Colorado
Provider Communications

December 2022 Anthem Provider News - Colorado

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Title Category

Important information about utilization management

Administrative

Attention lab providers: COVID-19 update regarding reimbursement

Material Adverse Change (MAC)
Administrative

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

Administrative

Member assessment of PCP after-hours messaging in 2022

Administrative

Members’ rights and responsibilities

Administrative

IngenioRx will become CarelonRx on January 1, 2023

Administrative

Case management program

Administrative

Coordination of care

Administrative

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

Administrative

CAA: Timely updates help keep our provider directories current

Administrative

Clinical practice and preventive health guidelines available on anthem.com

Administrative

Signature requirements for laboratory orders or requisitions

Administrative

Pharmacy information available on the provider website

Pharmacy

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

Material Adverse Change (MAC)
Pharmacy

Medical Policy and Clinical UM Guidelines notification letter (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Reimbursement policy update: Multiple Surgery - Facility

Reimbursement Policies

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

Reimbursement Policies

2023 Medicare Advantage service area and benefit updates

Medicare

Personal home helper benefit ending

Medicare

Keep up with Medicare news - December 2022

Medicare
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