Colorado
Provider Communications

January 2020 Anthem Provider News and Important Updates - Colorado

Download as PDF

Title Category

New Pathway PPO network to support new product offerings available January 1, 2020

Administrative

Working with Anthem Webinars -- January 2020 schedule: Pathway PPO Overview

Administrative

Receive and respond to post pay audit medical record requests via Availity beginning February 10, 2020

Administrative

New Musculoskeletal and Pain Management Solution Effective for Select National ASO Accounts January 1, 2020

Administrative

Upcoming retirement planned for legacy Medical Attachment submission tool

Administrative

Let us help you accomplish your 2020 “To Do” list early – EDI Migration

Administrative

New Year brings new ID cards for many Anthem members

Administrative

Drug fee schedule update

Administrative

Important Update: Milliman Care Guideline (MCG), 23rd Edition, Pelvic Organ Prolapse Repair (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Dispatch Health: An extension of your team - Innovative On-demand Healthcare at Home

Medical Policy & Clinical Guidelines

Outpatient facility edit implementation effective April 26, 2020 (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

2020 FEP® Benefit information available online

Federal Employee Plan (FEP)

Introducing two new Medicare Advantage special needs plans for 2020

Medicare

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

Medicare

Help protect your patients by providing medical ID protection -- best practices

Medicare

Postponed -- Review of professional claims with emergency room level 5 E/M codes

Medicare

Medical drug benefit Clinical Criteria updates – October 2019

Medicare

Medical drug benefit Clinical Criteria updates – November 2019

Medicare

Keep up with Medicare news

Medicare
Page 1 of 1