CommercialMay 1, 2021

May 2021 Anthem Provider News and Important Updates - Colorado

Administrative

AdministrativeCommercialMay 6, 2021

Working with Anthem webinars – May 2021 schedule

AdministrativeCommercialMay 1, 2021

Non-participating lab referrals

AdministrativeCommercialMay 1, 2021

Appointment Scheduler application

Digital online scheduling feature now available in the Availity portal.

AdministrativeCommercialMay 1, 2021

Electronic solutions at your fingertips

AdministrativeCommercialMay 1, 2021

2021 Affirmative Statement regarding utilization management decisions

AdministrativeCommercialMay 1, 2021

A helpful and complete guide to covered well-child visits

AdministrativeCommercialMay 1, 2021

May is National High Blood Pressure education month

A WISEWOMAN™ knows that improving blood pressure is good for the heart.

AdministrativeCommercialMay 1, 2021

Resources to support diverse patients and communities

AdministrativeCommercialMay 1, 2021

Send larger digital attachments through Availity

We’ve expanded our file size to 100 megabytes.

AdministrativeCommercialMay 1, 2021

Referring to network DME providers for negative pressure wound therapy helps members save on out-of-pocket costs

AdministrativeCommercialMay 1, 2021

Working with Anthem webinars – May 2021 schedule

Policy Updates

Medical Policy & Clinical GuidelinesCommercialMay 1, 2021

Update to AIM Specialty Health Oncologic Imaging Clinical appropriateness guideline

Reimbursement PoliciesCommercialMay 1, 2021

Facility reimbursement policy reminder: Readmission

Reimbursement PoliciesCommercialMay 1, 2021

Reimbursement policy update: Claims Requiring Additional Documentation (facility)

Reimbursement PoliciesCommercialMay 1, 2021

Professional reimbursement policy update: Frequency Editing

Products & Programs

Products & ProgramsCommercialMay 1, 2021

Modification to voluntary Cancer Care Quality Program, enhanced reimbursement to begin July 1, 2021

Products & ProgramsCommercialMay 1, 2021

Updated AIM Rehabilitative Program Effective August 1, 2021 – Initial Evaluations and Site of Service Reviews (MAC)
Material Adverse Change (MAC)

PharmacyCommercialMay 1, 2021

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

State & Federal

State & FederalMedicare AdvantageMay 1, 2021

Maximizing efficient, high quality COVID-19 screenings

State & FederalMedicare AdvantageMay 1, 2021

Anthem Blue Cross and Blue Shield working with Optum to collect medical records for Medicare risk adjustment

State & FederalMedicare AdvantageMay 1, 2021

Helping our senior members

State & FederalMedicare AdvantageMay 1, 2021

Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness guidelines