Missouri
Provider Communications

Articles

Title Publication Category Date

Timely receipt of primary payer’s EOB can help reduce timely filing denials for secondary claims

July 2021 Anthem Provider News - Missouri Administrative Jul 1, 2021

The New Year brings New ID Cards for many Anthem members

January 2020 Anthem Provider News - Missouri Administrative Jan 1, 2020

The health of millennials: Trends in behavioral health conditions

April 2021 Anthem Provider News - Missouri Behavioral Health Apr 1, 2021

The 2021 Provider Manual is now available

April 2021 Anthem Provider News - Missouri Administrative Apr 1, 2021

The 2020 Provider Manual is now available*

September 2020 Anthem Provider News - Missouri Administrative Sep 1, 2020

Telehealth visits can impact after hospitalization follow-up care for mental illness

August 2021 Anthem Provider News - Missouri Administrative Aug 1, 2021

System updates for 2020 (Professional)

December 2019 Anthem Provider News - Missouri Reimbursement Policies Dec 1, 2019

Submit electronic SOAP notes today using ePASS® and receive $100 each

September 2018 Anthem Missouri eUpdate Administrative Aug 30, 2018

Submit EDI corrected claims via Availity or EDI

June 2021 Anthem Provider News - Missouri Digital Tools Jun 1, 2021

Statin therapy for patients with diabetes

September 2021 Anthem Provider News - Missouri Administrative Sep 1, 2021

Specialty pharmacy updates are available - September 2020

September 2020 Anthem Provider News - Missouri Pharmacy Sep 1, 2020

Specialty pharmacy updates are available - October 2021

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

Specialty pharmacy prior authorization update - Certain drugs for treatment of ocular conditions continue to require prior authorization

May 2021 Anthem Provider News - Missouri Pharmacy May 1, 2021

Specialty dose rounding program for certain oncology medications

August 2021 Anthem Provider News - Missouri Pharmacy Aug 1, 2021

Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021

August 2021 Anthem Provider News - Missouri Pharmacy Aug 1, 2021

Special needs plans - provider training required

August 2019 Anthem Provider News - Missouri Medicare Aug 1, 2019

Special Investigations Unit (SUI) Updates: FDA Warnings

October 2018 Anthem Missouri Provider Newsletter Administrative Sep 28, 2018

Some of your patients will begin moving to IngenioRx in Q2 2019

March 2019 Anthem Provider Newsletter - Missouri Pharmacy Mar 1, 2019

Some HIV medication combinations may require prior authorization

March 2021 Anthem Provider News - Missouri Pharmacy Mar 1, 2021

Social determinants of health support expanding with GroundGame Health

October 2020 Anthem Provider News - Missouri Medicare Oct 1, 2020

Six SIMPLE strategies to help increase medication adherence

September 2021 Anthem Provider News - Missouri Administrative Sep 1, 2021

Site of Care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021

March 2021 Anthem Provider News - Missouri Pharmacy Mar 1, 2021

Site of care medical necessity reviews expands to numerous surgical procedures beginning December 1, 2020

September 2020 Anthem Provider News - Missouri Products & Programs Sep 1, 2020

Simplifying medication prior authorization processes

January 2019 Anthem Missouri Provider Newsletter Pharmacy Jan 1, 2019

Shine Light on Depression

February 2020 Anthem Provider News - Missouri Behavioral Health Feb 1, 2020

September 2019 Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Missouri Medicare Jan 1, 2020

Sepsis diagnosis coding and billing reminder

July 2019 Anthem Provider News - Missouri Medicare Jul 1, 2019

Sending larger digital attachments through Availity

May 2021 Anthem Provider News - Missouri Administrative May 1, 2021

Self-service, digital transactions are fast and easy

January 2021 Anthem Provider News - Missouri Administrative Jan 1, 2021

Review of professional claims with emergency room level 5 E/M codes

May 2019 Anthem Provider Newsletter - Missouri Administrative May 1, 2019

Review of professional claims with emergency department level 5 E&M codes

June 2019 Anthem Provider Newsletter - Missouri Medicare Jun 1, 2019

Retrieve your Anthem Patient’s HEDIS® care gaps through Patient360 located on the Availity portal

December 2019 Anthem Provider News - Missouri Administrative Dec 1, 2019

Restructure of AIM Advanced Imaging Clinical Appropriateness Guidelines

December 2018 Anthem Missouri Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Resources to support diverse patients and communities

May 2021 Anthem Provider News - Missouri Administrative May 1, 2021

Resources to support diverse patients and communities

August 2020 Anthem Provider News - Missouri Administrative Aug 1, 2020

Reminders for Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

June 2021 Anthem Provider News - Missouri Medicare Jun 1, 2021

Reminder: Updated AIM rehabilitative program effective August 1, 2021 - Site of service reviews

July 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Jul 1, 2021

REMINDER: Reimbursement Policy - Facility Revenue Code Billing

April 2020 Anthem Provider News - Missouri Reimbursement Policies Apr 1, 2020

Reminder: Post-service reviews using AIM

November 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Nov 1, 2020

Reminder: New AIM Rehabilitative Program effective November 1, 2019

December 2019 Anthem Provider News - Missouri Products & Programs Dec 1, 2019

REMINDER: new AIM Rehabilitative Program effective November 1, 2019

November 2019 Anthem Provider News - Missouri Products & Programs Nov 1, 2019

Reminder: Mid-level practitioners are required to file using their NPI

March 2020 Anthem Provider News - Missouri Medicare Mar 1, 2020

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

January 2020 Anthem Provider News - Missouri Medicare Jan 1, 2020

Reminder: HCPCS code A0998 Ambulance response and treatment with no transport is active and available for use

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

Reminder: Expansion of AIM Musculoskeletal Program effective November 1, 2020

October 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Oct 1, 2020

Reminder: EnrollSafe, the new EFT enrollment portal for Anthem providers replacing CAQH Enrollhub effective November 1, 2021

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

Reminder: Correspondence must include a valid Anthem member ID number

November 2018 Anthem Missouri Network eUpdate Administrative Nov 1, 2018

Reminder: Changes to timely filing requirements coming in October

September 2019 Anthem Provider News - Missouri Administrative Sep 1, 2019

REMINDER: Changes to the process for Medical Non-Oncology Specialty Drug reviews effective June 15, 2019

August 2019 Anthem Provider News - Missouri Pharmacy Aug 1, 2019

Reminder: Are you ready? Missouri legislation requires prior authorization requests be accepted electronically

December 2020 Anthem Provider News - Missouri Administrative Dec 1, 2020

Reminder: Anthem requires National Drug Code for professional and facility outpatient claims effective June 15, 2020

June 2020 Anthem Provider News - Missouri Pharmacy Jun 1, 2020

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem Missouri Provider Newsletter Medicare Feb 1, 2019

REMINDER: AIM Rehabilitative Program Pediatric Exclusions

June 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Jun 1, 2020

Reminder to providers: Fee schedule information

July 2019 Anthem Provider News - Missouri Administrative Jul 1, 2019

Reminder to Medicare Advantage providers

December 2019 Anthem Provider News - Missouri Medicare Dec 1, 2019

Reminder and update: new Rehabilitative Program effective July 1, 2019

June 2019 Anthem Provider Newsletter - Missouri Products & Programs Jun 1, 2019

Reminder about system updates

May 2020 Anthem Provider News - Missouri Reimbursement Policies May 1, 2020

Remaining members will transition to new PBM, IngenioRx, on January 1, 2020

November 2019 Anthem Provider News - Missouri Pharmacy Nov 1, 2019

Reimbursement Policy Updates: February 2019*

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

Reimbursement Policy Updates - December 2018

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

Reimbursement policy update: Virtual Visits (Professional and Facility)

August 2021 Anthem Provider News - Missouri Reimbursement Policies Aug 1, 2021

Reimbursement Policy Update: Unlisted, Unspecified or Miscellaneous Codes

May 2020 Anthem Provider News - Missouri Medicare May 1, 2020

Reimbursement policy update: Unit frequency maximum for drugs and biologicals - Professional

January 2021 Anthem Provider News - Missouri Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility

February 2021 Anthem Provider News - Missouri Reimbursement Policies Feb 1, 2021

Reimbursement policy update: Sexually transmitted infections testing - Professional

September 2021 Anthem Provider News - Missouri Reimbursement Policies Sep 1, 2021

Reimbursement Policy update: Place of Service- Professional

October 2019 Anthem Provider News - Missouri Reimbursement Policies Oct 1, 2019

Reimbursement policy update: Outpatient facility claim edits

June 2021 Anthem Provider News - Missouri Reimbursement Policies Jun 1, 2021

Reimbursement policy update: Multiple diagnostic imaging procedures - Professional

January 2021 Anthem Provider News - Missouri Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Modifier Rules - Professional

January 2021 Anthem Provider News - Missouri Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Modifier rules (Professional)

November 2020 Anthem Provider News - Missouri Reimbursement Policies Nov 1, 2020

Reimbursement Policy Update: Modifier 62: Co-Surgeons

February 2020 Anthem Provider News - Missouri Medicare Feb 1, 2020

Reimbursement policy update: Laboratory and venipuncture (Professional)

October 2020 Anthem Provider News - Missouri Reimbursement Policies Oct 1, 2020

Reimbursement Policy Update: Injectable Substances with Related Injection Services - Professional*

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

Reimbursement policy update: Guidelines for reporting timed units for physical medicine and rehabilitation - Professional

January 2021 Anthem Provider News - Missouri Reimbursement Policies Jan 1, 2021

Reimbursement Policy Update: Frequency Editing-Professional*

August 2019 Anthem Provider News - Missouri Reimbursement Policies Aug 1, 2019

Reimbursement Policy Update: Frequency Editing -- Professional*

June 2019 Anthem Provider Newsletter - Missouri Reimbursement Policies Jun 1, 2019

Reimbursement policy update: Frequency editing - Professional

January 2021 Anthem Provider News - Missouri Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Frequency Editing (Professional)

September 2020 Anthem Provider News - Missouri Reimbursement Policies Sep 1, 2020

Reimbursement policy update: Emergency Room Transfers - Facility

February 2021 Anthem Provider News - Missouri Reimbursement Policies Feb 1, 2021

Reimbursement policy update: Emergency department - leveling of Evaluation and Management services (Facility)

October 2020 Anthem Provider News - Missouri Reimbursement Policies Oct 1, 2020

Reimbursement policy update: Drug Screen Testing - Professional

September 2021 Anthem Provider News - Missouri Reimbursement Policies Sep 1, 2021

Reimbursement Policy Update: DRG Inpatient Facility Transfers

September 2021 Anthem Provider News - Missouri Medicare Sep 1, 2021

Reimbursement policy update: Distinct Procedural Services- Modifiers 59, XE, XP, XS, XU (Professional)

September 2020 Anthem Provider News - Missouri Reimbursement Policies Sep 1, 2020

Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, & XU

August 2021 Anthem Provider News - Missouri Reimbursement Policies Aug 1, 2021

Reimbursement policy update: Consultations - Professional

July 2021 Anthem Provider News - Missouri Reimbursement Policies Jul 1, 2021

Reimbursement policy update: Claims requiring additional documentation policy (Facility)

October 2020 Anthem Provider News - Missouri Reimbursement Policies Oct 1, 2020

Reimbursement policy update: Claims Requiring Additional Documentation - Facility

May 2021 Anthem Provider News - Missouri Reimbursement Policies May 1, 2021

Reimbursement Policy Update: Claims requiring additional documentation (Facility)

May 2020 Anthem Provider News - Missouri Reimbursement Policies May 1, 2020

Reimbursement policy update: Claims requiring additional documentation (Facility)

August 2021 Anthem Provider News - Missouri Reimbursement Policies Aug 1, 2021

Reimbursement Policy Update: Claims requiring additional documentation (Facility)

August 2020 Anthem Provider News - Missouri Reimbursement Policies Aug 1, 2020

Reimbursement Policy Update: Bundled Services-Professional*

August 2019 Anthem Provider News - Missouri Reimbursement Policies Aug 1, 2019

Reimbursement policy update: Bundled services and supplies (Professional)

December 2020 Anthem Provider News - Missouri Reimbursement Policies Dec 1, 2020

Reimbursement policy update: Bundled services and supplies (Professional)

November 2020 Anthem Provider News - Missouri Reimbursement Policies Nov 1, 2020

Reimbursement policy update: Frequency editing - Professional

May 2021 Anthem Provider News - Missouri Reimbursement Policies May 1, 2021

Reimbursement Policy Update - Scope of License (Professional)

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

Reimbursement Policy Update - Readmissions (Facility)

October 2018 Anthem Missouri Provider Newsletter Reimbursement Policies Sep 28, 2018

Reimbursement Policy Update - Claims requiring additional documentation (Facility)

September 2018 Anthem Missouri eUpdate Reimbursement Policies Aug 30, 2018

Reimbursement policy reminder: Readmission - Facility

May 2021 Anthem Provider News - Missouri Reimbursement Policies May 1, 2021

Reimbursement policy reminder: Inpatient readmissions

June 2021 Anthem Provider News - Missouri Medicare Jun 1, 2021

Reimbursement policy clarification: Claims requiring additional documentation - Facility

October 2021 Anthem Provider News - Missouri Reimbursement Policies Oct 1, 2021
Previous Page Page 2 of 8 Next Page