CommercialNovember 1, 2019
November 2019 Anthem Provider News and Important Updates - Colorado
Administrative
CommercialOctober 31, 2019
Working with Anthem Webinars -- November 2019 schedule: Provider Maintenance FormCommercialOctober 31, 2019
Provider Action Needed: verify your information is correct, and update us with any changes utilizing our online Provider Maintenance FormCommercialOctober 31, 2019
Anthem appropriate coding helps provide a comprehensive picture of patients’ healthPolicy Updates
CommercialOctober 31, 2019
Additional improvements coming to anthem.com regarding Medical Policies and Clinical GuidelinesCommercialOctober 31, 2019
AIM Specialty Health Clinical Appropriateness Guidelines update -- Advanced Imaging of the Abdomen and Pelvis (MAC)Material Adverse Change (MAC)
CommercialOctober 31, 2019
AIM Specialty Health Clinical Appropriateness Guidelines update -- Radiation Therapy (MAC)Material Adverse Change (MAC)
CommercialOctober 31, 2019
AIM Specialty Health Clinical Appropriateness Guidelines update -- Musculoskeletal Program Spine Surgery (MAC)Material Adverse Change (MAC)
CommercialOctober 31, 2019
Updates to AIM Sleep Disorder Management Clinical Appropriateness GuidelineProducts & Programs
CommercialOctober 31, 2019
Clinical Criteria and prior authorization updates for specialty pharmacy are available (MAC)Material Adverse Change (MAC)
CommercialOctober 31, 2019
Remaining members will transition to new PBM, IngenioRx, on January 1, 2020State & Federal
Medicare AdvantageOctober 31, 2019
Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement (APM ID 0037943)Medicare AdvantageOctober 31, 2019
CMS reminder: expedited/urgent requestsMedicare AdvantageOctober 31, 2019
Electronic submission is preferred method for requesting pharmacy prior authorizationMedicare AdvantageOctober 31, 2019
Prior authorization requirements changes effective November 1, 2019Medicare AdvantageOctober 31, 2019
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