Colorado
Provider Communications

November 2021 Anthem Provider News and Important Updates - Colorado

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Title Category

Providers claim payment disputes for Anthem’s Commercial lines of business

Administrative

Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claims

Administrative

Update regarding annual wellness visits for ACA-compliant health plans

Administrative

Time to prepare for HEDIS® medical record review

Administrative

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

Administrative

CME credits available in 2021 for a variety of clinical quality webinars – register now!

Administrative

Join Anthem in talking about racism and its impact on health and earn continuing education credits!

Administrative

Avoid claim denials: VYNE medical attachment program has expired

Advise clearinghouses we no longer accept attachments through this vendor to avoid claim denials.

Administrative

Be antibiotics aware: Protect your patient

Administrative

Working with Anthem webinars – November 2021 schedule: New claim dispute tool on Availity for Commercial business

Administrative

Surprisingly easy ways to help patients quit smoking cigarettes

Administrative

Change in coverage for continuous glucose monitors for some fully insured groups

Administrative

Against medical advice (AMA) discharge physician tracking tool

Digital Tools

EnrollSafe is available: Our new electronic funds transfer enrollment portal for Anthem providers

EnrollSafe replaces CAQH Enrollhub effective November 1, 2021

Digital Tools

Medical Policies and Clinical UM Guidelines (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation - professional

Reimbursement Policies

Blue High-Performance network name changing for 2022

Products & Programs

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

Material Adverse Change (MAC)
Pharmacy

Important update on Botox® for Anthem members

Pharmacy

New York City Medicare Advantage announcement

Medicare

Updates to AIM Specialty Health cardiology clinical appropriateness guidelines

Medicare

Clinical criteria updates

Medicare

Anthem Blue Cross and Blue Shield offering Advance Medical Directives program for 2022

Medicare

Electronic data interchange process

Medicare

Keep up with Medicare news – November 2021

Medicare
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