Colorado
Provider Communications

Articles Recent

Title Publication Category Date

Genetic testing CPT code list update for Carelon Medical Benefits Management (formerly AIM Specialty Health)

Material Adverse Change (MAC)
April 2023 Provider News - Colorado Administrative Mar 31, 2023

Enhanced outpatient facility editing for National Correct Coding Initiative

April 2023 Provider News - Colorado Administrative Mar 31, 2023

Update use of modifier 25 for billing for visits that include preventive and problem-oriented evaluation and management services

April 2023 Provider News - Colorado Administrative Mar 31, 2023

Expansion of Carelon Medical Benefits Management, Inc. cardiology, genetic testing, and radiology programs effective

Material Adverse Change (MAC)
April 2023 Provider News - Colorado Administrative Mar 31, 2023

CAA: Maintain your online provider directory information

April 2023 Provider News - Colorado Administrative Mar 31, 2023

Helping to reduce delays when submitting attachments

April 2023 Provider News - Colorado Administrative Mar 31, 2023

Medical Oncology Program ProviderPortal case entry enhancements

April 2023 Provider News - Colorado Administrative Mar 31, 2023

Anthem Blue Cross and Blue Shield to implement new strategic provider system in August 2023

Material Adverse Change (MAC)
April 2023 Provider News - Colorado Administrative Mar 31, 2023

Survey for all skilled nursing facilities

April 2023 Provider News - Colorado Digital Tools Mar 31, 2023

Notification about submitting itemized bills

Material Adverse Change (MAC)
April 2023 Provider News - Colorado Policy Updates Mar 31, 2023

Genetic Testing claim edits

April 2023 Provider News - Colorado Policy Updates Mar 31, 2023

Reimbursement policy update: Documentation and Reporting Guidelines for Evaluation and Management Services - Professional

April 2023 Provider News - Colorado Reimbursement Policies Mar 31, 2023

Bundled Services and Supplies - Professional

Material Adverse Change (MAC)
April 2023 Provider News - Colorado Reimbursement Policies Mar 31, 2023

Notification Regarding Reimbursement Changes to COVID-19 Vaccine Administration update

Material Adverse Change (MAC)
April 2023 Provider News - Colorado Reimbursement Policies Mar 31, 2023

Pay Doctor Bill (provider payment option) - General FAQ

April 2023 Provider News - Colorado Products & Programs Mar 31, 2023

Let’s Vaccinate

April 2023 Provider News - Colorado Products & Programs Mar 31, 2023

Pharmacy information available on our provider website

April 2023 Provider News - Colorado Pharmacy Mar 31, 2023

HEDIS 2023 Federal Employee Program medical record request requirements

April 2023 Provider News - Colorado Federal Employee Plan (FEP) Mar 31, 2023

FEP Quality Reimbursement Program update

April 2023 Provider News - Colorado Federal Employee Plan (FEP) Mar 31, 2023

Authorizations for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) services for consumers with individual, group retiree solutions (GRS), and dual-eligible plans from Medicare Advantage

April 2023 Provider News - Colorado Medicare Mar 31, 2023

E-visits

April 2023 Provider News - Colorado Medicare Mar 31, 2023

Keep up with Medicare news - April 2023

April 2023 Provider News - Colorado Medicare Mar 31, 2023

Important update: Claims denying for authorization incorrectly when authorization is not required resolution plan

Claims denying for authorization incorrectly when authorization is not required resolution plan Administrative Mar 7, 2023

Carelon Medical Benefits Management (formerly AIM Specialty Health) Clinical Appropriateness Guidelines CPT code list update

March 2023 Anthem Provider News - Colorado Administrative Mar 1, 2023

Time to prepare for HEDIS medical record review

March 2023 Anthem Provider News - Colorado Administrative Mar 1, 2023

Outpatient Facility Revenue Code Billing Requirements - Facility

March 2023 Anthem Provider News - Colorado Administrative Mar 1, 2023

Working with Anthem webinars

Topic: Provider enrollment application (new providers joining an existing group)
Date/time: Thursday, March 30, 2023, from noon to 1 p.m. MT

March 2023 Anthem Provider News - Colorado Administrative Mar 1, 2023

Medical Policy and Clinical Utilization Management Guidelines notification

Material Adverse Change (MAC)
March 2023 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Mar 1, 2023

Reimbursement policy update: Modifiers 25 and 57 - Professional

March 2023 Anthem Provider News - Colorado Reimbursement Policies Mar 1, 2023

Specialty pharmacy updates for March 2023

Material Adverse Change (MAC)
March 2023 Anthem Provider News - Colorado Pharmacy Mar 1, 2023

Keep up with Medicare news - March 2023

March 2023 Anthem Provider News - Colorado Medicare Mar 1, 2023

March is National Colorectal Cancer Awareness Month

March 2023 Anthem Provider News - Colorado Administrative Mar 1, 2023

Drug fee schedule update

March 2023 Anthem Provider News - Colorado Administrative Mar 1, 2023

You are invited: Advancing Mental Health Equity for Youth & Young Adults

Register today for the Advancing Mental Health Equity for Youth & Young Adults forum hosted by Anthem Blue Cross and Blue Shield (Anthem) and Motivo* for Anthem providers on March 15, 2023.
March 2023 Anthem Provider News - Colorado Administrative Mar 1, 2023

Provider directory - annual audit for NCQA Accreditation

March 2023 Anthem Provider News - Colorado Administrative Mar 1, 2023

Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measures

March 2023 Anthem Provider News - Colorado Administrative Mar 1, 2023

Reminder - Updated Carelon Musculoskeletal Program effective April 1, 2023: monitored anesthesia care reviews

March 2023 Anthem Provider News - Colorado Administrative Mar 1, 2023

Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023

March 2023 Anthem Provider News - Colorado Products & Programs Mar 1, 2023

Pharmacy information available on our provider website

March 2023 Anthem Provider News - Colorado Pharmacy Mar 1, 2023

Annual planned visits

March 2023 Anthem Provider News - Colorado Medicare Mar 1, 2023

Controlling High Blood Pressure and Submitting Compliant Readings

March 2023 Anthem Provider News - Colorado Medicare Mar 1, 2023

Shared savings and transition care management after inpatient discharges

March 2023 Anthem Provider News - Colorado Medicare Mar 1, 2023

Informational Update Modifier Usage

March 2023 Anthem Provider News - Colorado Medicare Mar 1, 2023

Controlling High Blood Pressure and Submitting Compliant Readings

February 2023 Anthem Provider News - Colorado Administrative Feb 1, 2023

Working with Anthem webinars - February 2023 schedule

February 2023 Anthem Provider News - Colorado Administrative Feb 1, 2023

New policy for clinical data sharing and ADT notifications

Material Adverse Change (MAC)
February 2023 Anthem Provider News - Colorado Administrative Feb 1, 2023

Colorado Option Standard networks and plans are now active in market for 2023

February 2023 Anthem Provider News - Colorado Administrative Feb 1, 2023

Have you reviewed your online provider directory information lately?

February 2023 Anthem Provider News - Colorado Administrative Feb 1, 2023

AIM Specialty Health Radiology Clinical Appropriateness Guidelines CPT Code List Update

Material Adverse Change (MAC)
February 2023 Anthem Provider News - Colorado Administrative Feb 1, 2023

AIM Specialty Health will transition to Carelon Medical Benefits Management Inc.

February 2023 Anthem Provider News - Colorado Administrative Feb 1, 2023

Helping to reduce delays when submitting attachments: Make sure your correspondence includes one of these elements

February 2023 Anthem Provider News - Colorado Digital Tools Feb 1, 2023

Enhancing Provider News website and email communications

February 2023 Anthem Provider News - Colorado Digital Tools Feb 1, 2023

Clinical Guidelines Notification Letter

Material Adverse Change (MAC)
February 2023 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Feb 1, 2023

Anthem prior authorization updates for specialty pharmacy are available

Material Adverse Change (MAC)
February 2023 Anthem Provider News - Colorado Pharmacy Feb 1, 2023

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update (MAC)

Material adverse change (MAC)

February 2023 Anthem Provider News - Colorado Medicare Feb 1, 2023

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

February 2023 Anthem Provider News - Colorado Medicare Feb 1, 2023

Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023

February 2023 Anthem Provider News - Colorado Medicare Feb 1, 2023

Keep up with Medicare news - February 2023

February 2023 Anthem Provider News - Colorado Medicare Feb 1, 2023

2023 FEP benefit information available online

February 2023 Anthem Provider News - Colorado Federal Employee Plan (FEP) Feb 1, 2023

Working with Anthem webinars - January 2023: anthem.com overview

Working with Anthem webinars - January 2023 overview Administrative Jan 13, 2023

Telephonic-only care allowance extended through April 11, 2023

Telephonic-only care allowance extended through April 11, 2023 - Colorado Administrative Jan 11, 2023

Professional system updates for 2023

January 2023 Anthem Provider News - Colorado Administrative Dec 30, 2022

Outpatient system updates for 2023

January 2023 Anthem Provider News - Colorado Administrative Dec 30, 2022

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

January 2023 Anthem Provider News - Colorado Administrative Dec 30, 2022

Engagement with your patient counts

January 2023 Anthem Provider News - Colorado Administrative Dec 30, 2022

2022 HB1008 infertility treatment

January 2023 Anthem Provider News - Colorado Administrative Dec 30, 2022

Childhood Immunization Status and Lead Screening in Children for HEDIS

January 2023 Anthem Provider News - Colorado Administrative Dec 30, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update (MAC)

Material Adverse Change (MAC)
January 2023 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Dec 30, 2022

Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List

January 2023 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines (MAC)

Material Adverse Change (MAC)
January 2023 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Dec 30, 2022

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update (MAC)

Material Adverse Change (MAC)
January 2023 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Cardiac Clinical Appropriateness (MAC)

Material Adverse Change (MAC)
January 2023 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines

Material Adverse Change (MAC)
January 2023 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Material Adverse Change (MAC)
January 2023 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Dec 30, 2022

Specialty pharmacy updates

Material Adverse Change (MAC)
January 2023 Anthem Provider News - Colorado Pharmacy Dec 30, 2022

Federal Employee Program Observation Conversion for Musculoskeletal Cases

Material Adverse Change (MAC)
January 2023 Anthem Provider News - Colorado Federal Employee Plan (FEP) Dec 30, 2022

Notification regarding reimbursement changes to COVID-19 laboratory services codes

Material Adverse Change (MAC)
January 2023 Anthem Provider News - Colorado Medicare Dec 30, 2022

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Colorado Medicare Dec 30, 2022

Keep up with Medicare news - January 2023

January 2023 Anthem Provider News - Colorado Medicare Dec 30, 2022

Attention lab providers: COVID-19 update regarding reimbursement

Material Adverse Change (MAC)
December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

Important information about utilization management

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

Member assessment of PCP after-hours messaging in 2022

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

Member’s assessment of behavioral healthcare after-hours messaging in 2022

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

Members’ rights and responsibilities

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

Case management program

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

Coordination of care

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

Correction: Change notification to Provider and Facility Manual effective December 1, 2022

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

CAA: Timely updates help keep our provider directories current

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

Clinical practice and preventive health guidelines available on anthem.com

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

Signature requirements for laboratory orders or requisitions

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

Pharmacy information available on the provider website

December 2022 Anthem Provider News - Colorado Pharmacy Dec 1, 2022

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

Material Adverse Change (MAC)
December 2022 Anthem Provider News - Colorado Pharmacy Dec 1, 2022

Medical Policy and Clinical UM Guidelines notification letter (MAC)

Material Adverse Change (MAC)
December 2022 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Dec 1, 2022

Reimbursement policy update: Multiple Surgery - Facility

December 2022 Anthem Provider News - Colorado Reimbursement Policies Dec 1, 2022

Reimbursement policy retirement: Acupuncture Billed with Evaluation and Management - Professional

December 2022 Anthem Provider News - Colorado Reimbursement Policies Dec 1, 2022

2023 Medicare Advantage service area and benefit updates

December 2022 Anthem Provider News - Colorado Medicare Dec 1, 2022

Personal home helper benefit ending

December 2022 Anthem Provider News - Colorado Medicare Dec 1, 2022

Keep up with Medicare news - December 2022

December 2022 Anthem Provider News - Colorado Medicare Dec 1, 2022

Working with Anthem webinars November 2022 schedule: Requests for Additional Information (RFAI) program

Working with Anthem webinars November 2022 schedule: Requests for Additional Information (RFAI) program - Colorado Administrative Nov 15, 2022
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