Colorado
Provider Communications

November 2022 Anthem Provider News - Colorado

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Title Category

Participating lab referrals help our members most

Administrative

CAA: Keep your provider directory information up to date

Administrative

Working with Anthem webinars November 2022 schedule: Requests for Additional Information (RFAI) program

Administrative

Remote EMR access service for HEDIS

Digital Tools

Claims status message enhancements: Providing clear descriptions and actionable next steps

Digital Tools

Authorization application enhancements: Faster, easier, and more efficient

Join our webcast on Wednesday, November 9, 2022, at 11 a.m. ET. Register here.
Digital Tools

Submit digital attachments within seven-calendar days for claims filed with a PWK segment indicator

Digital Tools

RETRACTION - You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, too

Digital Tools

Visit the Provider Learning Hub to view our latest learning opportunities

Digital Tools

Improve patient outcomes for colorectal cancer screening with Labcorp’s FIT test

Medical Policy & Clinical Guidelines

Updates to AIM Specialty Health cardiology clinical appropriateness guidelines CPT code list (MAC)

Medical Policy & Clinical Guidelines

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines

Correction to reimbursement policy: Place of Service – facility (MAC)

Reimbursement Policies

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

Pharmacy

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list

Medicare

Keep up with Medicare news - November 2022

  • Medical drug benefit Clinical Criteria updates
  • New specialty pharmacy medical step therapy requirements (Acastin, Mvasi)
  • New specialty pharmacy medical step therapy requirements (Zarxio)
Medicare
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