CommercialJuly 1, 2022

July 2022 Anthem Provider News and Important Updates - Colorado

Policy Updates

Medical Policy & Clinical GuidelinesCommercialJuly 1, 2022

Medical Policy and Clinical UM Guidelines notification (MAC)

Material Adverse Change (MAC)

Reimbursement PoliciesCommercialJuly 1, 2022

Reimbursement policy update: Laboratory and Venipuncture Services – professional and facility (MAC)
Material Adverse Change (MAC)

Reimbursement PoliciesCommercialJuly 1, 2022

New Reimbursement policy: Modifier FB – professional and facility (MAC)
Material Adverse Change (MAC)

Reimbursement PoliciesCommercialJuly 1, 2022

New reimbursement policy: Transitional Care Management - professional

Reimbursement PoliciesCommercialJuly 1, 2022

Reimbursement policy update: Place of Service – facility (MAC)

Material Adverse Change (MAC)

Reimbursement PoliciesCommercialJuly 1, 2022

Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, and XU – professional (MAC)
Material Adverse Change (MAC)

Reimbursement PoliciesCommercialJuly 1, 2022

Reimbursement policy update: Modifiers Rules - professional (MAC)
Material Adverse Change (MAC)

Products & Programs

PharmacyCommercialJuly 1, 2022

Pharmacy information available online

PharmacyCommercialJuly 1, 2022

Drug fee schedule update

State & Federal

State & FederalMedicare AdvantageJuly 1, 2022

Cancer Care Navigator