
Provider NewsColorado Provider News Colorado Provider News Colorado Provider Home Archive Subscribe to Email February 2019 Anthem Important Updates - CO Contents AdministrativeCommercialFebruary 1, 2019 National Drug Code (NDC) Requirement on Outpatient Claims expanded - effective May 1, 2019 AdministrativeCommercialFebruary 1, 2019 Anthem to enhance claim edits for outpatient facility claims Medical Policy & Clinical GuidelinesCommercialFebruary 1, 2019 AIM Specialty Health Clinical Guidelines update - Musculoskeletal Program Medical Policy & Clinical GuidelinesCommercialFebruary 1, 2019 Medical Policy and Clinical UM Guidelines change notification letter Reimbursement PoliciesCommercialFebruary 1, 2019 Body Mass Index (BMI) (Facility Reimbursement Policy - Update) Reimbursement PoliciesCommercialFebruary 1, 2019 Professional Reimbursement Policy Change and supporting claims editing notification for CMS-1500 submitters PharmacyCommercialFebruary 1, 2019 Anthem expands specialty pharmacy medical step therapy drug list PharmacyCommercialFebruary 1, 2019 Anthem expands specialty pharmacy prior authorization list PharmacyCommercialFebruary 1, 2019 Clinical criteria updates for specialty pharmacy To view this publication online: Visit https://providernews.anthem.com/colorado/publications/february-2019-anthem-important-updates-co-161 Or scan this QR code with your phone AdministrativeCommercialFebruary 1, 2019 National Drug Code (NDC) Requirement on Outpatient Claims expanded - effective May 1, 2019 National Drug Code (NDC) Requirement on Outpatient Claims expanded - effective May 1, 2019 ATTACHMENTS (available on web): 20190201 CoC - MAC - NDC Outpatient all drug categories notification CO only - rv 20190120.pdf (pdf - 0.43mb) To view this article online: Visit https://providernews.anthem.com/colorado/articles/national-drug-code-ndc-requirement-on-outpatient-claims-expanded-effective-may-1-2019-1705 Or scan this QR code with your phone AdministrativeCommercialFebruary 1, 2019 Anthem to enhance claim edits for outpatient facility claims Anthem to enhance claim edits for outpatient facility claims ATTACHMENTS (available on web): 20190201 Enhancement to OP Facility claims update - CO 20190127 final.pdf (pdf - 0.43mb) To view this article online: Visit https://providernews.anthem.com/colorado/articles/anthem-to-enhance-claim-edits-for-outpatient-facility-claims-3-1706 Or scan this QR code with your phone Medical Policy & Clinical GuidelinesCommercialFebruary 1, 2019 AIM Specialty Health Clinical Guidelines update - Musculoskeletal Program AIM Specialty Health Clinical Guidelines update - Musculoskeletal Program ATTACHMENTS (available on web): 20190201 Update to AIM CGs - MSK - CO rv 20190104 - final.pdf (pdf - 0.51mb) To view this article online: Visit https://providernews.anthem.com/colorado/articles/aim-specialty-health-clinical-guidelines-update-musculoskeletal-program-1708 Or scan this QR code with your phone Medical Policy & Clinical GuidelinesCommercialFebruary 1, 2019 Medical Policy and Clinical UM Guidelines change notification letter Medical Policy and Clinical UM Guidelines change notification letter ATTACHMENTS (available on web): 20190201 WAVE 313 - MAC - MPTAC -CO Provider Notification rv 20190120 final.pdf (pdf - 0.39mb) To view this article online: Visit https://providernews.anthem.com/colorado/articles/medical-policy-and-clinical-um-guidelines-change-notification-letter-1709 Or scan this QR code with your phone Reimbursement PoliciesCommercialFebruary 1, 2019 Body Mass Index (BMI) (Facility Reimbursement Policy - Update) Body Mass Index (BMI) (Facility Reimbursement Policy - Update) ATTACHMENTS (available on web): 20190201 BMI Facility Reimbursement Policy udpate - CO 20190126 final.pdf (pdf - 0.43mb) To view this article online: Visit https://providernews.anthem.com/colorado/articles/body-mass-index-bmi-facility-reimbursement-policy-update-1703 Or scan this QR code with your phone Reimbursement PoliciesCommercialFebruary 1, 2019 Professional Reimbursement Policy Change and supporting claims editing notification for CMS-1500 submitters Professional Reimbursement Policy Change and supporting claims editing notification for CMS-1500 submitters ATTACHMENTS (available on web): 20190201 Prof Reimb Policy Inj Sub w Inj Svs MAC Notification CO rv 20190120 final.pdf (pdf - 0.38mb) To view this article online: Visit https://providernews.anthem.com/colorado/articles/professional-reimbursement-policy-change-and-supporting-claims-editing-notification-for-cms-1500-submitters-4-1707 Or scan this QR code with your phone PharmacyCommercialFebruary 1, 2019 Anthem expands specialty pharmacy medical step therapy drug list Anthem expands specialty pharmacy medical step therapy drug list ATTACHMENTS (available on web): 20190201 Anthem expands SRx Med Step Ther drug list - CO rv 20190107 final.pdf (pdf - 0.29mb) To view this article online: Visit https://providernews.anthem.com/colorado/articles/anthem-expands-specialty-pharmacy-medical-step-therapy-drug-list-4-1701 Or scan this QR code with your phone PharmacyCommercialFebruary 1, 2019 Anthem expands specialty pharmacy prior authorization list Anthem expands specialty pharmacy prior authorization list ATTACHMENTS (available on web): 20190201 Anthem expands SRx Prior Auth list - CO rv 20190107 final.pdf (pdf - 0.3mb) To view this article online: Visit https://providernews.anthem.com/colorado/articles/anthem-expands-specialty-pharmacy-prior-authorization-list-4-1702 Or scan this QR code with your phone PharmacyCommercialFebruary 1, 2019 Clinical criteria updates for specialty pharmacy Clinical criteria updates for specialty pharmacy ATTACHMENTS (available on web): 20190201 Clinical Criteria updates for SRx CO rv 20190104 final.pdf (pdf - 0.27mb) To view this article online: Visit https://providernews.anthem.com/colorado/articles/clinical-criteria-updates-for-specialty-pharmacy-4-1704 Or scan this QR code with your phone