Wisconsin
Provider Communications

Articles

Title Publication Category Date

Update to AIM Specialty Health sleep disorder management clinical appropriateness guidelines

October 2018 Anthem Wisconsin Provider Newsletter Products & Programs Sep 28, 2018

Update to AIM Specialty Health radiation oncology clinical appropriateness guidelines

October 2018 Anthem Wisconsin Provider Newsletter Products & Programs Sep 28, 2018

Update to AIM Specialty Health oncologic imaging clinical appropriateness guidelines

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

Update to AIM Specialty Health clinical appropriateness guidelines

October 2018 Anthem Wisconsin Provider Newsletter Products & Programs Sep 28, 2018

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines*

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

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines*

February 2019 Anthem Wisconsin Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines*

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

Update to AIM Clinical Appropriateness Guidelines

December 2018 Anthem Wisconsin Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline*

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

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines*

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

Update regarding evaluation and management with modifier 25

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

Update regarding E/M with modifier 25 - Professional*

February 2019 Anthem Wisconsin Provider Newsletter Reimbursement Policies Feb 1, 2019

Update regarding drugs not approved by the FDA

January 2019 Anthem Wisconsin Provider Newsletter Pharmacy Jan 1, 2019

Update regarding annual wellness visits for ACA-compliant health plans

November 2021 Anthem Provider News - Wisconsin Products & Programs Nov 1, 2021

Update for Commercial providers: AIM sleep program CPT code E1399, NOC: Durable medical equipment, miscellaneous

April 2021 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Apr 1, 2021

Unspecified diagnosis reminder

November 2021 Anthem Provider News - Wisconsin Medicaid Nov 1, 2021

University of Chicago Offers Medicare Advantage Option

December 2018 Anthem Wisconsin Provider Newsletter Medicare Dec 1, 2018

Understanding Availity roles for electronic data interchange (EDI)

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

Two great learning resources on one secure portal

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

Transition to AIM Specialty Health imaging of the heart clinical appropriateness guideline for computed tomography to detect coronary artery calcification

August 2021 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Aug 1, 2021

Transition to AIM small joint guidelines

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

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines*

June 2020 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Jun 1, 2020

Transition to AIM Rehabilitative Services clinical appropriateness guidelines

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

Transition to AIM Rehabilitative Services clinical appropriateness guidelines

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

Transition to AIM rehabilitative service clinical appropriateness guidelines

October 2020 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Oct 1, 2020

Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines

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

Transition of Outpatient Rehabilitation Utilization Management Program effective January 1, 2019

December 2018 Anthem Wisconsin Provider Newsletter Medicaid Dec 1, 2018

Transition of Outpatient Rehabilitation Utilization Management program

January 2019 Anthem Wisconsin Provider Newsletter Medicaid Jan 1, 2019

Tips for billing CPT modifier 33

October 2018 Anthem Wisconsin Provider Newsletter Reimbursement Policies Sep 28, 2018

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

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

Time to prepare for HEDIS medical record review

November 2021 Anthem Provider News - Wisconsin Administrative Nov 1, 2021

The New Year brings New ID Cards for many Anthem members

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

The health of millennials: Trends in behavioral health conditions

April 2021 Anthem Provider News - Wisconsin Behavioral Health Apr 1, 2021

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

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

System updates for 2020 (Professional)

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

Surprisingly easy ways to help patients quit smoking cigarettes

November 2021 Anthem Provider News - Wisconsin Administrative Nov 1, 2021

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

September 2018 Anthem Wisconsin eUpdate Administrative Aug 30, 2018

Submit EDI corrected claims via Availity or EDI

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

Submit behavioral health authorizations via our online Interactive Care Reviewer tool

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

Statin therapy for patients with diabetes

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

Specialty pharmacy updates are available - September 2020*

September 2020 Anthem Provider News - Wisconsin Pharmacy Sep 1, 2020

Specialty pharmacy updates are available - October 2021*

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

Specialty pharmacy updates are available - November 2021*

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

Specialty pharmacy updates - December 2021*

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

Specialty pharmacy prior authorization update - Certain drugs for treatment of ocular conditions continue to require prior authorization*

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

Specialty dose rounding program for certain oncology medications

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

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

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

Special needs plans - provider training required

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

Special Investigations Unit (SUI) Updates: FDA Warnings

October 2018 Anthem Wisconsin Provider Newsletter Administrative Sep 28, 2018

Some of your patients will begin moving to IngenioRx in Q2 2019

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

Some HIV medication combinations may require prior authorization

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

Somatus is your resource for kidney care management

December 2021 Anthem Provider News - Wisconsin Medicare Dec 1, 2021

Social determinants of health support expanding with GroundGame Health

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

Six SIMPLE strategies to help increase medication adherence

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

Site of Care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021*

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

Site of care medical necessity reviews expands to numerous surgical procedures beginning December 1, 2020*

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

Simplifying medication prior authorization processes

January 2019 Anthem Wisconsin Provider Newsletter Pharmacy Jan 1, 2019

Sign up to receive email from Anthem Blue Cross and Blue Shield

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

Sign up to receive email from Anthem Blue Cross and Blue Shield

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

Shine Light on Depression

February 2020 Anthem Provider News - Wisconsin Behavioral Health Feb 1, 2020

September 2019 Medical drug benefit Clinical Criteria updates

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

September 2019 medical drug benefit clinical criteria updates

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

Sepsis diagnosis coding and billing reminder

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

Sepsis diagnosis coding and billing reminder

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

Sending larger digital attachments through Availity

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

Self-service, digital transactions are fast and easy

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

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

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

Review of professional claims with emergency department level 5 E&M codes

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

Review of professional claims with emergency department level 5 E&M codes

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

Retrieve your Anthem Patient’s HEDIS® care gaps through Patient360 located on the Availity portal

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

RETRACTION: Inpatient Facility Transfers - facility reimbursement policy

December 2021 Anthem Provider News - Wisconsin Reimbursement Policies Dec 1, 2021

Retraction: AIM Rehabilitative program - initial evaluations and site of service reviews

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

RETRACTION: AIM Rehabilitative program - initial evaluations and site of service reviews

June 2021 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines May 4, 2021

Restructure of AIM Advanced Imaging Clinical Appropriateness Guidelines

December 2018 Anthem Wisconsin Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Resources to support your pregnant and postpartum patients and their families

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

Resources to support your diverse patient panel

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

Resources to support your diverse patient panel

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

Resources to support diverse patients and communities

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

Resources to support diverse patients and communities

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

Reminders for Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

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

Reminder: Post-service reviews using AIM

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

REMINDER: new AIM Rehabilitative Program effective November 1, 2019

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

Reminder: New AIM Rehabilitative Program effective November 1, 2019

December 2019 Anthem Provider News - Wisconsin Products & Programs Dec 1, 2019

Reminder: Mid-level practitioners are required to file using their NPI

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

Reminder: Mid-level practitioners are required to file using their NPI

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

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

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

Reminder: HCPCS code A0998 Ambulance response and treatment with no transport is active and available for use

January 2019 Anthem Wisconsin Provider Newsletter Reimbursement Policies Jan 1, 2019

Reminder: Expansion of AIM Musculoskeletal Program effective November 1, 2020

October 2020 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Oct 1, 2020

Reminder: EnrollSafe, the new EFT enrollment portal for Anthem providers replacing CAQH Enrollhub effective November 1, 2021

October 2021 Anthem Provider News - Wisconsin Digital Tools Oct 1, 2021

Reminder: EnrollSafe is available – electronic funds transfer enrollment portal for Anthem providers

EnrollSafe replaced CAQH Enrollhub effective November 1, 2021
December 2021 Anthem Provider News - Wisconsin Digital Tools Dec 1, 2021

Reminder: Correspondence must include a valid Anthem member ID number

November 2018 Anthem Wisconsin Network eUpdate Administrative Nov 1, 2018

Reminder: Changes to timely filing requirements coming in October

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

REMINDER: Changes to the process for Medical Non-Oncology Specialty Drug reviews effective June 15, 2019

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

Reminder: Anthem requires National Drug Code for professional and facility outpatient claims effective June 15, 2020*

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

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem Wisconsin Provider Newsletter Medicare Feb 1, 2019

REMINDER: AIM Rehabilitative Program Pediatric Exclusions

June 2020 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Jun 1, 2020

Reminder to providers: Fee schedule information

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

Reminder to Medicare Advantage providers

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

Reminder and update: new Rehabilitative Program effective July 1, 2019

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

Reminder about system updates

May 2020 Anthem Provider News - Wisconsin Reimbursement Policies May 1, 2020
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