CommercialDecember 1, 2020

December 2020 Anthem Provider News and Important Updates -- Colorado

Administrative

AdministrativeCommercialDecember 1, 2020

Access to claim denial information is now self-service

AdministrativeCommercialDecember 1, 2020

New Blue HPN® plans go live on January 1, 2021

AdministrativeCommercialDecember 1, 2020

Anthem contracted Air Ambulance providers in Colorado

AdministrativeCommercialDecember 1, 2020

Medical Access Standards

AdministrativeCommercialDecember 1, 2020

Coordination of Care

AdministrativeCommercialDecember 1, 2020

Members’ Rights and Responsibilities

AdministrativeCommercialDecember 1, 2020

Important Information about Utilization Management

AdministrativeCommercialDecember 1, 2020

2-minute videos to engage patients about preventive care

AdministrativeCommercialDecember 1, 2020

PCP after-hours access requirements

Behavioral Health

Behavioral HealthCommercialDecember 1, 2020

Access requirements for behavioral healthcare services

Policy Updates

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2020

AIM Specialty Health Clinical Appropriateness Guidelines update -- Cardiology (MAC)
Material Adverse Change (MAC)

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2020

AIM Specialty Health Clinical Appropriateness Guidelines update -- Advanced Imaging (MAC)
Material Adverse Change (MAC)

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2020

AIM Specialty Health Clinical Appropriateness Guidelines update -- Radiation Oncology (MAC)
Material Adverse Change (MAC)

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2020

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2020

Clinical practice and preventive health guidelines available on anthem.com

Reimbursement PoliciesCommercialDecember 1, 2020

Expenses Included in Facility Services (Professional Reimbursement Policy) -- New (MAC)
Material Adverse Change (MAC)

Reimbursement PoliciesCommercialDecember 1, 2020

Bundled Services and Supplies (Professional Reimbursement Policy) -- Update

Products & Programs

Products & ProgramsCommercialDecember 1, 2020

Anthem expands hospice benefit

Products & ProgramsCommercialDecember 1, 2020

Case Management Program

PharmacyCommercialDecember 1, 2020

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

PharmacyCommercialDecember 1, 2020

Pharmacy information available on anthem.com

State & Federal

State & FederalMedicare AdvantageDecember 1, 2020

Digital transactions cut administrative tasks in half

State & FederalMedicare AdvantageDecember 1, 2020

Medicare Advantage Group Retiree Member Eligibility, Alpha Prefix FAQ

State & FederalMedicare AdvantageDecember 1, 2020

2021 Medicare Advantage individual benefits and formularies

State & FederalMedicare AdvantageDecember 1, 2020

Medical Policies and Clinical Utilization Management Guidelines update

State & FederalMedicare AdvantageDecember 1, 2020

Keep up with Medicare news