Ohio
Provider Communications

Articles

Title Publication Category Date

HEDIS® 2019: Controlling High Blood Pressure (CBP)

February 2019 Anthem Ohio Provider Newsletter Administrative Feb 1, 2019

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

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

Proper coding for in-home monitoring can make a measurable difference for INR

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

Another mark of the pandemic: An increase in childhood obesity

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

Resources to support diverse patients and communities

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

Referring to network DME providers for negative pressure wound therapy helps members save on out-of-pocket costs

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

2021 Affirmative statement regarding utilization management decisions

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

A helpful and complete guide to covered well-child visits

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

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes -- November 2019

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
November 2019 Anthem Provider News - Ohio Administrative Nov 1, 2019

May is National High Blood Pressure Education Month

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

Anthem taps Paul Marchetti to lead company’s overall care transformation strategy

November 2018 Anthem Ohio Network eUpdate Administrative Nov 1, 2018

Electronic Member ID Cards - Easy online access on the Availity Portal

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

Reminder: Correspondence must include a valid Anthem member ID number

November 2018 Anthem Ohio Network eUpdate Administrative Nov 1, 2018

Digital online scheduling feature now available in the Availity Portal

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

Availity: New report for oncology practices

November 2018 Anthem Ohio Network eUpdate Administrative Nov 1, 2018

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

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

Register now for our August CME webinars

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

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Health Assessment requests for 2019 / Alternative reporting engagement

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

AIM programs may require additional prior authorization documentation*

June 2019 Anthem Provider Newsletter - Ohio Administrative Jun 1, 2019

Additional improvements coming to anthem.com

November 2019 Anthem Provider News - Ohio Administrative Nov 1, 2019

Anthem Contracted Ambulance Providers

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

2019 Ohio Provider Manual -- Correction

June 2019 Anthem Provider Newsletter - Ohio Administrative Jun 1, 2019

National Accounts 2022 Pre-certification list

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

Attention: Availity launches additional changes to the new look to our Medical Attachment submission tool

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

New ID Cards in Ohio Market

June 2019 Anthem Provider Newsletter - Ohio Administrative Jun 1, 2019

Provider bulletins for medical and itemized bill attachments: Electronic solutions at your fingertips

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

Nurse practitioners eligible to be listed as primary care provider

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

Update: Sepsis Coding

August 2019 Anthem Provider News - Ohio Administrative Aug 1, 2019

Notice of Material Changes/Amendments to Contract and/or Prior Authorization Changes - April 2020

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.

April 2020 Anthem Provider News - Ohio Administrative Apr 1, 2020

Sending larger digital attachments through Availity

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

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program begins; benefits of direct connection access to your EMR

June 2019 Anthem Provider Newsletter - Ohio Administrative Jun 1, 2019

Register now for our September CME webinars

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

Find A Doctor -- New Sort Option

June 2019 Anthem Provider Newsletter - Ohio Administrative Jun 1, 2019

Appropriate coding helps provide a comprehensive picture of patients’ health

November 2019 Anthem Provider News - Ohio Administrative Nov 1, 2019

Statin therapy for patients with diabetes

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

Coming Soon: Anthem Electronic Attachments

June 2019 Anthem Provider Newsletter - Ohio Administrative Jun 1, 2019

Six SIMPLE strategies to help increase medication adherence

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

New ICR Immediate Decision List posted on Availity Payer Spaces

June 2019 Anthem Provider Newsletter - Ohio Administrative Jun 1, 2019

Cure for the common cold: Rest, fluids and this free prescription pad

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

Anthem launches additional changes to anthem.com for Q2

June 2019 Anthem Provider Newsletter - Ohio Administrative Jun 1, 2019

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

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

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - March 2020

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
March 2020 Anthem Provider News - Ohio Administrative Mar 1, 2020

Information from Anthem for Care Providers about COVID-19

* Please bookmark/add to favorites Provider News Home for the latest information about COVID-19.
April 2020 Anthem Provider News - Ohio Administrative Apr 1, 2020

Patient360 enhancement for medical providers

March 2020 Anthem Provider News - Ohio Administrative Mar 1, 2020

Anthem continues focus on updates to our public provider website

April 2020 Anthem Provider News - Ohio Administrative Apr 1, 2020

Anthem Commercial Risk Adjustment (CRA) Program Update: Medical chart collection for ACA members due March 31, 2020

March 2020 Anthem Provider News - Ohio Administrative Mar 1, 2020

Modifier use reminders

March 2020 Anthem Provider News - Ohio Administrative Mar 1, 2020

Provider Transparency Update

April 2020 Anthem Provider News - Ohio Administrative Apr 1, 2020

Webinar recording now available for network providers on SBA loans and other federal relief programs in response to COVID-19 (Updated May 1, 2020)

Anthem hosted a provider webinar to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19. Access the webinar recording using the password “health” to learn more about federal financial relief for providers.
COVID-19 Information - Ohio Administrative May 1, 2020

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

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

Clearing up coding confusion for retinal eye exams (DRE)

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

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - December 2018

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

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

January 2019 Anthem Ohio Provider Newsletter Administrative Jan 1, 2019

HEDIS® 2019 starts early February

January 2019 Anthem Ohio Provider Newsletter Administrative Jan 1, 2019

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - May 2019

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements starred (*) below.
May 2019 Anthem Provider Newsletter - Ohio Administrative May 1, 2019

Important coding reminder for walk-in retail health clinics

March 2020 Anthem Provider News - Ohio Administrative Mar 1, 2020

Anthem Streamlines Member ID Cards - Use Availity to Verify Members' Cost Shares and Benefits at Time of Service

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Availity to Serve as EDI Entry Point for Electronic Submissions

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Register today for The Road to Allyship Forum hosted by Anthem and Motivo on February 3, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about racial equity and the importance of allies.
The Road to Allyship Forum Invitation Administrative Jan 21, 2021

Anthem to Enhance Claim Edits for Outpatient Facility Claims

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - November 2020

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
November 2020 Anthem Provider News - Ohio Administrative Nov 1, 2020

Members Can Shop for Cost-Efficient Health Care Using SmartShopper

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

HEDIS® 2018 Commercial Results Are In

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Availity attachment tools for Anthem and affiliate payers - Live Webinars

Sign up for upcoming webinars!
November 2020 Anthem Provider News - Ohio Administrative Nov 1, 2020

Case Management Program

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Clinical Laboratory Improvement Amendments (CLIA) Number - Additional Information

November 2020 Anthem Provider News - Ohio Administrative Nov 1, 2020

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes: February 2019

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
February 2019 Anthem Ohio Provider Newsletter Administrative Feb 1, 2019

Digital transactions cut administrative tasks in half

November 2020 Anthem Provider News - Ohio Administrative Nov 1, 2020

ConditionCare Program Benefits Patients and Physicians

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Get the full picture of your patient’s health through their smartphone

November 2020 Anthem Provider News - Ohio Administrative Nov 1, 2020

US Antibiotic Awareness Week

November 2020 Anthem Provider News - Ohio Administrative Nov 1, 2020

Integrated Care Model for Plans Purchased on the Health Insurance Marketplace Benefits Patients and Physicians

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Coordination of Care

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - September 2020

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
September 2020 Anthem Provider News - Ohio Administrative Sep 1, 2020

Important Information about Utilization Management

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

New provider directory indicators for medication assisted treatment (MAT) providers

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

Members’ Rights and Responsibilities

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid Available on the Web

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - February 2021

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
February 2021 Anthem Provider News - Ohio Administrative Feb 1, 2021

Inclusion of AIM-reviewed services in UM reimbursement penalties

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

EDI Gateway migration deadline is September 15, 2020

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

Providers can now receive and respond to medical record requests for post-pay audit via Change Healthcare’s Assurance Attach Assist Module

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

Enhanced medical records submission process to support claims processing

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

Patient360 adds care gap alert feedback for medical providers

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

Anthem Commercial Risk Adjustment (CRA) Reporting Update: 2020 Prospective Program continues

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

Provider News site enhancements

March 2020 Anthem Provider News - Ohio Administrative Mar 1, 2020

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes -- October 2019

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
October 2019 Anthem Provider News - Ohio Administrative Oct 1, 2019

New provider directory indicator for telehealth services

February 2021 Anthem Provider News - Ohio Administrative Feb 1, 2021

National Accounts 2020 Pre-certification list*

October 2019 Anthem Provider News - Ohio Administrative Oct 1, 2019

Anthem engages Matrix to conduct mobile health clinics and in-home assessments for targeted members

October 2019 Anthem Provider News - Ohio Administrative Oct 1, 2019

New Anthem utilization management tool now available on Availity: Authorization Rules Lookup tool

February 2021 Anthem Provider News - Ohio Administrative Feb 1, 2021

Anthem launches additional changes to anthem.com

October 2019 Anthem Provider News - Ohio Administrative Oct 1, 2019

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes -- June 2019

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements starred (*) below.
June 2019 Anthem Provider Newsletter - Ohio Administrative Jun 1, 2019

New location for Provider Manuals on anthem.com

August 2019 Anthem Provider News - Ohio Administrative Aug 1, 2019

Now Available: Get patient payments faster with Healthcare Bill Payments at anthem.com

September 2018 Anthem Ohio eUpdate Administrative Aug 30, 2018

Anthem launches additional changes to anthem.com in September

September 2018 Anthem Ohio eUpdate Administrative Aug 30, 2018

Notice of material changes/amendments to contract and prior authorization changes - August 2020

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
- Anthem prior authorization updates for specialty pharmacy are available-August 2020*
- Medical Policy and Clinical Guideline Updates-August 2020*
- Expansion of AIM Musculoskeletal Program effective November 1, 2020*
- Reimbursement Policy Update: Claims requiring additional documentation (Facility)*
August 2020 Anthem Provider News - Ohio Administrative Aug 1, 2020

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

September 2018 Anthem Ohio eUpdate Administrative Aug 30, 2018

Provider contract and fee schedule notifications coming soon

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