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Working with Anthem webinars – November 2021 schedule: New Availity multi-payer Authorization tool

Working with Anthem webinars November 2021 schedule: New Availity multi-payer Authorization tool Administrative Nov 17, 2021

Providers claim payment disputes for Anthem’s Commercial lines of business

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

Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claims

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

Update regarding annual wellness visits for ACA-compliant health plans

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

Time to prepare for HEDIS® medical record review

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

Reducing the burden of medical record review and improving health outcomes with HEDIS® ECDS reporting

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

CME credits available in 2021 for a variety of clinical quality webinars – register now!

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

Join Anthem in talking about racism and its impact on health and earn continuing education credits!

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

Avoid claim denials: VYNE medical attachment program has expired

Advise clearinghouses we no longer accept attachments through this vendor to avoid claim denials.

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

Be antibiotics aware: Protect your patient

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

Working with Anthem webinars – November 2021 schedule: New claim dispute tool on Availity for Commercial business

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

Surprisingly easy ways to help patients quit smoking cigarettes

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

Change in coverage for continuous glucose monitors for some fully insured groups

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

Against medical advice (AMA) discharge physician tracking tool

November 2021 Anthem Provider News and Important Updates - Colorado Digital Tools Nov 1, 2021

EnrollSafe is available: Our new electronic funds transfer enrollment portal for Anthem providers

EnrollSafe replaces CAQH Enrollhub effective November 1, 2021

November 2021 Anthem Provider News and Important Updates - Colorado Digital Tools Nov 1, 2021

Medical Policies and Clinical UM Guidelines (MAC)

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

Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation - professional

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

Blue High-Performance network name changing for 2022

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

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

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

Important update on Botox® for Anthem members

November 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Nov 1, 2021

New York City Medicare Advantage announcement

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

Updates to AIM Specialty Health cardiology clinical appropriateness guidelines

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

Clinical criteria updates

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

Anthem Blue Cross and Blue Shield offering Advance Medical Directives program for 2022

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

Electronic data interchange process

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

Keep up with Medicare news – November 2021

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

Join The Fenway Institute for a CME webinar about improving your LGBTQIA+ patient interactions

Join a live webinar, “LGBTQIA+ Care: Delivering Trust and Belonging with Every Interaction,” presented by the National LGBTQIA+ Health Education Center at The Fenway Institute. 

Gain LGBTQIA+ Patient Interaction Knowledge - Colorado Administrative Oct 21, 2021

Working with Anthem webinars – October 2021 schedule: Blue High Performance Network (HPN)

Working with Anthem Webinars - October 2021 schedule: Blue High Performance Network (HPN) Administrative Oct 20, 2021

New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing Providers Nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.  

New 240k member Medicare Advantage Group Retiree PPO plan Medicare Oct 19, 2021

Join the American Heart Association for a CME webinar on hypertension and diabetes disease management


Chronic disease management strategies for your patients with hypertension and diabetes
Date: Friday, October 8, 2021
Time: 12:00 p.m. ET

Clinical Quality CME Webinar Series Continues - Colorado Administrative Oct 5, 2021

Federal Price Transparency and Consolidated Appropriations Act phase in new mandates beginning January 1, 2022

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

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

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

Drug fee schedule update

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

Your recommendation is key to encouraging cancer screenings for your female patients

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

Good news! Non-payment remittance advice enhancements coming soon

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

Looking to earn continuing medical education credits? Register for these on-demand webinars

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

Clinical appeals

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

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

African American and Hispanic women have higher risk of death from breast cancer than their White counterparts.1

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

Working with Anthem webinars – October 2021 schedule: Blue High Performance Network (HPN)

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

REMINDER: EnrollSafe, the new electronic funds transfer enrollment portal for Anthem providers – replacing CAQH Enrollhub effective November 1, 2021

October 2021 Anthem Provider News and Important Updates - Colorado Digital Tools Oct 1, 2021

Medical policy and clinical UM guidelines notification – October 2021 (MAC)

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

Reimbursement policy clarification: Claims Requiring Additional Documentation - facility

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

New reimbursement policy: Multiple and Bilateral Surgery Processing – facility (MAC)

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

Reminder: Updated AIM Musculoskeletal Program site of care reviews effective November 1, 2021

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

Pharmacy information available on anthem.com

October 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Oct 1, 2021

New policy: Sexually transmitted infections testing - professional

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

Information about 2021 special needs plans

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

HEDIS® medical record submission made easier with our Remote EMR Access Service

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

New medical step therapy requirements

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

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

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

Keep up with Medicare news – October 2021

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

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
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