Virginia
Provider Communications

Articles

Title Publication Category Date

Explore new enhancements to the Education and Reference Center

December 2018 Anthem Provider Newsletter - Virginia Administrative Nov 30, 2018

Claims system updates for 2019: Professional

December 2018 Anthem Provider Newsletter - Virginia Administrative Nov 30, 2018

Modifier 79: Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period - Professional

December 2018 Anthem Provider Newsletter - Virginia Administrative Nov 30, 2018

Misrouted protected health information (PHI)

December 2018 Anthem Provider Newsletter - Virginia Administrative Nov 30, 2018

Receive e-mail notifications via our Network eUPDATE

December 2018 Anthem Provider Newsletter - Virginia Administrative Nov 30, 2018

Coverage guidelines effective March 1, 2019

December 2018 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Nov 30, 2018

Clinical practice and preventive health guidelines available on the Web

December 2018 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Nov 30, 2018

Restructure of AIM Advanced Imaging Clinical Appropriateness Guidelines

December 2018 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Nov 30, 2018

Update to AIM Clinical Appropriateness Guidelines

December 2018 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Nov 30, 2018

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

December 2018 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Nov 30, 2018

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

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

Introducing the new Clinical Criteria page for injectable, infused or implanted drugs

December 2018 Anthem Provider Newsletter - Virginia Pharmacy Nov 30, 2018

Anthem accepts electronic prior authorization requests for prescription medications online

December 2018 Anthem Provider Newsletter - Virginia Pharmacy Nov 30, 2018

Pharmacy information available on anthem.com

December 2018 Anthem Provider Newsletter - Virginia Pharmacy Nov 30, 2018

Orientations and training sessions offered to all providers

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Reimbursement policy: Claims requiring additional documentation

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Coding spotlight: Substance use disorders and smoking

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Prior authorization requirements for Sublocade

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Prior authorization requirements for Subcutaneous Implantable Defibrillator system

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Quality of care review

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Coverage Guidelines and Clinical Utilization Management Guidelines update

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Anthem HealthKeepers Plus pharmacy management information

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Practitioners’ rights during credentialing process

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Quarterly pharmacy formulary change notice

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Electronic data interchange gateway update

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Precertification requirements reminder

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

MyDiversePatients.com

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

2019 FEP® benefit information available online

December 2018 Anthem Provider Newsletter - Virginia Federal Employee Plan (FEP) Nov 30, 2018

Benefit change for Infliximab for Federal Employee Program

December 2018 Anthem Provider Newsletter - Virginia Federal Employee Plan (FEP) Nov 30, 2018

Coordination of benefits for FEP® members

December 2018 Anthem Provider Newsletter - Virginia Federal Employee Plan (FEP) Nov 30, 2018

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Anthem Provider Newsletter - Virginia Medicare Nov 30, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Anthem Provider Newsletter - Virginia Medicare Nov 30, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Provider Newsletter - Virginia Medicare Nov 30, 2018

When and how to initiate Medicare Advantage re-openings

December 2018 Anthem Provider Newsletter - Virginia Medicare Nov 30, 2018

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Anthem Provider Newsletter - Virginia Medicare Nov 30, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Anthem Provider Newsletter - Virginia Medicare Nov 30, 2018

Keep up with Medicare news

December 2018 Anthem Provider Newsletter - Virginia Medicare Nov 30, 2018

Anthem in Virginia to offer new Exclusive Provider Organization plans beginning January 1, 2019

December 2018 Anthem Provider Newsletter - Virginia Administrative Nov 30, 2018

New autism codes effective January 1, 2019

December 2018 Anthem Provider Newsletter - Virginia Administrative Nov 30, 2018

Company works to simplify payment recovery process for National Accounts membership

December 2018 Anthem Provider Newsletter - Virginia Administrative Nov 30, 2018

Anthem streamlines member identification cards reminder; Use Availity to verify members’ cost shares and benefits at time of service

December 2018 Anthem Provider Newsletter - Virginia Administrative Nov 30, 2018

Reminder: HCPCS code A0998 Ambulance response and treatment with no transport; Active and available for use

January 2019 Anthem Provider Newsletter - Virginia Administrative Jan 1, 2019

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

January 2019 Anthem Provider Newsletter - Virginia Administrative Jan 1, 2019

Reminder: New Autism codes effective January 1, 2019

January 2019 Anthem Provider Newsletter - Virginia Administrative Jan 1, 2019

Streamline workflow with Medical Attachments tool

January 2019 Anthem Provider Newsletter - Virginia Administrative Jan 1, 2019

Use Availity to verify members’ cost shares and benefits at time of service with streamlined member identification cards

January 2019 Anthem Provider Newsletter - Virginia Administrative Jan 1, 2019

Receive email notifications via our Network eUPDATE

January 2019 Anthem Provider Newsletter - Virginia Administrative Jan 1, 2019

Coverage guidelines effective April 1, 2019

January 2019 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Jan 1, 2019

Clinical practice and preventive health guidelines available on the Web

January 2019 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Jan 1, 2019

HEDIS® 2019 starts early February

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

Simplifying medication prior authorization processes

January 2019 Anthem Provider Newsletter - Virginia Pharmacy Jan 1, 2019

Update regarding drugs not approved by the FDA

January 2019 Anthem Provider Newsletter - Virginia Pharmacy Jan 1, 2019

Pharmacy information available on anthem.com

January 2019 Anthem Provider Newsletter - Virginia Pharmacy Jan 1, 2019

CORRECTION: Postpartum follow-up care incentives

January 2019 Anthem Provider Newsletter - Virginia Medicaid Jan 1, 2019

Coverage Guidelines and Clinical Utilization Management Guidelines update

January 2019 Anthem Provider Newsletter - Virginia Medicaid Jan 1, 2019

My Diverse Patients: A reminder about a website to support your diverse patients

January 2019 Anthem Provider Newsletter - Virginia Medicaid Jan 1, 2019

Anthem offers risk adjustment and documentation training

January 2019 Anthem Provider Newsletter - Virginia Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Provider Newsletter - Virginia Medicare Jan 1, 2019

Keep up with Medicare news

January 2019 Anthem Provider Newsletter - Virginia Medicare Jan 1, 2019

New Year Brings New ID Cards - and New ID Numbers - for Many Anthem and HealthKeepers Members

January 25, 2019: Anthem eUPDATE - Virginia Administrative Jan 25, 2019

Anthem Announces Early Launch of IngenioRx

N/A Pharmacy Jan 30, 2019

Anthem to enhance claim edits for outpatient facility claims

February 2019 Anthem Provider Newsletter - Virginia Administrative Feb 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred: Professional

February 2019 Anthem Provider Newsletter - Virginia Administrative Feb 1, 2019

Physician office lab list update effective January 1, 2019

February 2019 Anthem Provider Newsletter - Virginia Administrative Feb 1, 2019

Review ICD-10-CM Coding Guidelines: Professional

February 2019 Anthem Provider Newsletter - Virginia Administrative Feb 1, 2019

Register soon for the first Anthem webinar for 2019: Scheduled April 10

February 2019 Anthem Provider Newsletter - Virginia Administrative Feb 1, 2019

Misrouted protected health information (PHI)

February 2019 Anthem Provider Newsletter - Virginia Administrative Feb 1, 2019

Receive email notifications via our Network eUPDATE

February 2019 Anthem Provider Newsletter - Virginia Administrative Feb 1, 2019

Clinical practice and preventive health guidelines available on the Web

February 2019 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Feb 1, 2019

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

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

Member satisfaction with behavioral health outpatient services

February 2019 Anthem Provider Newsletter - Virginia Behavioral Health Feb 1, 2019

Pharmacy information available on anthem.com

February 2019 Anthem Provider Newsletter - Virginia Pharmacy Feb 1, 2019

HEDIS® 2019 Federal Employee Program® medical record request requirements

February 2019 Anthem Provider Newsletter - Virginia Federal Employee Plan (FEP) Feb 1, 2019

Reimbursement Policy for Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

Reminder: Provider orientations are available

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

P.O. boxes on claims communication

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

Early intervention claims

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

Wound care treatment request update

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

Postpartum outreach initiative

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

Introducing a new clinical criteria Web page for injectable, infused or implanted drugs covered under the medical benefit

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

Diabetes: Provider guide to coding the diagnosis and treatment of diabetes

February 2019 Anthem Provider Newsletter - Virginia Medicaid Feb 1, 2019

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem Provider Newsletter - Virginia Medicare Feb 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Provider Newsletter - Virginia Medicare Feb 1, 2019

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Provider Newsletter - Virginia Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Provider Newsletter - Virginia Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Anthem Provider Newsletter - Virginia Medicare Feb 1, 2019

Anthem’s direct contracting effort for NPs and PAs gets under way in 2019

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

Anthem launches additional changes to anthem.com in March

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

HEDIS® 2019: Controlling High Blood Pressure (CBP)

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

Explore the updates to the Medical Attachment tool

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

Latest updates to EDI Gateway migration

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

Register today for Anthem webinar on April 10

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