CommercialNovember 1, 2021

November 2021 Anthem Provider News and Important Updates - Colorado

Administrative

AdministrativeCommercialNovember 1, 2021

Surprisingly easy ways to help patients quit smoking cigarettes

AdministrativeCommercialNovember 1, 2021

Be antibiotics aware: Protect your patient

AdministrativeCommercialNovember 1, 2021

Avoid claim denials: VYNE medical attachment program has expired

Advise clearinghouses we no longer accept attachments through this vendor to avoid claim denials.

AdministrativeCommercialNovember 1, 2021

Time to prepare for HEDIS® medical record review

Digital SolutionsCommercialNovember 1, 2021

Against medical advice (AMA) discharge physician tracking tool

Digital SolutionsCommercialNovember 1, 2021

EnrollSafe is available: Our new electronic funds transfer enrollment portal for Anthem providers

EnrollSafe replaces CAQH Enrollhub effective November 1, 2021

Policy Updates

Medical Policy & Clinical GuidelinesCommercialNovember 1, 2021

Medical Policies and Clinical UM Guidelines (MAC)
Material Adverse Change (MAC)

Products & Programs

Products & ProgramsCommercialNovember 1, 2021

Blue High-Performance network name changing for 2022

PharmacyCommercialNovember 1, 2021

Important update on Botox® for Anthem members

PharmacyCommercialNovember 1, 2021

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

State & Federal

State & FederalMedicare AdvantageNovember 1, 2021

Electronic data interchange process

State & FederalMedicare AdvantageNovember 1, 2021

Clinical criteria updates

State & FederalMedicare AdvantageNovember 1, 2021

Updates to AIM Specialty Health cardiology clinical appropriateness guidelines

State & FederalMedicare AdvantageNovember 1, 2021

New York City Medicare Advantage announcement