Colorado
Provider Communications

September 2022 Anthem Provider News and Updates - Colorado

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Title Category

CAA: Current provider directory information is key for members and providers to engage with you seamlessly

Administrative

Correction: New patient evaluation and management services when reported for the same patient within the last three years

Administrative

Monkeypox resources and recommendations for our care providers

Administrative

Change notification to Provider and Facility Manual, effective December 1, 2022

Administrative

Important information about women’s preventive care visits

Administrative

Working with Anthem webinars – September 2022 schedule: Colorado Public Option HB 21-1232 (the “Public Option Law”) for Anthem Blue Cross and Blue Shield Plans

Administrative

Drug code billing reminder

Administrative

Continuing to Explore the Intersection of Race and Disability

Administrative

Anthem Blue Cross and Blue Shield to accept Hospital in Home services

Administrative

Important updates for referrals to specialists in the CU Health Plan - Exclusive

Administrative

Updates to the Claim Attachment workflow

Digital Tools

Medical Policy and Clinical UM Guidelines notification (MAC)

Material Adverse Change (MAC)
Medical Policy & Clinical Guidelines

Commercial reimbursement policy update to Modifier 66: Surgical Teams - Professional

Reimbursement Policies

Reimbursement policy update Assistant at Surgery (Modifiers 80, 81, 82, AS) - Professional

Reimbursement Policies

Reimbursement Policy update: Modifier Rules – Professional (MAC)

Material Adverse Change (MAC)
Reimbursement Policies

Update to formulary lists for Commercial health plan pharmacy benefit

Pharmacy

Prior authorization specialty pharmacy updates (MAC)

Material Adverse Change (MAC)
Pharmacy

OBRA 93 clam filing for Federal Employee Program

Federal Employee Plan (FEP)

Prior authorization requirement changes effective December 1, 2022

Medicare

Reminder: AIM prior authorization phone number change for Medicare

Medicare

Enhancing claims attachment processes through digital applications

Medicare

Reimbursement policy update: Modifiers 25 and 57 Evaluation and Management with Global Procedures

Policy update: G-06003
Medicare

Anthem Blue Cross and Blue Shield Expands Specialty Pharmacy Precertification list

Medicare

Anthem Blue Cross and Blue Shield to accept Hospital in Home services

Medicare

Keep up with Medicare news – September 2022

Medicare
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