
Provider Communications

October 2021 Anthem Provider News and Important Updates - Colorado

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Title Category

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

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

Administrative

Clinical appeals

Administrative

Drug fee schedule update

Administrative

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

Administrative

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

Medicare

Good news! Non-payment remittance advice enhancements coming soon

Administrative

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

Medicare

Information about 2021 special needs plans

Medicare

Keep up with Medicare news – October 2021

Medicare

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

Administrative

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

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

New medical step therapy requirements

Medicare

New policy: Sexually transmitted infections testing - professional

Medicare

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

Material Adverse Change (MAC)
Reimbursement Policies

Pharmacy information available on anthem.com

Pharmacy

Reimbursement policy clarification: Claims Requiring Additional Documentation - facility

Reimbursement Policies

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

Digital Tools

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

Products & Programs

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

Administrative

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

Administrative
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