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  • Working with Anthem webinars - January 2023 overview
  • Telephonic-only care allowance extended through April 11, 2023 - Colorado
  • January 2023 Anthem Provider News - Colorado
  • December 2022 Anthem Provider News - Colorado
  • Working with Anthem webinars November 2022 schedule: Requests for Additional Information (RFAI) program - Colorado
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    • Digital Tools
  • Policy Updates
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    • Federal Employee Plan (FEP)
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Colorado
Provider Communications

February 2019 Anthem Provider Newsletter - CO

Download as PDF

Title Category

Member Satisfaction with Behavioral Health Outpatient Services

Behavioral Health

Pharmacy information available on anthem.com

Pharmacy

Working with Anthem Webinars - February 2019 schedule: WellChoice Network and Plans Overview

Administrative

Updated Escalation Contact List

Administrative

Updated Prefix Reference List

Administrative

Provider and Facility identified Overpayments (aka “voluntary” or “unsolicited”)

Administrative

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred (Professional)

Reimbursement Policies

Significant Edits (Professional)

Reimbursement Policies

Reminder: Review ICD-10-CM Coding Guidelines (Professional)

Reimbursement Policies

Reimbursement Policies are available online

Reimbursement Policies

Clear Claim Connection: our web-based claim edit tool

Reimbursement Policies

HEDIS 2019 Federal Employee Program® medical record request requirements

Federal Employee Plan (FEP)

Reminder - Anthem follows Original Medicare policies

Medicare

Use grouped CPT codes for AIM Specialty Health authorizations

Medicare

Anthem eye refraction and routine eye exam billing information

Medicare

New specialty Medicare Part B device preferred product program

Medicare

Keep up with Medicare news

Medicare
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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), which underwrites or administers the PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare Health Services Insurance Corporation (Compcare) underwrites or administers the HMO policies and Wisconsin Collaborative Insurance Company (WCIC) underwrites or administers Well Priority HMO or POS policies. Independent licensees of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem websites constitutes your agreement with our Terms of Use.