Colorado
Provider Communications

Provider Spotlight

May 21, 2021

Register today for the In Pursuit of Racial Equity: Deconstructing Bias forum hosted by Anthem Blue Cross and Blue Shield and Motivo on June 9, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem Blue Cross and Blue Shield professionals about racial equity and implicit bias.


Articles Recent

Title Publication Category Date

Information from Anthem for Care Providers about COVID-19 (Updated June 9, 2021)

We recently updated information about coverage and cost shares for telephonic-only care.

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COVID-19 Information - Colorado Administrative Jun 9, 2021

Let’s Vaccinate

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

Medical Policy and Clinical UM Guidelines Notice (MAC)

Material Adverse Change (MAC)

June 2021 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Jun 1, 2021

New back pain management program effective July 19, 2021

June 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Jun 1, 2021

Updates to AIM Advanced Imaging Clinical appropriateness guidelines (MAC)

Material Adverse Change (MAC)

June 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Jun 1, 2021

Updates to AIM Musculoskeletal program clinical appropriateness guidelines (MAC)

Material Adverse Change (MAC)

June 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Jun 1, 2021

Pharmacy information available on anthem.com

June 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Jun 1, 2021

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)

June 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Jun 1, 2021

Regular check-ins with your clearinghouse could affect timely filing

June 2021 Anthem Provider News and Important Updates - Colorado Administrative Jun 1, 2021

Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study finds

June 2021 Anthem Provider News and Important Updates - Colorado Administrative Jun 1, 2021

Keep your contact information current

June 2021 Anthem Provider News and Important Updates - Colorado Administrative Jun 1, 2021

Working with Anthem webinars – June 2021 schedule: Provider orientation for physical health and behavioral health providers

June 2021 Anthem Provider News and Important Updates - Colorado Administrative Jun 1, 2021

Two great learning resources on one secure portal

June 2021 Anthem Provider News and Important Updates - Colorado Digital Tools Jun 1, 2021

Digital solution options with Availity

June 2021 Anthem Provider News and Important Updates - Colorado Digital Tools Jun 1, 2021

Interactive Care Reviewer’s new copy feature decreases time to submit authorization request

June 2021 Anthem Provider News and Important Updates - Colorado Digital Tools Jun 1, 2021

Essential information you need to submit EDI corrected claims

June 2021 Anthem Provider News and Important Updates - Colorado Digital Tools Jun 1, 2021

Anthem to enhance claim edits for outpatient facility claims

June 2021 Anthem Provider News and Important Updates - Colorado Reimbursement Policies Jun 1, 2021

DEXA bone scan criteria for the Federal Employee Program

June 2021 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Jun 1, 2021

Anthem Blue Cross and Blue Shield working with Optum to collect medical records for risk adjustment

June 2021 Anthem Provider News and Important Updates - Colorado Medicare Jun 1, 2021

MCG care guidelines 25th edition

June 2021 Anthem Provider News and Important Updates - Colorado Medicare Jun 1, 2021

Medical drug benefit clinical criteria updates

June 2021 Anthem Provider News and Important Updates - Colorado Medicare Jun 1, 2021

Medical policies and clinical utilization management guidelines update

June 2021 Anthem Provider News and Important Updates - Colorado Medicare Jun 1, 2021

Reminders for Medicare Advantage group retiree PPO plans and national access plus FAQ

June 2021 Anthem Provider News and Important Updates - Colorado Medicare Jun 1, 2021

Register for upcoming CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

5 Strategies to Improve Your Quality Measures - June 10th, 12 p.m. or 3 p.m. ET
7 Ways to Enhance Your Patients’ Experience - June 17th, 12 p.m. or 3 p.m. ET

Register now!



Clinical Quality CME Webinar Series - Colorado Administrative May 27, 2021

Register today for the In Pursuit of Racial Equity: Deconstructing Bias forum hosted by Anthem Blue Cross and Blue Shield and Motivo on June 9, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem Blue Cross and Blue Shield professionals about racial equity and implicit bias.

Deconstructing Bias Forum Invitation for Colorado providers Administrative May 21, 2021

Working with Anthem webinars – May 2021 schedule

May 2021 Anthem Provider News and Important Updates - Colorado Administrative May 6, 2021

Modification to voluntary Cancer Care Quality Program, enhanced reimbursement to begin July 1, 2021

May 2021 Anthem Provider News and Important Updates - Colorado Products & Programs May 1, 2021

Updated AIM Rehabilitative Program Effective August 1, 2021 – Initial Evaluations and Site of Service Reviews (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News and Important Updates - Colorado Products & Programs May 1, 2021

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News and Important Updates - Colorado Pharmacy May 1, 2021

Non-participating lab referrals

May 2021 Anthem Provider News and Important Updates - Colorado Administrative May 1, 2021

Appointment Scheduler application

Digital online scheduling feature now available in the Availity portal.

May 2021 Anthem Provider News and Important Updates - Colorado Administrative May 1, 2021

Electronic solutions at your fingertips

May 2021 Anthem Provider News and Important Updates - Colorado Administrative May 1, 2021

2021 Affirmative Statement regarding utilization management decisions

May 2021 Anthem Provider News and Important Updates - Colorado Administrative May 1, 2021

A helpful and complete guide to covered well-child visits

May 2021 Anthem Provider News and Important Updates - Colorado Administrative May 1, 2021

May is National High Blood Pressure education month

A WISEWOMAN™ knows that improving blood pressure is good for the heart.

May 2021 Anthem Provider News and Important Updates - Colorado Administrative May 1, 2021

Resources to support diverse patients and communities

May 2021 Anthem Provider News and Important Updates - Colorado Administrative May 1, 2021

Send larger digital attachments through Availity

We’ve expanded our file size to 100 megabytes.

May 2021 Anthem Provider News and Important Updates - Colorado Administrative May 1, 2021

Referring to network DME providers for negative pressure wound therapy helps members save on out-of-pocket costs

May 2021 Anthem Provider News and Important Updates - Colorado Administrative May 1, 2021

Working with Anthem webinars – May 2021 schedule

May 2021 Anthem Provider News and Important Updates - Colorado Administrative May 1, 2021

Update to AIM Specialty Health Oncologic Imaging Clinical appropriateness guideline

May 2021 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines May 1, 2021

Facility reimbursement policy reminder: Readmission

May 2021 Anthem Provider News and Important Updates - Colorado Reimbursement Policies May 1, 2021

Reimbursement policy update: Claims Requiring Additional Documentation (facility)

May 2021 Anthem Provider News and Important Updates - Colorado Reimbursement Policies May 1, 2021

Professional reimbursement policy update: Frequency Editing

May 2021 Anthem Provider News and Important Updates - Colorado Reimbursement Policies May 1, 2021

Maximizing efficient, high quality COVID-19 screenings

May 2021 Anthem Provider News and Important Updates - Colorado Medicare May 1, 2021

Anthem Blue Cross and Blue Shield working with Optum to collect medical records for Medicare risk adjustment

May 2021 Anthem Provider News and Important Updates - Colorado Medicare May 1, 2021

Helping our senior members

May 2021 Anthem Provider News and Important Updates - Colorado Medicare May 1, 2021

Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness guidelines

May 2021 Anthem Provider News and Important Updates - Colorado Medicare May 1, 2021

UPDATE--Site of Care medical necessity reviews for long-acting colony-stimulating factors begin August 1, 2021 (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Colorado Products & Programs Apr 1, 2021

Interactive bilingual website taking action for our health

April 2021 Anthem Provider News and Important Updates -- Colorado Products & Programs Apr 1, 2021

Keeping up with routine vaccination during COVID-19: Well-child visits and vaccinations are essential services

April 2021 Anthem Provider News and Important Updates -- Colorado Products & Programs Apr 1, 2021

The heath of millennials: Trends in behavioral health conditions

April 2021 Anthem Provider News and Important Updates -- Colorado Behavioral Health Apr 1, 2021

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Apr 1, 2021

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

April 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Apr 1, 2021

Designated Specialty Pharmacy Network

April 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Apr 1, 2021

Pharmacy information available on anthem.com

April 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Apr 1, 2021

Change Notification to Provider and Facility Manual effective July 1, 2021 (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2021

Maximizing efficient, high quality COVID-19 screenings

April 2021 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2021

Does your practice offer telehealth services? Let us know!

April 2021 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2021

Working with Anthem Webinars -- April 2021 schedule: Enhanced claim question/issue resolution process

April 2021 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2021

Payer Spaces: name change announcement

April 2021 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2021

Understanding Availity Roles for Electronic Data Interchange (EDI)

April 2021 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2021

Make the change to digital authorization/referral and hospital admission notifications using EDI

April 2021 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2021

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

April 2021 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2021

Chat directly with a Prior Authorization Specialist

April 2021 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2021

UPDATE: For Commercial Providers regarding the AIM Sleep Therapy Program CPT Code E1399, NOC: Durable medical equipment, miscellaneous

April 2021 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2021

Join Anthem in talking about racism and its impact on health

April 2021 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2021

Drug fee schedule update

April 2021 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2021

MCG Care Guidelines 25th Edition (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Colorado Medical Policy & Clinical Guidelines Apr 1, 2021

Clinic Charges (Facility Reimbursement Policy) -- New (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Colorado Reimbursement Policies Apr 1, 2021

Newborn Inpatient Stays (Facility Reimbursement Policy) -- New (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Colorado Reimbursement Policies Apr 1, 2021

HEDIS 2021 Federal Employee Program® medical record request requirements

April 2021 Anthem Provider News and Important Updates -- Colorado Federal Employee Plan (FEP) Apr 1, 2021

In-Office Assessment program

April 2021 Anthem Provider News and Important Updates -- Colorado Medicare Apr 1, 2021

Oncology Dose Reduction Program beginning July 1, 2021

April 2021 Anthem Provider News and Important Updates -- Colorado Medicare Apr 1, 2021

Clinical Criteria Updates Notification November 2020

April 2021 Anthem Provider News and Important Updates -- Colorado Medicare Apr 1, 2021

Clinical Criteria Updates Notification December 2020

April 2021 Anthem Provider News and Important Updates -- Colorado Medicare Apr 1, 2021

Does your practice offer telehealth services? Let us know!

April 2021 Anthem Provider News and Important Updates -- Colorado Medicare Apr 1, 2021

Keep up with Medicare news

April 2021 Anthem Provider News and Important Updates -- Colorado Medicare Apr 1, 2021

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

Material Adverse Change (MAC)
March 2021 Anthem Provider News and Important Updates -- Colorado Products & Programs Mar 1, 2021

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
March 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Mar 1, 2021

Some HIV medication combinations may require prior authorization

March 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Mar 1, 2021

Working with Anthem Webinars -- March 2021 schedule: Availity.com Tools and Functionality Overview

March 2021 Anthem Provider News and Important Updates -- Colorado Administrative Mar 1, 2021

Medical attachment capability now includes itemized bill and more!

March 2021 Anthem Provider News and Important Updates -- Colorado Administrative Mar 1, 2021

Update: Notice of changes to the AIM Small Joint Surgery Guideline

March 2021 Anthem Provider News and Important Updates -- Colorado Medical Policy & Clinical Guidelines Mar 1, 2021

Access to more claim denial information is now self-service

March 2021 Anthem Provider News and Important Updates -- Colorado Medicare Mar 1, 2021

New provider directory indicator for telehealth services

March 2021 Anthem Provider News and Important Updates -- Colorado Medicare Mar 1, 2021

Medical Policies and Clinical Utilization Management Guidelines update

March 2021 Anthem Provider News and Important Updates -- Colorado Medicare Mar 1, 2021

Keep up with Medicare news

March 2021 Anthem Provider News and Important Updates -- Colorado Medicare Mar 1, 2021

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
February 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Feb 1, 2021

Anthem to update formulary list for commercial health plan pharmacy benefit

February 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Feb 1, 2021

Pharmacy information available on anthem.com

February 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Feb 1, 2021

Working with Anthem Webinars -- February 2021 schedule: Anthem.com Overview

February 2021 Anthem Provider News and Important Updates -- Colorado Administrative Feb 1, 2021

New provider directory indicator for telehealth services

February 2021 Anthem Provider News and Important Updates -- Colorado Administrative Feb 1, 2021

Non-participating lab referrals

February 2021 Anthem Provider News and Important Updates -- Colorado Administrative Feb 1, 2021

Medical Policy and Clinical UM Guideline Updates (MAC)

Material Adverse Change (MAC)
February 2021 Anthem Provider News and Important Updates -- Colorado Medical Policy & Clinical Guidelines Feb 1, 2021

Emergency Room Transfers (Facility Reimbursement Policy) -- New (MAC)

Material Adverse Change (MAC)
February 2021 Anthem Provider News and Important Updates -- Colorado Reimbursement Policies Feb 1, 2021

Treatment Rooms with Office Evaluation and Management Services (Facility Reimbursement Policy) -- New (MAC)

Material Adverse Change (MAC)
February 2021 Anthem Provider News and Important Updates -- Colorado Reimbursement Policies Feb 1, 2021

Medical drug benefit Clinical Criteria updates

February 2021 Anthem Provider News and Important Updates -- Colorado Medicare Feb 1, 2021

Keep up with Medicare news

February 2021 Anthem Provider News and Important Updates -- Colorado Medicare Feb 1, 2021

Register today for The Road to Allyship Forum hosted by Anthem and Motivo on February 3, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about racial equity and the importance of allies.
Register today for The Road to Allyship Forum hosted by Anthem and Motivo on February 3, 2021 - CO Administrative Jan 21, 2021

Important COVID-19 update: Prior authorization and other policy adjustments (Updated January 13, 2021)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing facilities.
COVID-19 Information - Colorado Administrative Jan 13, 2021
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