Connecticut
Provider Communications

Articles

Title Publication Category Date

Availity to provide EDI Gateway services

October 2018 Anthem Connecticut Provider Newsletter Administrative Oct 1, 2018

Availity to serve as EDI entry point for electronic submissions

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

Availity’s Custom Learning Center

July 2020 Anthem Connecticut Provider News Administrative Jul 1, 2020

Aware Recovery Care provides comprehensive drug and alcohol addiction rehab programs

February 2019 Anthem Connecticut Provider Newsletter Behavioral Health Feb 1, 2019

Be Antibiotics Aware: Protect your patient

November 2021 Anthem Connecticut Provider News Administrative Nov 1, 2021

Behavioral health outpatient visits for 2020

February 2020 Anthem Connecticut Provider News Behavioral Health Feb 1, 2020

Behavioral health: split claims spanning from 2018 into 2019

January 2019 Anthem Connecticut Provider Newsletter Behavioral Health Jan 1, 2019

Behavioral healthcare appointment access requirements

December 2021 Anthem Connecticut Provider News Behavioral Health Dec 1, 2021

Benefit change for Infliximab for Federal Employee Program®

December 2018 Anthem Connecticut Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Benefits to be available for chronic care management and advance care planning services effective February 23, 2019

January 2019 Anthem Connecticut Provider Newsletter Reimbursement Policies Jan 1, 2019

Bill Medicare Part D for shingles or tetanus vaccination claims

November 2019 Anthem Connecticut Provider News Medicare Nov 1, 2019

Billing for deluxe hearing aids

May 2021 Anthem Connecticut Provider News Administrative May 1, 2021

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

November 2019 Anthem Connecticut Provider News Medicare Nov 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

December 2019 Anthem Connecticut Provider News Medicare Dec 1, 2019

Blue High Performance Network name changing for 2022

January 2022 Anthem Connecticut Provider News Products & Programs Jan 1, 2022

Blue Precision program to be retired at end of 2021

July 2021 Connecticut Provider News Administrative Jul 1, 2021

Blue Precision program to be retired on December 31, 2021

December 2021 Anthem Connecticut Provider News Administrative Dec 1, 2021

BlueCare Prime HMO Plans’ PCP referral requirements

September 2020 Anthem Connecticut Provider News Administrative Sep 1, 2020

Body Mass Index reimbursement policy: facility

February 2019 Anthem Connecticut Provider Newsletter Reimbursement Policies Feb 1, 2019

Bundled Services and Supplies - professional

August 2018 Anthem Connecticut Provider Newsletter Reimbursement Policies Aug 1, 2018

Bundled Services and Supplies: professional

December 2018 Anthem Connecticut Provider Newsletter Reimbursement Policies Dec 1, 2018

Bundled Services Reimbursement Policy update - professional

August 2019 Anthem Connecticut Provider News Reimbursement Policies Aug 1, 2019

CAA: Keep your provider directory information current

July 2022 Anthem Connecticut Provider News Administrative Jul 1, 2022

CAA: Provider directories accuracy is important

June 2022 Anthem Connecticut Provider News Administrative Jun 1, 2022

CAA: Timely updates help keep our provider directories current

May 2022 Anthem Connecticut Provider News Administrative May 1, 2022

CAA: Update your provider directory information

April 2022 Anthem Connecticut Provider News Administrative Apr 1, 2022

Cancer Care Navigator

July 2022 Anthem Connecticut Provider News Medicare Jul 1, 2022

Cancer Care Navigator

February 2022 Anthem Connecticut Provider News Administrative Feb 1, 2022

Care and Cost Finder - new sort option

August 2018 Anthem Connecticut Provider Newsletter Administrative Aug 1, 2018

Case Management Program

December 2020 Anthem Connecticut Provider News Administrative Dec 1, 2020

Case Management Program

December 2018 Anthem Connecticut Provider Newsletter Administrative Dec 1, 2018

Case Management Program

December 2019 Anthem Connecticut Provider News Administrative Dec 1, 2019

Case Management Program

December 2021 Anthem Connecticut Provider News Administrative Dec 1, 2021

Catching up on routine vaccines

April 2022 Anthem Connecticut Provider News Administrative Apr 1, 2022

Certain HIV medication combinations may require prior authorization

March 2021 Anthem Connecticut Provider News Pharmacy Mar 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Connecticut Provider News Pharmacy Jul 1, 2021

Cervical Cancer Screening using Cytology and Human Papillomavirus Testing (CG-MED-43) not implemented

June 2018 Connecticut newsletter Reimbursement Policies Jun 19, 2018

Change in coverage for continuous glucose monitors for some fully insured groups

November 2021 Anthem Connecticut Provider News Administrative Nov 1, 2021

Change in email submission of service requests for Federal Employee Program® members

August 2021 Connecticut Provider News Federal Employee Plan (FEP) Aug 1, 2021

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Anthem Connecticut Provider Newsletter Medicare Mar 1, 2019

Changes to prior authorization requirements effective December 1, 2019

September 2019 Anthem Connecticut Provider News Medicare Sep 1, 2019

Chat directly with a prior authorization specialist

April 2021 Anthem Connecticut Provider News Administrative Apr 1, 2021

Chlamydia screening for teens and young adults

December 2021 Anthem Connecticut Provider News Administrative Dec 1, 2021

Chronic care management and advanced care planning service benefits

April 2019 Anthem Connecticut Provider Newsletter Administrative Apr 1, 2019

City of New Haven moves to Anthem Medicare Advantage Plan

December 2018 Anthem Connecticut Provider Newsletter Medicare Dec 1, 2018

Claim edit enhancements for outpatient facility claims

February 2019 Anthem Connecticut Provider Newsletter Administrative Feb 1, 2019

Claim editing update for Excludes1 notes

September 2019 Anthem Connecticut Provider News Administrative Sep 1, 2019

Claim edits enhanced for outpatient facility claims

June 2021 Anthem Connecticut Provider News Administrative Jun 1, 2021

Claim processing update for services requiring AIM pre-service clinical review

June 2018 Connecticut newsletter Administrative Jun 19, 2018

Claim Status Inquiry and Secure Messaging changes on the Availity Portal

June 2019 Anthem Connecticut Provider Newsletter Administrative Jun 1, 2019

Claims editing update for ICD-10-CM Excludes1 notes

January 2021 Anthem Connecticut Provider News Administrative Jan 1, 2021

Claims requiring additional documentation facility reimbursement policy update

September 2018 Anthem Connecticut Network eUpdate Reimbursement Policies Aug 30, 2018

Claims requiring additional documentation facility reimbursement policy update

September 2019 Anthem Connecticut Provider News Reimbursement Policies Sep 1, 2019

Clarification to reimbursement policy update: Virtual Visits - Professional and Facility

February 2022 Anthem Connecticut Provider News Reimbursement Policies Feb 1, 2022

Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation - professional

November 2021 Anthem Connecticut Provider News Reimbursement Policies Nov 1, 2021

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

October 2021 Anthem Connecticut Provider News Administrative Oct 1, 2021

Clearing up coding confusion for diabetic retinal screenings

July 2022 Anthem Connecticut Provider News Administrative Jul 1, 2022

Clearing up coding confusion for retinal eye exams (DRE)

August 2021 Connecticut Provider News Administrative Aug 1, 2021

Clinical appeals

October 2021 Anthem Connecticut Provider News Administrative Oct 1, 2021

Clinical criteria coding updates for specialty pharmacy

July 2019 Anthem Connecticut Provider News Pharmacy Jul 1, 2019

Clinical criteria updates

September 2019 Anthem Connecticut Provider News Medicare Sep 1, 2019

Clinical criteria updates

November 2021 Anthem Connecticut Provider News Medicare Nov 1, 2021

Clinical criteria updates

April 2022 Anthem Connecticut Provider News Medicare Apr 1, 2022

Clinical criteria updates

March 2022 Anthem Connecticut Provider News Medicare Mar 1, 2022

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Connecticut Provider Newsletter Pharmacy Mar 1, 2019

Clinical criteria updates for specialty pharmacy

July 2021 Connecticut Provider News Pharmacy Jul 1, 2021

Clinical criteria updates for specialty pharmacy

August 2022 Anthem Connecticut Provider News Pharmacy Aug 1, 2022

Clinical criteria updates for specialty pharmacy

December 2020 Anthem Connecticut Provider News Pharmacy Dec 1, 2020

Clinical criteria updates for specialty pharmacy

August 2020 Anthem Connecticut Provider News Pharmacy Aug 1, 2020

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Connecticut Provider Newsletter Medicare Mar 1, 2019

Clinical criteria updates for specialty pharmacy

May 2022 Anthem Connecticut Provider News Pharmacy May 1, 2022

Clinical criteria updates for specialty pharmacy

June 2020 Anthem Connecticut Provider News Pharmacy Jun 1, 2020

Clinical criteria updates for specialty pharmacy

July 2019 Anthem Connecticut Provider News Pharmacy Jul 1, 2019

Clinical criteria updates for specialty pharmacy

July 2022 Anthem Connecticut Provider News Pharmacy Jul 1, 2022

Clinical criteria updates for specialty pharmacy

February 2019 Anthem Connecticut Provider Newsletter Pharmacy Feb 1, 2019

Clinical criteria updates for specialty pharmacy

February 2020 Anthem Connecticut Provider News Pharmacy Feb 1, 2020

Clinical criteria updates for specialty pharmacy

December 2021 Anthem Connecticut Provider News Pharmacy Dec 1, 2021

Clinical criteria updates for specialty pharmacy

March 2022 Anthem Connecticut Provider News Pharmacy Mar 1, 2022

Clinical criteria updates for specialty pharmacy

April 2021 Anthem Connecticut Provider News Pharmacy Apr 1, 2021

Clinical criteria updates for specialty pharmacy

July 2020 Anthem Connecticut Provider News Pharmacy Jul 1, 2020

Clinical criteria updates for specialty pharmacy

November 2019 Anthem Connecticut Provider News Pharmacy Nov 1, 2019

Clinical criteria updates for specialty pharmacy

May 2021 Anthem Connecticut Provider News Pharmacy May 1, 2021

Clinical criteria updates for specialty pharmacy

December 2019 Anthem Connecticut Provider News Pharmacy Dec 1, 2019

Clinical criteria updates for specialty pharmacy

November 2020 Anthem Connecticut Provider News Pharmacy Nov 1, 2020

Clinical criteria updates for specialty pharmacy

March 2020 Anthem Connecticut Provider News Pharmacy Mar 1, 2020

Clinical criteria updates for specialty pharmacy

September 2019 Anthem Connecticut Provider News Pharmacy Sep 1, 2019

Clinical criteria updates for specialty pharmacy

September 2021 Connecticut Provider News Pharmacy Sep 1, 2021

Clinical criteria updates for specialty pharmacy

May 2020 Anthem Connecticut Provider News Pharmacy May 1, 2020

Clinical criteria updates for specialty pharmacy

June 2021 Anthem Connecticut Provider News Pharmacy Jun 1, 2021

Clinical criteria updates for specialty pharmacy

February 2022 Anthem Connecticut Provider News Pharmacy Feb 1, 2022

Clinical criteria updates for specialty pharmacy

October 2020 Anthem Connecticut Provider News Pharmacy Oct 1, 2020

Clinical criteria updates for specialty pharmacy

February 2021 Anthem Connecticut Provider News Pharmacy Feb 1, 2021

Clinical criteria updates for specialty pharmacy

August 2019 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Aug 1, 2019

Clinical criteria updates for specialty pharmacy

October 2021 Anthem Connecticut Provider News Pharmacy Oct 1, 2021

Clinical Guideline CG-ANC-07 effective September 1, 2019

June 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Jun 1, 2019

Clinical guideline update available on anthem.com

May 2021 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines May 1, 2021

Clinical guideline update effective June 1, 2020 - Paraesophageal Hernia Repair

March 2020 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Mar 1, 2020

Clinical guideline updates are available on anthem.com

February 2020 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Feb 1, 2020

Clinical guideline updates are available on anthem.com

February 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Clinical guideline updates are available on anthem.com

January 2019 Anthem Connecticut Provider Newsletter Medical Policy & Clinical Guidelines Jan 1, 2019
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