Ohio
Provider Communications

Articles

Title Publication Category Date

Anthem updates formulary lists for commercial health plan pharmacy benefit

October 2020 Anthem Provider News - Ohio Pharmacy Oct 1, 2020

Anthem waives cost share for COVID-19 treatment (Updated May 29, 2020)

Effective April 1, we expanded coverage for our members undergoing treatment related to a COVID-19 diagnosis, which covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020.
COVID-19 Information - Ohio Administrative May 29, 2020

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

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

Anthem works to simplify payment recovery process for National Accounts membership

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

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Appropriate coding helps provide a comprehensive picture of patients’ health

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

Appropriate coding helps provide a comprehensive picture of patients’ health

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

Are you looking for innovative ways to improve your patients’ experiences and earn CME credits?

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

Aspire Telehealth Palliative Care program

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

Attention facilities: Sending admission, discharge and transfer data results in improved care management for patients

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

Attention facilities: Sending admission, discharge and transfer data to Anthem results in improved care management for patients

July 2021 Anthem Provider News - Ohio Medicare Jul 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

August 2019 Medical drug benefit Clinical Criteria updates

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

Availity attachment tools for Anthem and affiliate payers - Live webinars

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

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

Availity EDI Gateway Webinars Scheduled

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

Availity Portal Notification Center

June 2020 Anthem Provider News - Ohio Administrative Jun 1, 2020

Availity to Serve as EDI Entry Point for Electronic Submissions

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Availity: Anthem’s EDI Gateway is now through Availity

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

Availity: Explore the updates to the Medical Attachment Tool

March 2019 Anthem Provider Newsletter - Ohio Administrative Mar 1, 2019

Availity: Latest Updates to EDI Gateway Migration

March 2019 Anthem Provider Newsletter - Ohio Administrative Mar 1, 2019

Availity: New look to Claim Status and Secure Messaging

March 2019 Anthem Provider Newsletter - Ohio Administrative Mar 1, 2019

Availity: New report for oncology practices

November 2018 Anthem Ohio Network eUpdate Administrative Nov 1, 2018

Availity: Upcoming retirement planned for legacy Medical Attachment submission tool

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

Benefit change for Infliximab for Federal Employee Program (FEP)

December 2018 Anthem Ohio 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 Ohio Provider Newsletter Administrative Jan 1, 2019

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

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

Bundled Services and Supplies (Professional)

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

Case management program

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

Case management program

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

Case Management Program

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Certain specialty medication prior authorization requests may require additional documentation*

*Notice of Material Amendment/Change to Contract (MAC)
July 2021 Anthem Provider News - Ohio Pharmacy Jul 1, 2021

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

*Notice of Material Amendment/Change to Contract (MAC)
August 2021 Anthem Provider News - Ohio Federal Employee Plan (FEP) Aug 1, 2021

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

March 2019 Anthem Provider Newsletter - Ohio Medicare Mar 1, 2019

Changes in Automotive Accounts AIM Processing effective Jan. 1

Dec. 14, 2018 Anthem Ohio Network eUpdate Products & Programs Dec 14, 2018

Changes to prior authorization (PA) requirements

September 2019 Anthem Provider News - Ohio Medicare Sep 1, 2019

Chat directly with a prior authorization specialist

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

Claim editing update for Excludes1 notes

September 2019 Anthem Provider News - Ohio Reimbursement Policies Sep 1, 2019

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

March 2021 Anthem Provider News - Ohio Reimbursement Policies Mar 1, 2021

Claims requiring additional documentation facility reimbursement policy update

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

Clearing up coding confusion for retinal eye exams (DRE)

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

Clinical criteria and prior authorization updates for specialty pharmacy are available*

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

Clinical criteria and prior authorization updates for specialty pharmacy are available*

September 2019 Anthem Provider News - Ohio Pharmacy Sep 1, 2019

Clinical Criteria coding updates for specialty pharmacy are available

July 2019 Anthem Provider News - Ohio Pharmacy Jul 1, 2019

Clinical Criteria updates

September 2019 Anthem Provider News - Ohio Medicare Sep 1, 2019

Clinical criteria updates for specialty pharmacy

July 2019 Anthem Provider News - Ohio Pharmacy Jul 1, 2019

Clinical criteria updates for specialty pharmacy

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

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - Ohio Medicare Mar 1, 2019

Clinical criteria updates for specialty pharmacy*

February 2019 Anthem Ohio Provider Newsletter Pharmacy Feb 1, 2019

Clinical criteria updates notification - December 2020

April 2021 Anthem Provider News - Ohio Medicare Apr 1, 2021

Clinical criteria updates notification - November 2020

April 2021 Anthem Provider News - Ohio Medicare Apr 1, 2021

Clinical Guideline Update - May 2019*

May 2019 Anthem Provider Newsletter - Ohio Medical Policy & Clinical Guidelines May 1, 2019

Clinical Guideline Updates -- September 2019*

September 2019 Anthem Provider News - Ohio Medical Policy & Clinical Guidelines Sep 1, 2019

Clinical Laboratory Improvement Amendments (CLIA) Number - Additional Information

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

Clinical Laboratory Improvements Amendments for Anthem*

February 2020 Anthem Provider News - Ohio Administrative Feb 1, 2020

Clinical practice and preventive health guidelines

October 2018 Anthem Ohio Provider Newsletter Coverage and Clinical Guidelines Sep 28, 2018

Clinical practice and preventive health guidelines available

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

Clinical practice and preventive health guidelines available on anthem.com

December 2020 Anthem Provider News - Ohio Medical Policy & Clinical Guidelines Dec 1, 2020

Clinical practice and preventive health guidelines available on anthem.com

December 2018 Anthem Ohio Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Clinical Validation: Professional*

July 2019 Anthem Provider News - Ohio Reimbursement Policies Jul 1, 2019

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

CMS reminder: expedited/urgent requests

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

Coding tip for psychological and neuropsychological testing

December 2019 Anthem Provider News - Ohio Behavioral Health Dec 1, 2019

Coming Soon: Anthem Electronic Attachments

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

Coming soon: Electronic attachments

September 2019 Anthem Provider News - Ohio Medicare Sep 1, 2019

Coming soon: Enhance your prior authorization and inpatient admission and discharge notification via electronic and digital self-service for 2020

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

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

April 2019 Anthem Provider Newsletter - Ohio Medicare Apr 1, 2019

Company to retire Blue Precision program at the end of the year

July 2021 Anthem Provider News - Ohio Products & Programs Jul 1, 2021

Complex discharge planning

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

ConditionCare Program Benefits Patients and Physicians

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Continuation of skilled nursing facility (SNF) process in Indiana and Ohio

June 2021 Anthem Provider News - Ohio Medical Policy & Clinical Guidelines Jun 1, 2021

Coordination of benefits for an FEP® member

December 2019 Anthem Provider News - Ohio Federal Employee Plan (FEP) Dec 1, 2019

Coordination of Benefits for an FEP® member

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

Coordination of care

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

Coordination of Care

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Coordination of care

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

Correction to Prior Authorization Update for Commercial business*

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

Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

April 2021 Anthem Provider News - Ohio Pharmacy Apr 1, 2021

COVID fee schedule changes*

*Notice of Material Amendment/Change to Contract (MAC)
COVID-19 Information - Ohio Administrative Apr 1, 2021

COVID-19 information from Anthem Blue Cross and Blue Shield

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

COVID-19 information repository for Anthem Care Providers

May 2020 Anthem Provider News - Ohio Administrative May 1, 2020

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated January 8, 2021)

We’ve updated information about coverage for telephonic-only care.
COVID-19 Information - Ohio Administrative Jan 8, 2021

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

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

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Provider News - Ohio Medicare Sep 1, 2019

Designated specialty pharmacy network updates effective October 1, 2021*

*Notice of Material Amendment/Change to Contract (MAC)
July 2021 Anthem Provider News - Ohio Pharmacy Jul 1, 2021

Designated specialty pharmacy network*

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

DEXA bone scan criteria for the Federal Employee Program®

June 2021 Anthem Provider News - Ohio Federal Employee Plan (FEP) Jun 1, 2021

Diabetes HbA1c < 8 HEDIS guidance

June 2020 Anthem Provider News - Ohio Medicare Jun 1, 2020

Digital online scheduling feature now available in the Availity Portal

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

Digital solution options with Availity

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

Digital transactions cut administrative tasks in half

December 2020 Anthem Provider News - Ohio Medicare Dec 1, 2020

Digital transactions cut administrative tasks in half

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

Digital transactions cut administrative tasks in half

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

Does your practice offer telehealth services? Let us know!

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

Does your practice offer telehealth services? Let us know!

April 2021 Anthem Provider News - Ohio Medicare Apr 1, 2021

Dual Eligible Special Needs (D-SNP) Plans - provider training required

March 2019 Anthem Provider Newsletter - Ohio Medicare Mar 1, 2019

EDI Gateway migration deadline is September 15, 2020

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

Electric Boat offers Medicare Advantage options

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

Electronic claim response files

July 2021 Anthem Provider News - Ohio Digital Tools Jul 1, 2021

Electronic claims submission - Clinical Laboratory Improvement Amendments (CLIA)

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