Colorado
Provider Communications

Provider Spotlight

Jan 5, 2022

New Medicare Advantage plan will have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing Providers Nationally

Effective April 1, 2022, approximately 200,000 Medicare-eligible City of New York retirees across the United States will transition to the NYC Medicare Advantage Plus plan and have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.


Articles Recent

Title Publication Category Date

New Medicare Advantage plan will have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing Providers Nationally

Effective April 1, 2022, approximately 200,000 Medicare-eligible City of New York retirees across the United States will transition to the NYC Medicare Advantage Plus plan and have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.
Important Update for New 200k Group Retiree PPO Plan - CO Administrative Jan 5, 2022

Well-child visits: Know the numbers

January 2022 Anthem Provider News and Important Updates - Colorado Administrative Jan 1, 2022

Working with Anthem webinars – January 2022 schedule: What’s new in 2022

January 2022 Anthem Provider News and Important Updates - Colorado Administrative Jan 1, 2022

Drug fee schedule update

January 2022 Anthem Provider News and Important Updates - Colorado Pharmacy Jan 1, 2022

2022 Federal Employee Plan® benefit information available online

January 2022 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Jan 1, 2022

Important update on Botox® for Medicare members of Anthem Blue Cross and Blue Shield

January 2022 Anthem Provider News and Important Updates - Colorado Medicare Jan 1, 2022

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

January 2022 Anthem Provider News and Important Updates - Colorado Medicare Jan 1, 2022

Professional claims – billing referring provider and NPI for home infusion therapy and ambulatory infusion suite

January 2022 Anthem Provider News and Important Updates - Colorado Medicare Jan 1, 2022

Keep up with Medicare news – January 2022

January 2022 Anthem Provider News and Important Updates - Colorado Medicare Jan 1, 2022

Information from Anthem for Care Providers about COVID-19 (Updated December 30, 2021)

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

COVID-19 Information - Colorado Administrative Dec 30, 2021

Anthem Blue Cross and Blue Shield is transitioning to the Availity Authorization App

Availity Authorization App improvements based on your feedback
Availity Authorization App improvements - CO Digital Tools Dec 28, 2021

Non-par lab referrals

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

Update: Anthem Blue Cross and Blue Shield to implement provider claim payment dispute process for Commercial lines of business has been delayed

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

Professional system updates for 2022

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

Outpatient system updates for 2022

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

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

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

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

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

Behavioral healthcare appointment access requirements

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

Importance of PCP after-hours messaging

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

Chlamydia is asymptomatic. Only through screening will we know for sure

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

Case Management Program

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

Member rights and responsibilities

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

Coordination of care

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

Clinical practice and preventive health guidelines available on anthem.com

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

Submitting prior authorizations is getting easier

Anthem Blue Cross and Blue Shield is transitioning to the Availity Authorization app

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

Important information about utilization management

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

Is prior authorization required?

Answering your questions about the new Availity Authorization App
December 2021 Anthem Provider News and Important Updates - Colorado Digital Tools Dec 1, 2021

Reminder: EnrollSafe is available – electronic funds transfer enrollment portal for Anthem Blue Cross and Blue Shield providers

EnrollSafe replaced CAQH Enrollhub effective November 1, 2021

December 2021 Anthem Provider News and Important Updates - Colorado Digital Tools Dec 1, 2021

Professional reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) (MAC)

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

New professional reimbursement policy update: Modifier 62: Co-Surgeon Services and Modifier 66: Surgical Teams (MAC)

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

RETRACTION: Inpatient Facility Transfers reimbursement policy (facility)

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

Reimbursement policy update: Virtual Visits - professional and facility

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

Updates to AIM Specialty Health musculoskeletal interventional pain management clinical appropriateness guideline (MAC)

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

Updates to AIM Specialty Health cardiology clinical appropriateness guidelines (MAC)

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

Updates to AIM Specialty Health radiation oncology clinical appropriateness guideline (MAC)

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

Updates to AIM advanced imaging clinical appropriateness guideline (MAC)

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

Updated AIM Musculoskeletal program site of care reviews delayed

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

Pharmacy information available on Anthem.com

December 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Dec 1, 2021

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

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

Good news: Non-payment remittance advice enhancements are here

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

Policy update: Drug screen testing

Policy update Drug Screen Testing, effective March 1, 2022

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

2022 Medicare Advantage service area and benefit updates

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

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

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

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

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

Somatus is your resource for kidney care management

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

Keep up with Medicare news – December 2021

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

Grief and Loss Forum - Colorado

Join us to hear from a diverse panel of experienced Motivo and Anthem Blue Cross and Blue Shield professionals about the disproportionate impact of the pandemic on communities of color.
Grief and Loss Forum - Colorado Administrative Nov 29, 2021

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
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