Virginia
Provider Communications

Articles

Title Publication Category Date

Updated COVID-19 Medicare and Medicaid Information

For the latest COVID-19 Medicare and Medicaid information, please check Medicaid Provider News - COVID-19 and Medicare Advantage Provider News Archives.
COVID-19 Information State & Federal Mar 25, 2020

Reimbursement policy update: Bundled services and supplies (Professional)

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

Injectable substances with related injection services: Professional

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

Claim editing update for Excludes1 notes

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

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

April 2021 Anthem Provider News - Virginia Reimbursement Policies Apr 1, 2021

Evaluation and Management changes 2021 (Professional)

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

Professional system updates for 2021

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

Outpatient system updates for 2021 (Facility)

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

Emergency department reimbursement policy

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

System updates for 2020: Professional

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

Update to provider utilization management reimbursement penalties for professional providers

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

Clinical Laboratory Improvement Amendments for Anthem

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

Get the full picture of your patients’ health through their smartphones

November 2020 Anthem Provider News - Virginia Products & Programs Nov 1, 2020

Anthem Commercial Risk Adjustment (CRA) reporting update: Retrospective Program continues

October 2019 Anthem Provider News - Virginia Products & Programs Oct 1, 2019

Anthem SOAP notes/health assessments for 2019 calendar year are due February 15, 2020

February 2020 Anthem Provider News - Virginia Products & Programs Feb 1, 2020

Anthem Commercial Risk Adjustment (CRA) reporting update; 2020 program year progression: What’s in it for you and your patients

July 2020 Anthem Provider News - Virginia Products & Programs Jul 1, 2020

Interactive bilingual website taking action for patients’ health

Exclusively developed for the Latino community.
April 2021 Anthem Provider News - Virginia Products & Programs Apr 1, 2021

Provider transparency update

March 2019 Anthem Provider Newsletter - Virginia Products & Programs Mar 1, 2019

Anthem Commercial Risk Adjustment Program Update: Medical chart collection for ACA members due by March 31, 2019

March 2019 Anthem Provider Newsletter - Virginia Products & Programs Mar 1, 2019

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

February 2019 Anthem Provider Newsletter - Virginia Products & Programs Feb 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Risk Adjustment Data Validation (RADV) audit happening now

September 2019 Anthem Provider News - Virginia Products & Programs Sep 1, 2019

Additional support available for members with rare conditions

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

Care and Cost Finder – New sort option

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

An important reminder from Anthem about home sleep testing with NovaSom

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

Provider transparency update

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

Anthem’s Commercial Risk Adjustment reporting update: Retrospective program begins; benefits of direct connection access to your EMR

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

MyDiversePatients.com – A website to support your diverse patients

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

Updates to AIM level of care Musculoskeletal Surgery Clinical Appropriateness Guidelines

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

Updates to AIM Radiation Oncology Clinical Appropriateness Guidelines

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

New pregnancy notification process using Availity’s benefit look-up tool

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

New functionality added to Availity’s provider enrollment tool for Virginia

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

Anthem sponsors webinars about Availity’s EDI gateway services

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

Provider transparency update

April 2020 Anthem Provider News - Virginia Products & Programs Apr 1, 2020

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

August 2019 Anthem Provider News - Virginia Products & Programs Aug 1, 2019

Updates on Anthem’s Inmate Medical Services Program

December 2018 Anthem Provider Newsletter - Virginia Products & Programs Nov 30, 2018

HEDIS® 2018 results are in for our Anthem PPO and HealthKeepers commercial products

December 2018 Anthem Provider Newsletter - Virginia Products & Programs Nov 30, 2018

Case Management Program

December 2018 Anthem Provider Newsletter - Virginia Products & Programs Nov 30, 2018

ConditionCare Program benefits patients and physicians

December 2018 Anthem Provider Newsletter - Virginia Products & Programs Nov 30, 2018

Anthem Commercial Risk Adjustment Reporting Update: New guidance on telephone-only service CPT codes for Risk Adjustment Program

October 2020 Anthem Provider News - Virginia Products & Programs Oct 1, 2020

New Musculoskeletal and Pain Management Solution effective for select National ASO Accounts January 1, 2020

January 2020 Anthem Provider News - Virginia Products & Programs Jan 1, 2020

Integrated Care Model for plans purchased on the Health Insurance Marketplace benefits patients and physicians

December 2018 Anthem Provider Newsletter - Virginia Products & Programs Nov 30, 2018

Coordination of care

December 2018 Anthem Provider Newsletter - Virginia Products & Programs Nov 30, 2018

Important Information about utilization management

December 2018 Anthem Provider Newsletter - Virginia Products & Programs Nov 30, 2018

Members’ Rights and Responsibilities

December 2018 Anthem Provider Newsletter - Virginia Products & Programs Nov 30, 2018

Vaginal Birth after Cesarean (VBAC) Certified shared decision making aid available on the Web

December 2018 Anthem Provider Newsletter - Virginia Products & Programs Nov 30, 2018

Anthem Commercial Risk Adjustment reporting update: 2019 Program year progression

July 2019 Anthem Provider News - Virginia Products & Programs Jul 1, 2019

An important reminder from Anthem about home sleep testing with NovaSom

July 2019 Anthem Provider News - Virginia Products & Programs Jul 1, 2019

Anthem Commercial Risk Adjustment (CRA) Program Update: Retrospective Program Begins; Prospective Program Continues

June 2020 Anthem Provider News - Virginia Products & Programs Jun 1, 2020

Modification to voluntary Cancer Care Quality Program (CCQP) enhanced reimbursement begins July 1, 2021

May 2021 Anthem Provider News - Virginia Products & Programs May 1, 2021

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

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

HEDIS® 2019 starts early February

January 2019 Anthem Provider Newsletter - Virginia Products & Programs Jan 1, 2019

Appropriate coding helps provide a comprehensive picture of patients’ health

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

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

August 31, 2018: Anthem eUPDATE - Virginia Products & Programs Aug 31, 2018

Anthem Commercial Risk Adjustment (CRA) Prospective Program update: Assessing your patients for risk adjustable conditions

May 2020 Anthem Provider News - Virginia Products & Programs May 1, 2020

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

August 31, 2018: Anthem eUPDATE - Virginia Products & Programs Aug 31, 2018

Let’s vaccinate

Help increase your vaccination rates and close gaps in care with these tools and strategies.
June 2021 Anthem Provider News - Virginia Products & Programs Jun 1, 2021

Update to AIM Specialty Health clinical appropriateness guidelines: Advanced imaging appropriate use criteria for imaging of the heart

October 2018 Anthem Provider Newsletter - Virginia Products & Programs Oct 1, 2018

New precertification requirements for certain cardiovascular diagnostic and interventional services begins January 1, 2019

October 2018 Anthem Provider Newsletter - Virginia Products & Programs Oct 1, 2018

Anthem Commercial Risk Adjustment Program Update: Medical chart collection for certain Anthem members due March 31, 2020

March 2020 Anthem Provider News - Virginia Products & Programs Mar 1, 2020

Update to AIM Specialty Health radiation oncology clinical appropriateness guidelines

October 2018 Anthem Provider Newsletter - Virginia Products & Programs Oct 1, 2018

Update to AIM Specialty Health sleep disorder management clinical appropriateness guidelines

October 2018 Anthem Provider Newsletter - Virginia Products & Programs Oct 1, 2018

Innovative ways to help improve your patients’ experiences and earn CME credits

October 2018 Anthem Provider Newsletter - Virginia Products & Programs Oct 1, 2018

State employees eligible to participate in Vitals SmartShopper program beginning October 1

October 2018 Anthem Provider Newsletter - Virginia Products & Programs Oct 1, 2018

HEDIS® 2018: Provider incentive winners announced

October 2018 Anthem Provider Newsletter - Virginia Products & Programs Oct 1, 2018

Predictive analytics guide proactive support to patients undergoing chemo, resulting in lowered admissions

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

Anthem Commercial Risk Adjustment (CRA) reporting update: 2020 prospective program continues

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

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

May 2019 Anthem Provider Newsletter - Virginia Products & Programs May 1, 2019

Appropriate coding helps provide a comprehensive picture of patients’ health

August 2020 Anthem Provider News - Virginia Products & Programs Aug 1, 2020

Anthem prior authorization updates for specialty pharmacy are available

August 2020 Anthem Provider News - Virginia Pharmacy Aug 1, 2020

Anthem to update formulary lists for Commercial health plan pharmacy benefit

August 2020 Anthem Provider News - Virginia Pharmacy Aug 1, 2020

Voluntary site of care outreach for oncology checkpoint inhibitors beginning August 1, 2020

August 2020 Anthem Provider News - Virginia Pharmacy Aug 1, 2020

REMINDER: Company requires National Drug Code for professional and facility outpatient claims effective September 1, 2020

August 2020 Anthem Provider News - Virginia Pharmacy Aug 1, 2020

Pharmacy information available on anthem.com

August 2020 Anthem Provider News - Virginia Pharmacy Aug 1, 2020

IngenioRx introduces new pharmacy network in 2021

November 2020 Anthem Provider News - Virginia Pharmacy Nov 1, 2020

Prior authorization updates for specialty pharmacy are available

November 2020 Anthem Provider News - Virginia Pharmacy Nov 1, 2020

Anthem clinical criteria updates for specialty pharmacy are available

November 2020 Anthem Provider News - Virginia Pharmacy Nov 1, 2020

Specialty dose rounding program for certain oncology medications

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

Anthem clinical criteria updates for specialty pharmacy are available

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

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

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

Anthem to update formulary lists for commercial health plan pharmacy benefit

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

Immune Globulin Adjusted Body Weight Dosing Program beginning August 1, 2021

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

Prior authorization updates for specialty pharmacy are available

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

Anthem clinical criteria updates for specialty pharmacy are available

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

Pharmacy information available on anthem.com

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

Anthem to update formulary lists for Commercial health plan pharmacy benefit

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

Updates for specialty pharmacy are available

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

Pharmacy information available on anthem.com

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

Anthem specialty pharmacy medical step therapy drug list clarification

October 2019 Anthem Provider News - Virginia Pharmacy Oct 1, 2019

Biosimilars: What are they?

October 2019 Anthem Provider News - Virginia Pharmacy Oct 1, 2019

Important update to Anthem’s commercial drug lists

October 2019 Anthem Provider News - Virginia Pharmacy Oct 1, 2019

Pharmacy information available on anthem.com

October 2019 Anthem Provider News - Virginia Pharmacy Oct 1, 2019

Anthem Blue Cross and Blue Shield expands specialty pharmacy prior authorization list

April 2019 Anthem Provider Newsletter - Virginia Pharmacy Apr 1, 2019

Pharmacy information available on anthem.com

April 2019 Anthem Provider Newsletter - Virginia Pharmacy Apr 1, 2019

Anthem clinical criteria updates for specialty pharmacy are available

February 2020 Anthem Provider News - Virginia Pharmacy Feb 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

February 2020 Anthem Provider News - Virginia Pharmacy Feb 1, 2020

IngenioRx introduces new pharmacy network in 2021

January 2021 Anthem Provider News - Virginia Pharmacy Jan 1, 2021

Anthem prior authorization updates for specialty pharmacy are available

July 2020 Anthem Provider News - Virginia Pharmacy Jul 1, 2020

Anthem clinical criteria updates for specialty pharmacy are available

August 2020 Anthem Provider News - Virginia Pharmacy Aug 1, 2020

Updated coverage for HIV PrEP medications

July 2020 Anthem Provider News - Virginia Pharmacy Jul 1, 2020
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