CommercialMay 1, 2020

May 2020 Anthem Provider News and Important Updates -- Colorado

Administrative

AdministrativeCommercialApril 30, 2020

Anthem Commercial Risk Adjustment (CRA) Prospective Program Update: Assessing Your Patients for Risk Adjustable Conditions

AdministrativeCommercialApril 30, 2020

Non-participating lab referrals

AdministrativeCommercialApril 30, 2020

Updated Escalation Contact List -- Colorado

AdministrativeCommercialApril 30, 2020

Quality Corner: Diabetes HbA1c<8 HEDIS Guidance

AdministrativeCommercialApril 30, 2020

Working with Anthem Webinars -- May 2020 schedule: CU Health Plan and UCHealth changes effective July 1, 2020

AdministrativeCommercialApril 30, 2020

CU Health Plan and UCHealth changes effective July 1, 2020

AdministrativeCommercialApril 30, 2020

COVID-19 information repository for Anthem care Providers

Policy Updates

Medical Policy & Clinical GuidelinesCommercialApril 30, 2020

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

Medical Policy & Clinical GuidelinesCommercialApril 30, 2020

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines

Medical Policy & Clinical GuidelinesCommercialApril 30, 2020

AIM Specialty Health Clinical Appropriateness Guidelines update -- MSK Interventional Pain Management (MAC)
Material Adverse Change (MAC)

Medical Policy & Clinical GuidelinesCommercialApril 30, 2020

AIM Specialty Health Clinical Appropriateness Guidelines update -- Sleep Disorder Management (MAC)
Material Adverse Change (MAC)

Medical Policy & Clinical GuidelinesCommercialApril 30, 2020

Medical Policy and Clinical UM Guidelines notification letter (MAC)
Material Adverse Change (MAC)

Reimbursement PoliciesCommercialApril 30, 2020

Reminder about System Updates

Reimbursement PoliciesCommercialApril 30, 2020

Claims requiring additional documentation (Facility Reimbursement Policy -- Update for Outpatient) (MAC)
Material Adverse Change (MAC)

Products & Programs

PharmacyCommercialApril 30, 2020

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

State & Federal

State & FederalMedicare AdvantageApril 30, 2020

Keep up with Medicare news

State & FederalMedicare AdvantageApril 30, 2020

Multi-dose packaging

State & FederalMedicare AdvantageApril 30, 2020

Reimbursement Policy: Policy Update-Unlisted, Unspecified or Miscellaneous Codes