CommercialDecember 1, 2021
December 2021 Anthem Provider News and Important Updates - Colorado
Administrative
CommercialDecember 1, 2021
Non-par lab referralsCommercialDecember 1, 2021
Update: Anthem Blue Cross and Blue Shield to implement provider claim payment dispute process for Commercial lines of business has been delayedCommercialDecember 1, 2021
Professional system updates for 2022CommercialDecember 1, 2021
Outpatient system updates for 2022CommercialDecember 1, 2021
Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to dateCommercialDecember 1, 2021
Anthem to retire Blue Precision program at the end of the yearCommercialDecember 1, 2021
Behavioral healthcare appointment access requirementsCommercialDecember 1, 2021
Importance of PCP after-hours messagingCommercialDecember 1, 2021
Chlamydia is asymptomatic. Only through screening will we know for sureCommercialDecember 1, 2021
Case Management ProgramCommercialDecember 1, 2021
Member rights and responsibilitiesCommercialDecember 1, 2021
Coordination of careCommercialDecember 1, 2021
Clinical practice and preventive health guidelines available on anthem.comCommercialDecember 1, 2021
Submitting prior authorizations is getting easierAnthem Blue Cross and Blue Shield is transitioning to the Availity Authorization app
CommercialDecember 1, 2021
Important information about utilization managementCommercialDecember 1, 2021
Is prior authorization required?CommercialDecember 1, 2021
Reminder: EnrollSafe is available – electronic funds transfer enrollment portal for Anthem Blue Cross and Blue Shield providersEnrollSafe replaced CAQH Enrollhub effective November 1, 2021
Policy Updates
CommercialDecember 1, 2021
Professional reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) (MAC)CommercialDecember 1, 2021
New professional reimbursement policy update: Modifier 62: Co-Surgeon Services and Modifier 66: Surgical Teams (MAC)CommercialDecember 1, 2021
RETRACTION: Inpatient Facility Transfers reimbursement policy (facility)CommercialDecember 1, 2021
Reimbursement policy update: Virtual Visits - professional and facilityProducts & Programs
CommercialDecember 1, 2021
Updates to AIM Specialty Health musculoskeletal interventional pain management clinical appropriateness guideline (MAC)CommercialDecember 1, 2021
Updates to AIM Specialty Health cardiology clinical appropriateness guidelines (MAC)CommercialDecember 1, 2021
Updates to AIM Specialty Health radiation oncology clinical appropriateness guideline (MAC)CommercialDecember 1, 2021
Updates to AIM advanced imaging clinical appropriateness guideline (MAC)CommercialDecember 1, 2021
Updated AIM Musculoskeletal program site of care reviews delayedCommercialDecember 1, 2021
Pharmacy information available on Anthem.comCommercialDecember 1, 2021
Anthem prior authorization updates for specialty pharmacy are available (MAC)State & Federal
Medicare AdvantageDecember 1, 2021
Good news: Non-payment remittance advice enhancements are hereMedicare AdvantageDecember 1, 2021
Policy update: Drug screen testingPolicy update Drug Screen Testing, effective March 1, 2022
Medicare AdvantageDecember 1, 2021
2022 Medicare Advantage service area and benefit updatesMedicare AdvantageDecember 1, 2021
Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodiesMedicare AdvantageDecember 1, 2021
Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelinesMedicare AdvantageDecember 1, 2021
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