Wisconsin
Provider Communications

Articles

Title Publication Category Date

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

December 2018 Anthem Wisconsin Provider Newsletter Administrative Dec 1, 2018

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

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

Anthem works to simplify payment recovery process for National Accounts membership

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

Antibiotic dispensing guidelines

March 2020 Anthem Provider News - Wisconsin Medicaid Mar 1, 2020

Appropriate coding helps provide a comprehensive picture of patients’ health

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

Appropriate coding helps provide a comprehensive picture of patients’ health

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

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

October 2018 Anthem Wisconsin Provider Newsletter Administrative Sep 28, 2018

Are you talking to ALL of your patients about breast cancer screenings?

October 2021 Anthem Provider News - Wisconsin Administrative Oct 1, 2021

Aspire Health for members in need of palliative care

June 2021 Anthem Provider News - Wisconsin Medicaid Jun 1, 2021

Aspire Health telehealth palliative care program for Medicaid members in need of telephonic palliative care

May 2021 Anthem Provider News - Wisconsin Medicaid May 1, 2021

Aspire Telehealth Palliative Care program

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

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

April 2021 Anthem Provider News - Wisconsin 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 - Wisconsin Medicaid Jul 1, 2021

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

July 2021 Anthem Provider News - Wisconsin Medicare Jul 1, 2021

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

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

August 2019 Medical drug benefit Clinical Criteria updates

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

August 2019 medical drug benefit clinical criteria updates

January 2020 Anthem Provider News - Wisconsin Medicaid Jan 1, 2020

Authorization process update for identified HCBS procedure codes

October 2019 Anthem Provider News - Wisconsin Medicaid Oct 1, 2019

Availity attachment tools for Anthem and affiliate payers - Live Webinars

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

Availity attachment tools for Anthem and affiliate payers - Live webinars

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

Availity EDI Gateway Webinars Scheduled

October 2018 Anthem Wisconsin Provider Newsletter Administrative Sep 28, 2018

Availity Portal eligibility and benefits provides both additional benefit notes and digital member ID Cards

February 2021 Anthem Provider News - Wisconsin Medicaid Feb 1, 2021

Availity Portal Notification Center

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

Availity to Serve as EDI Entry Point for Electronic Submissions

December 2018 Anthem Wisconsin Provider Newsletter Administrative Dec 1, 2018

Availity: Anthem’s EDI Gateway is now through Availity

October 2018 Anthem Wisconsin Provider Newsletter Administrative Sep 28, 2018

Availity: Explore the updates to the Medical Attachment Tool

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

Availity: Latest Updates to EDI Gateway Migration

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

Availity: New look to Claim Status and Secure Messaging

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

Availity: New report for oncology practices

November 2018 Anthem Wisconsin Network eUpdate Administrative Nov 1, 2018

Availity: Upcoming retirement planned for legacy Medical Attachment submission tool

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

Benefit change for Infliximab for Federal Employee Program (FEP)

December 2018 Anthem Wisconsin 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 Wisconsin 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 - Wisconsin Medicare Nov 1, 2019

Bundled Services and Supplies (Professional)

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

CAHPS education for providers

December 2020 Anthem Provider News - Wisconsin Medicaid Dec 1, 2020

CAHPS® survey

February 2021 Anthem Provider News - Wisconsin Medicaid Feb 1, 2021

Case Management Program

December 2018 Anthem Wisconsin Provider Newsletter Administrative Dec 1, 2018

Case management program

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

Case management program

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

Certain specialty medication prior authorization requests may require additional documentation*

*Material Adverse Change (MAC)
July 2021 Anthem Provider News - Wisconsin Pharmacy Jul 1, 2021

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

*Material Adverse Change (MAC)
August 2021 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Aug 1, 2021

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

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

Changes to prior authorization (PA) requirements

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

Chat directly with a prior authorization specialist

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

Claim editing update for Excludes1 notes

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

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

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

Claims requiring additional documentation facility reimbursement policy update

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

Clarification: Anthem’s enhanced claim edits for outpatient facility claims

October 2021 Anthem Provider News - Wisconsin Administrative Oct 1, 2021

Clearing up coding confusion for retinal eye exams (DRE)

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

Clinical appeals

October 2021 Anthem Provider News - Wisconsin Administrative Oct 1, 2021

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

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

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

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

Clinical Criteria coding updates for specialty pharmacy are available

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

Clinical Criteria updates

April 2019 Anthem Provider Newsletter - Wisconsin Medicaid Apr 1, 2019

Clinical Criteria updates

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

Clinical Criteria updates - May 2019

May 2019 Anthem Provider Newsletter - Wisconsin Medicaid May 1, 2019

Clinical criteria updates for specialty pharmacy

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

Clinical criteria updates for specialty pharmacy

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

Clinical criteria updates for specialty pharmacy

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

Clinical criteria updates for specialty pharmacy*

February 2019 Anthem Wisconsin Provider Newsletter Pharmacy Feb 1, 2019

Clinical criteria updates notification - December 2020

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

Clinical criteria updates notification - November 2020

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

Clinical Guideline Update - May 2019*

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

Clinical Guideline Updates -- September 2019*

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

Clinical Laboratory Improvement Amendments (CLIA) Number - Additional Information

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

Clinical Laboratory Improvements Amendments for Anthem*

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

Clinical practice and preventive health guidelines

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

Clinical practice and preventive health guidelines available

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

Clinical practice and preventive health guidelines available on anthem.com

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

Clinical practice and preventive health guidelines available on anthem.com

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

Clinical Validation: Professional*

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

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Wisconsin Provider Newsletter Medicare Dec 1, 2018

CMS reminder: expedited/urgent requests

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

Coding spotlight - provider’s guide to code social determinants of health

June 2020 Anthem Provider News - Wisconsin Medicaid Jun 1, 2020

Coding Spotlight: Cancer - a provider’s guide to properly code cancers

March 2019 Anthem Provider Newsletter - Wisconsin Medicaid Mar 1, 2019

Coding spotlight: Diabetes - provider guide to coding the diagnosis and treatment of diabetes

February 2019 Anthem Wisconsin Provider Newsletter Medicaid Feb 1, 2019

Coding spotlight: HEDIS MY 2021

January 2021 Anthem Provider News - Wisconsin Medicaid Jan 1, 2021

Coding spotlight: HIV and AIDS

March 2020 Anthem Provider News - Wisconsin Medicaid Mar 1, 2020

Coding Spotlight: Hypertension

July 2019 Anthem Provider News - Wisconsin Medicaid Jul 1, 2019

Coding spotlight: Mental disorders in childhood

July 2021 Anthem Provider News - Wisconsin Medicaid Jul 1, 2021

Coding spotlight: Overview of the 2021 evaluation and management changes

March 2021 Anthem Provider News - Wisconsin Medicaid Mar 1, 2021

Coding spotlight: Providers guide to coding for behavioral health disorders

October 2020 Anthem Provider News - Wisconsin Medicaid Oct 1, 2020

Coding spotlight: provider’s guide to coding behavioral and emotional disorders

December 2019 Anthem Provider News - Wisconsin Medicaid Dec 1, 2019

Coding spotlight: Provider’s guide to coding for cardiovascular conditions

July 2020 Anthem Provider News - Wisconsin Medicaid Jul 1, 2020

Coding spotlight: provider’s guide to coding respiratory diseases

January 2020 Anthem Provider News - Wisconsin Medicaid Jan 1, 2020

Coding Spotlight: Substance Use Disorders and Smoking

December 2018 Anthem Wisconsin Provider Newsletter Medicaid Dec 1, 2018

Coding spotlight: Tips and best practices for compliance

November 2020 Anthem Provider News - Wisconsin Medicaid Nov 1, 2020

Coding tip for psychological and neuropsychological testing

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

Coding tip for psychological and neuropsychological testing

March 2020 Anthem Provider News - Wisconsin Medicaid Mar 1, 2020

Coming Soon: Anthem Electronic Attachments

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

Coming soon: Electronic attachments

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

Coming soon: electronic attachments

September 2019 Anthem Provider News - Wisconsin Medicaid 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 - Wisconsin Administrative Aug 1, 2020

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

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

Complex Case Management program

June 2019 Anthem Provider Newsletter - Wisconsin Medicaid Jun 1, 2019

Complex Case Management program

June 2020 Anthem Provider News - Wisconsin Medicaid Jun 1, 2020

Complex case management program

June 2021 Anthem Provider News - Wisconsin Medicaid Jun 1, 2021

Complex discharge planning

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

ConditionCare Program Benefits Patients and Physicians

December 2018 Anthem Wisconsin Provider Newsletter Administrative Dec 1, 2018

Continuation of skilled nursing facility (SNF) program in Wisconsin

October 2021 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Oct 1, 2021
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