CommercialSeptember 1, 2021

September 2021 Anthem Provider News and Important Updates - Colorado

Administrative

AdministrativeCommercialSeptember 1, 2021

Non-participating lab referrals

AdministrativeCommercialSeptember 1, 2021

National accounts 2022 pre-certification list

AdministrativeCommercialSeptember 1, 2021

Register now for our September CME webinars!

AdministrativeCommercialSeptember 1, 2021

Statin therapy for patients with diabetes

Achieve 90% patient statin therapy adherence with a personalized approach

AdministrativeCommercialSeptember 1, 2021

6 simple strategies to help increase medication adherence

AdministrativeCommercialSeptember 1, 2021

Cure for the common cold: rest, fluids and this free prescription pad
Be Antibiotic Aware campaign offers a prescription solution to antibiotics.

Digital SolutionsCommercialSeptember 1, 2021

Get your payments faster when you sign up for electronic funds transfer
Introducing EnrollSafe, the new electronic funds transfer enrollment portal for Anthem Blue Cross and Blue Shield providers – replacing CAQH Enrollhub effective November 1, 2021.

Policy Updates

Reimbursement PoliciesCommercialSeptember 1, 2021

Reimbursement policy update: Sexually transmitted infections testing – professional (MAC)
Material Adverse Change (MAC)

Reimbursement PoliciesCommercialSeptember 1, 2021

New reimbursement policy update: Inpatient facility transfers (MAC)
Material Adverse Change (MAC)

Reimbursement PoliciesCommercialSeptember 1, 2021

Reimbursement policy update: Drug screen testing - professional (MAC)
Material Adverse Change (MAC)

Products & Programs

PharmacyCommercialSeptember 1, 2021

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

State & Federal

State & FederalMedicare AdvantageSeptember 1, 2021

Reimbursement policy update: DRG inpatient facility transfers
Policy update: DRG inpatient facility transfers effective November 20, 2021

State & FederalMedicare AdvantageSeptember 1, 2021

Prior authorization/pre-certification form notification

State & FederalMedicare AdvantageSeptember 1, 2021

Keep up with Medicare news – September 2021
  • Clinical criteria updates notification May 2021
  • Anthem Blue Cross and Blue Shield working with Aledade to offer value-based solutions to smaller independent practices in Colorado