Colorado
Provider Communications

November 2020 Anthem Provider News and Important Updates -- Colorado

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Title Category

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

Material Adverse Change (MAC)
Pharmacy

IngenioRx Introduces New Pharmacy Network in 2021

Pharmacy

US Antibiotic Awareness Week

Pharmacy

Working with Anthem Webinars -- November 2020 schedule: Blue High Performance Network (HPN)

Administrative

Availity Attachment Tools for Anthem and Affiliate Payers -- Live Webinars

Administrative

Get the full picture of your patient’s health through their smartphone

Administrative

Digital transactions cut administrative tasks in half

Administrative

Non-participating lab referrals

Administrative

Clinical Laboratory Improvement Amendments (CLIA) Number -- Additional Information

Administrative

Medical Policy and Clinical UM Guidelines notification letter (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

REMINDER: Post-service reviews using AIM

Medical Policy & Clinical Guidelines

Documentation Standards for Episodes of Care (Professional Reimbursement Policy) -- New (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

Modifier Rules (Professional Reimbursement Policy) -- Update (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

Bundled Services and Supplies (Professional Reimbursement Policy) – Update (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

Claims editing update for ICD-10-CM Excludes 1 notes

Reimbursement Policies

Preferred continuous glucose monitors

Medicare

Provider Chat -- A fast, easy way to get your questions answered

Medicare

Medical drug benefit Clinical Criteria updates -- June 2020

Medicare

FDA approvals and expedited pathways used -- new molecular entities

Medicare

Keep up with Medicare news

Medicare
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