Colorado
Provider Communications

Provider Spotlight

Sep 14, 2021

Working with Anthem webinars – September 2021 schedule: Self-service Tools: Quick Reference Guide

Attendance is limited, so please register today.

Sep 10, 2021

Important COVID-19 update: Prior authorization and other policy adjustments (Updated September 10, 2021)

We recently updated prior authorization requirements for patient transfers from acute in-patient hospitals to skilled nursing facilities.

Sep 1, 2021

Get your payments faster when you sign up for electronic funds transfer

Introducing EnrollSafe, the new electronic funds transfer enrollment portal for Anthem Blue Cross and Blue Shield providers – replacing CAQH Enrollhub effective November 1, 2021.


Articles Recent

Title Publication Category Date

Register today for the Exploring the Impact of Racial Trauma on the Health and Wellbeing of Children forum on September 29, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem Blue Cross and Blue Shield professionals about the impact of racial trauma on the health and wellbeing on children and adolescents.

Racial Trauma and Children Administrative Sep 15, 2021

Working with Anthem webinars – September 2021 schedule: Self-service Tools: Quick Reference Guide

Attendance is limited, so please register today.

Working with Anthem webinars September 2021 schedule: Self-service Tools: Quick Reference Guide Administrative Sep 14, 2021

Important COVID-19 update: Prior authorization and other policy adjustments (Updated September 10, 2021)

We recently updated prior authorization requirements for patient transfers from acute in-patient hospitals to skilled nursing facilities.

COVID-19 Information - Colorado Administrative Sep 10, 2021

Non-participating lab referrals

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

National accounts 2022 pre-certification list

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

Register now for our September CME webinars!

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

Working with Anthem webinars – September 2021 schedule: Self-service tools: Quick Reference Guide

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

Statin therapy for patients with diabetes

Achieve 90% patient statin therapy adherence with a personalized approach

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

6 simple strategies to help increase medication adherence

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

Cure for the common cold: rest, fluids and this free prescription pad

Be Antibiotic Aware campaign offers a prescription solution to antibiotics.
September 2021 Anthem Provider News and Important Updates - Colorado Administrative Sep 1, 2021

HEDIS® medical record submission made easier with our remote EMR access service

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

Get your payments faster when you sign up for electronic funds transfer

Introducing EnrollSafe, the new electronic funds transfer enrollment portal for Anthem Blue Cross and Blue Shield providers – replacing CAQH Enrollhub effective November 1, 2021.
September 2021 Anthem Provider News and Important Updates - Colorado Digital Tools Sep 1, 2021

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

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

Reimbursement policy update: Sexually transmitted infections testing – professional (MAC)

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

New reimbursement policy update: Inpatient facility transfers (MAC)

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

Reimbursement policy update: Drug screen testing - professional (MAC)

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

Reimbursement policy update: DRG inpatient facility transfers

Policy update: DRG inpatient facility transfers effective November 20, 2021
September 2021 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2021

Prior authorization/pre-certification form notification

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

Keep up with Medicare news – September 2021

  • Clinical criteria updates notification May 2021
  • Anthem Blue Cross and Blue Shield working with Aledade to offer value-based solutions to smaller independent practices in Colorado
September 2021 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2021

Working with Anthem webinars – August 2021 schedule: Quick tips for adding, changing, terming a provider using the Provider Maintenance Form

Working with Anthem webinars August 2021 schedule: Quick tips for adding, changing, terming a provider using the Provider Maintenance Form Administrative Aug 16, 2021

Information from Anthem for Care Providers about COVID-19 (Updated August 2, 2021)

We recently updated information about coverage dates for telephonic-only care.

COVID-19 Information - Colorado Administrative Aug 2, 2021

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

Reductions in missed appointments are significant.

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

Clearing up-coding confusion for retinal eye exams (DRE)

New language for two-year compliance (3072F).

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

Register now for our August CME webinars!

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

Working with Anthem webinars – August 2021 schedule: Quick tips for adding, changing, terming a provider using the Provider Maintenance Form

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

Schedule appointments online through Availity

August 2021 Anthem Provider News and Important Updates - Colorado Digital Tools Aug 1, 2021

Submitting prior authorizations is getting easier

Anthem is transitioning to Availity Authorization.
August 2021 Anthem Provider News and Important Updates - Colorado Digital Tools Aug 1, 2021

New Clinical Guideline: Home Parenteral Nutrition, effective November 1, 2021 (MAC)

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

Reimbursement policy update: Claims requiring additional documentation (facility)

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

Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS and XU (MAC)

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

Reimbursement policy update: Virtual Visits – Professional and Facility (MAC)

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

Transition to AIM Specialty Health Imaging of the Heart Clinical Appropriateness Guideline for Computed Tomography to Detect Coronary Artery Calcification (MAC)

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

Updates to AIM Musculoskeletal Program Effective November 1, 2021 – Site of Care Reviews (MAC)

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

Specialty dose rounding program for certain oncology medications

August 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2021

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

August 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2021

Anthem Blue Cross and Blue Shield to update formulary lists for commercial health plan pharmacy benefit

August 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2021

Immune globulin adjusted body weight dosting program beginning August 1, 2021

August 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2021

Pharmacy information available on anthem.com

August 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2021

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

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

Some physician requests to AIM require the submission of documentation to support attestations for prior authorization

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

Important Update: Change in Email Submission of Service Requests for Federal Employee Program® (MAC)

Material Adverse Change (MAC)
August 2021 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Aug 1, 2021

Preventing claims denials: Shingles vaccine

Know best: Shingles vaccinations are a Medicare Part D benefit whether administered in your office or in the pharmacy.

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

Prior authorization requirement changes effective October 1, 2021 – UM AROW 1907

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

Infliximab Step Therapy – effective July 15, 2021

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

Register for upcoming August 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.

Motivating Patients to Adhere to Cervical Cancer Prevention and Screening Recommendations
Tuesday, August 3, 2021, 12:00 p.m. ET

10 Best Practices for Improving Pharmacy Quality Measures
Thursday, August 12, 2021, 1:00 p.m. or 3:00 p.m. ET

6 Ways to Improve Risk Adjustment Documentation Accuracy
Tuesday, August 17, 2021, 12:00 p.m. or 3:00 p.m. ET

Register Now!


Clinical Quality CME Webinar Series Continues - Colorado Administrative Jul 29, 2021

Working with Anthem webinars – Anthem networks overview

July 2021 webinar schedule.
Working with Anthem Webinars: July 2021 Schedule: Anthem Networks Overview - Colorado Administrative Jul 15, 2021

Drug fee schedule update

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

Important update to provider UM reimbursement penalties and corresponding entry in Provider Manual

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

Clinical quality in practice: CME webinar series

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

Proper coding for in-home monitoring can make a measurable difference for INR

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

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

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

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

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

Another mark of the pandemic: An increase in childhood obesity

More potato chips, sugary drinks and less physical activity are key contributors

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

Working with Anthem webinars – July 2021 schedule: Anthem networks overview

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

Interactive Care Reviewer (ICR): New search option for cases submitted through ICR

July 2021 Anthem Provider News and Important Updates - Colorado Digital Tools Jul 1, 2021

How to enroll in electronic fund transfer for faster remittance

July 2021 Anthem Provider News and Important Updates - Colorado Digital Tools Jul 1, 2021

Electronic claim response files

July 2021 Anthem Provider News and Important Updates - Colorado Digital Tools Jul 1, 2021

Site-of-Care medical necessity reviews for long-acting colony-stimulating factors will not be implemented on August 1, 2021 (MAC)

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

Pre-Service / Prior Authorization Clinical Review Update: July 2021 (MAC)

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

New reimbursement policy: Non-patient laboratory services - facility (MAC)

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

Reminder: Back pain guide program, effective July 19, 2021

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

Reminder: Updated AIM rehabilitative program, effective August 1, 2021 – and site of service reviews

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

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

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

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Jul 1, 2021

Reimbursement policy reminder: Inpatient readmissions

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

Updates to the AIM advanced imaging clinical appropriateness guidelines

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

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

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

Prior authorization requirement changes effective September 1, 2021 – UM AROW 1845

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

Let’s vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies

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

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

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

Medical drug benefit clinical criteria updates

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

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

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

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators Administrative Jun 25, 2021

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

Anthem webinars – June 2021 schedule - Colorado Administrative Jun 22, 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
Page 1 of 9 Next Page