Georgia
Provider Communications

Articles

Title Publication Category Date

HEDIS 2022 Federal Employee Program® medical record request requirements

March 2022 Anthem Provider News - Georgia Federal Employee Plan (FEP) Mar 1, 2022

Annual wellness visits for Medicare Advantage members

Medicare Advantage
March 2022 Anthem Provider News - Georgia Medicare Mar 1, 2022

Pharmacy newsletter

Medicare Advantage
March 2022 Anthem Provider News - Georgia Medicare Mar 1, 2022

Clinical Criteria updates

Medicare Advantage
March 2022 Anthem Provider News - Georgia Medicare Mar 1, 2022

Provider notification for utilization management authorization rule operations workgroup item 2662

Medicare Advantage
March 2022 Anthem Provider News - Georgia Medicare Mar 1, 2022

Keep up with Medicare news

Medicare Advantage
March 2022 Anthem Provider News - Georgia Medicare Mar 1, 2022

It is CAHPS survey time!

February 2022 Anthem Provider News - Georgia Administrative Feb 1, 2022

Cancer Care Navigator

February 2022 Anthem Provider News - Georgia Products & Programs Feb 1, 2022

Heart disease is the number one killer of women

February 2022 Anthem Provider News - Georgia Administrative Feb 1, 2022

Submit a claim payment dispute electronically for Anthem commercial members

February 2022 Anthem Provider News - Georgia Administrative Feb 1, 2022

Prepare for the Consolidated Appropriations Act: Keep your provider directory information current

February 2022 Anthem Provider News - Georgia Administrative Feb 1, 2022

Pharmacy information available on anthem.com

February 2022 Anthem Provider News - Georgia Pharmacy Feb 1, 2022

Anthem clinical criteria updates for specialty pharmacy are available

February 2022 Anthem Provider News - Georgia Pharmacy Feb 1, 2022

February 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
February 2022 Anthem Provider News - Georgia Pharmacy Feb 1, 2022

Clarification to reimbursement policy update: Virtual Visits (professional and facility)

February 2022 Anthem Provider News - Georgia Reimbursement Policies Feb 1, 2022

Get faster payments with EFT

Medicare Advantage
February 2022 Anthem Provider News - Georgia Medicare Feb 1, 2022

Keep up with Medicare news

Medicare Advantage
February 2022 Anthem Provider News - Georgia Medicare Feb 1, 2022

New Medicare Advantage plan will have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing Providers Nationally

Effective April 1, 2022, approximately 200,000 Medicare-eligible City of New York retirees across the United States will transition to the NYC Medicare Advantage Plus plan and have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

Important Update for New 200k Group Retiree PPO Plan Administrative Jan 5, 2022

Georgia Anthem preapproval list change notification 1/1/2022 (MAC)

Material adverse change (MAC)
January 2022 Anthem Provider News - Georgia Administrative Jan 1, 2022

Well-child visits: Know the numbers

January 2022 Anthem Provider News - Georgia Administrative Jan 1, 2022

BlueHPN to expand in Georgia for 2022

January 2022 Anthem Provider News - Georgia Administrative Jan 1, 2022

Georgia medical policy and clinical guideline updates 10/1/2021

January 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jan 1, 2022

Reimbursement policy update: Bundled Services and Supplies and Distinct Procedural Service, Modifiers 59 and XE, XP, XS, & XU (Professional) (MAC)

January 2022 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2022

2022 FEP® Benefit information available online

January 2022 Anthem Provider News - Georgia Federal Employee Plan (FEP) Jan 1, 2022

Availity Authorization app available to Anthem Blue Cross and Blue Shield (Anthem) providers in 2022

Medicare Advantage
January 2022 Anthem Provider News - Georgia Medicare Jan 1, 2022

Important update on Botox® for Medicare members of Anthem Blue Cross and Blue Shield

Medicare Advantage
January 2022 Anthem Provider News - Georgia Medicare Jan 1, 2022

Reducing the burden of medical record review and improving health outcomes with HEDIS ECDS reporting

Medicare Advantage
January 2022 Anthem Provider News - Georgia Medicare Jan 1, 2022

Professional claims billing referring provider and NPI for home infusion therapy and ambulatory infusion suite

Medicare Advantage
January 2022 Anthem Provider News - Georgia Medicare Jan 1, 2022

Keep up with Medicare news

Medicare Advantage

January 2022 Anthem Provider News - Georgia Medicare Jan 1, 2022

Important information about utilization management

December 2021 Anthem Provider News - Georgia Administrative Dec 1, 2021

Member rights and responsibilities

December 2021 Anthem Provider News - Georgia Administrative Dec 1, 2021

Coordination of care

December 2021 Anthem Provider News - Georgia Administrative Dec 1, 2021

Professional system updates for 2022

December 2021 Anthem Provider News - Georgia Administrative Dec 1, 2021

Clinical practice and preventive health guidelines available on anthem.com

December 2021 Anthem Provider News - Georgia Administrative Dec 1, 2021

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

December 2021 Anthem Provider News - Georgia Administrative Dec 1, 2021

Outpatient system updates for 2022

December 2021 Anthem Provider News - Georgia Administrative Dec 1, 2021

Chlamydia is asymptomatic. Only through screening will we know for sure.

December 2021 Anthem Provider News - Georgia Administrative Dec 1, 2021

Behavioral healthcare appointment access requirements

December 2021 Anthem Provider News - Georgia Administrative Dec 1, 2021

Importance of PCP after-hours messaging

December 2021 Anthem Provider News - Georgia Administrative Dec 1, 2021

Reminder: EnrollSafe is available: electronic funds transfer enrollment portal for Anthem Blue Cross and Blue Shield providers

EnrollSafe replaced CAQH Enrollhub effective November 1, 2021
December 2021 Anthem Provider News - Georgia Digital Tools Dec 1, 2021

Updated AIM musculoskeletal program site of care reviews delayed

December 2021 Anthem Provider News - Georgia Products & Programs Dec 1, 2021

Case Management Program

December 2021 Anthem Provider News - Georgia Products & Programs Dec 1, 2021

Anthem Blue Cross and Blue Shield clinical criteria updates for specialty pharmacy are available

December 2021 Anthem Provider News - Georgia Pharmacy Dec 1, 2021

December 2021 specialty pharmacy updates (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Georgia Pharmacy Dec 1, 2021

Pharmacy information available on anthem.com

December 2021 Anthem Provider News - Georgia Pharmacy Dec 1, 2021

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2021

Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) (Professional) (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2021

Reimbursement policy update: Virtual Visits (professional and facility)

December 2021 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2021

RETRACTION: Inpatient Facility Transfers reimbursement policy (facility)

December 2021 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2021

New reimbursement policy update: Modifier 62: Co-Surgeon Services and Modifier 66: Surgical Teams (professional)

December 2021 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2021

Non-payment remittance advice enhancements

Medicare Advantage
December 2021 Anthem Provider News - Georgia Medicare Dec 1, 2021

Policy Update: Drug Screen Testing

Medicare Advantage
December 2021 Anthem Provider News - Georgia Medicare Dec 1, 2021

2022 Medicare Advantage service area and benefit updates

Medicare Advantage
December 2021 Anthem Provider News - Georgia Medicare Dec 1, 2021

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

Medicare Advantage
December 2021 Anthem Provider News - Georgia Medicare Dec 1, 2021

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Medicare Advantage
December 2021 Anthem Provider News - Georgia Medicare Dec 1, 2021

Somatus is your resource for kidney care management

Medicare Advantage
December 2021 Anthem Provider News - Georgia Medicare Dec 1, 2021

Keep up with Medicare news

Medicare Advantage
December 2021 Anthem Provider News - Georgia Medicare Dec 1, 2021

Register today for a forum on Grief and Loss: The disproportionate impact of the pandemic on communities of color

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about the disproportionate impact of the pandemic on communities of color.

Grief & Loss Forum - Georgia Administrative Nov 29, 2021

Join Anthem in talking about racism and its impact on health, and earn continuing education credits!

November 2021 Anthem Provider News - Georgia Administrative Nov 1, 2021

CME credits available in 2021 for a variety of clinical quality webinars - register now!

November 2021 Anthem Provider News - Georgia Administrative Nov 1, 2021

Claims editing update for ICD-10-CM Excludes 1 notes

November 2021 Anthem Provider News - Georgia Administrative Nov 1, 2021

Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claims

November 2021 Anthem Provider News - Georgia Administrative Nov 1, 2021

Time to prepare for HEDIS® medical record review

November 2021 Anthem Provider News - Georgia Administrative Nov 1, 2021

Reducing the burden of medical record review and improving health outcomes with ECDS reporting

November 2021 Anthem Provider News - Georgia Administrative Nov 1, 2021

Be Antibiotics Aware: Protect your patient

November 2021 Anthem Provider News - Georgia Administrative Nov 1, 2021

Surprisingly easy ways to help patients quit smoking cigarettes

November 2021 Anthem Provider News - Georgia Administrative Nov 1, 2021

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

November 2021 Anthem Provider News - Georgia Administrative Nov 1, 2021

Against medical advice (AMA) discharge physician tracking tool

November 2021 Anthem Provider News - Georgia Digital Tools Nov 1, 2021

EnrollSafe is available: Our new electronic funds transfer enrollment portal for Anthem providers

EnrollSafe replaces CAQH Enrollhub effective November 1, 2021
November 2021 Anthem Provider News - Georgia Digital Tools Nov 1, 2021

Update regarding annual wellness visits for ACA-compliant health plans

November 2021 Anthem Provider News - Georgia Products & Programs Nov 1, 2021

Blue High Performance Network name changing for 2022

November 2021 Anthem Provider News - Georgia Products & Programs Nov 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

November 2021 Anthem Provider News - Georgia Pharmacy Nov 1, 2021

Important update on Botox® for Anthem members

November 2021 Anthem Provider News - Georgia Pharmacy Nov 1, 2021

November 2021 specialty pharmacy updates are available (MAC)

Material adverse change (MAC)
November 2021 Anthem Provider News - Georgia Pharmacy Nov 1, 2021

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

November 2021 Anthem Provider News - Georgia Reimbursement Policies Nov 1, 2021

Clinical Criteria updates

Medicare Advantage
November 2021 Anthem Provider News - Georgia Medicare Nov 1, 2021

Anthem Blue Cross and Blue Shield offering Advance Medical Directives program for 2022

Medicare Advantage
November 2021 Anthem Provider News - Georgia Medicare Nov 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

Medicare Advantage
November 2021 Anthem Provider News - Georgia Medicare Nov 1, 2021

Electronic data interchange process

Medicare Advantage
November 2021 Anthem Provider News - Georgia Medicare Nov 1, 2021

New York City Medicare Advantage announcement

Medicare Advantage
November 2021 Anthem Provider News - Georgia Medicare Nov 1, 2021

Keep up with Medicare news

Medicare Advantage
November 2021 Anthem Provider News - Georgia Medicare Nov 1, 2021

Join The Fenway Institute for a CME webinar about improving your LGBTQIA+ patient interactions

Join a live webinar, “LGBTQIA+ Care: Delivering Trust and Belonging with Every Interaction,” presented by the National LGBTQIA+ Health Education Center at The Fenway Institute. 

Gain LGBTQIA+ Patient Interaction Knowledge - Georgia Administrative Oct 21, 2021

New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing Providers Nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

New 240k member Medicare Advantage Group Retiree PPO plan Medicare Oct 19, 2021

Join the American Heart Association for a CME webinar on hypertension and diabetes disease management

Chronic disease management strategies for your patients with hypertension and diabetes
Date: Friday, October 8, 2021
Time: 12:00 p.m. ET

Clinical Quality CME Webinar Series Continues - Georgia Administrative Oct 5, 2021

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

October 2021 Anthem Provider News - Georgia Administrative Oct 1, 2021

Clinical appeals

October 2021 Anthem Provider News - Georgia Administrative Oct 1, 2021

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
October 2021 Anthem Provider News - Georgia Administrative Oct 1, 2021

Georgia Anthem preapproval list change notification 10/1/2021 (MAC)

Material adverse change (MAC)
October 2021 Anthem Provider News - Georgia Administrative Oct 1, 2021

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

October 2021 Anthem Provider News - Georgia Administrative Oct 1, 2021

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

October 2021 Anthem Provider News - Georgia Administrative Oct 1, 2021

Good news! Non-payment remittance advice enhancements coming soon

October 2021 Anthem Provider News - Georgia Administrative Oct 1, 2021

Procedure searches in Find Care

October 2021 Anthem Provider News - Georgia Digital Tools Oct 1, 2021

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

October 2021 Anthem Provider News - Georgia Digital Tools Oct 1, 2021

Incorrect provider data could be costing you more than new patients

$2.1 billion is spent each year for provider data maintenance.1
October 2021 Anthem Provider News - Georgia Digital Tools Oct 1, 2021

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

October 2021 Anthem Provider News - Georgia Products & Programs Oct 1, 2021

Pharmacy information available on anthem.com

October 2021 Anthem Provider News - Georgia Pharmacy Oct 1, 2021

October 2021 specialty pharmacy updates are available (MAC)

Material adverse change (MAC)
October 2021 Anthem Provider News - Georgia Pharmacy Oct 1, 2021
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