CommercialJune 1, 2020
June 2020 Anthem Provider News and Important Updates -- Colorado
Administrative
CommercialMay 31, 2020
A special thank you to Care ProvidersThank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.
CommercialMay 31, 2020
Anthem introduces lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisisCommercialMay 31, 2020
Working with Anthem Webinars -- June 2020 schedule: Anthem onboarding for physical health and behavioral health providersCommercialMay 31, 2020
Reminder: CU Health Plan and UCHealth changes effective July 1, 2020CommercialMay 31, 2020
Anthem Commercial Risk Adjustment (CRA) Program Update: Retrospective Program Begins; Prospective Program ContinuesCommercialMay 31, 2020
Availity Portal Notification CenterCommercialMay 31, 2020
Quality Corner: CPT® Category II codes – Collaborating for enhanced patient careCommercialMay 31, 2020
Updated Escalation Contact List -- ColoradoBehavioral Health
CommercialMay 31, 2020
Anthem enhances process for submitting Behavioral Health AuthorizationsCommercialMay 31, 2020
Quality Corner: Follow-Up after Hospitalization for Mental IllnessPolicy Updates
CommercialMay 31, 2020
Transition to AIM Clinical Appropriateness Guidelines -- Rehabilitative Services (MAC)Material Adverse Change (MAC)
CommercialMay 31, 2020
Nurse Practitioner and Physician Assistant Service (Professional Reimbursement Policy) -- New (MAC)Material Adverse Change (MAC)
Products & Programs
CommercialMay 31, 2020
UPDATE: New Level of Care Medical Necessity Review of Upper and Lower Endoscopy procedures is delayedCommercialMay 31, 2020
Anthem prior authorization updates for specialty pharmacy are available (MAC)Material Adverse Change (MAC)
CommercialMay 31, 2020
Pharmacy information available on anthem.comState & Federal
Medicare AdvantageMay 31, 2020
Modifier use remindersMedicare AdvantageMay 31, 2020
Anthem Blue Cross and Blue Shield (Anthem) working with Optum to collect medical records for risk adjustmentMedicare AdvantageMay 31, 2020
2020 Medicare risk adjustment provider trainingsMedicare AdvantageMay 31, 2020
Diabetes HbA1c < 8 HEDIS guidanceMedicare AdvantageMay 31, 2020
Updates to AIM Sleep Disorder Management Clinical Appropriateness GuidelineMedicare AdvantageMay 31, 2020
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