CommercialSeptember 1, 2022
September 2022 Anthem Provider News and Updates - Colorado
Administrative
CommercialAugust 31, 2022
CAA: Current provider directory information is key for members and providers to engage with you seamlesslyCommercialAugust 31, 2022
Correction: New patient evaluation and management services when reported for the same patient within the last three yearsCommercialAugust 31, 2022
Monkeypox resources and recommendations for our care providersCommercialAugust 31, 2022
Change notification to Provider and Facility Manual, effective December 1, 2022CommercialAugust 31, 2022
Important information about women’s preventive care visitsCommercialAugust 31, 2022
Working with Anthem webinars – September 2022 schedule: Colorado Public Option HB 21-1232 (the “Public Option Law”) for Anthem Blue Cross and Blue Shield PlansCommercialAugust 31, 2022
Drug code billing reminderCommercialAugust 31, 2022
Continuing to Explore the Intersection of Race and DisabilityCommercialAugust 31, 2022
Anthem Blue Cross and Blue Shield to accept Hospital in Home servicesCommercialAugust 31, 2022
Important updates for referrals to specialists in the CU Health Plan - ExclusiveCommercialAugust 31, 2022
Updates to the Claim Attachment workflowPolicy Updates
CommercialAugust 31, 2022
Medical Policy and Clinical UM Guidelines notification (MAC)Material Adverse Change (MAC)
CommercialAugust 31, 2022
Commercial reimbursement policy update to Modifier 66: Surgical Teams - ProfessionalCommercialAugust 31, 2022
Reimbursement policy update Assistant at Surgery (Modifiers 80, 81, 82, AS) - ProfessionalCommercialAugust 31, 2022
Reimbursement Policy update: Modifier Rules – Professional (MAC)Material Adverse Change (MAC)
Products & Programs
CommercialAugust 31, 2022
OBRA 93 clam filing for Federal Employee ProgramCommercialAugust 31, 2022
Update to formulary lists for Commercial health plan pharmacy benefitCommercialAugust 31, 2022
Prior authorization specialty pharmacy updates (MAC)Material Adverse Change (MAC)
State & Federal
Medicare AdvantageAugust 31, 2022
Prior authorization requirement changes effective December 1, 2022Medicare AdvantageAugust 31, 2022
Reminder: AIM prior authorization phone number change for MedicareMedicare AdvantageAugust 31, 2022
Enhancing claims attachment processes through digital applicationsMedicare AdvantageAugust 31, 2022
Reimbursement policy update: Modifiers 25 and 57 Evaluation and Management with Global ProceduresPolicy update: G-06003
Medicare AdvantageAugust 31, 2022
Anthem Blue Cross and Blue Shield Expands Specialty Pharmacy Precertification listMedicare AdvantageAugust 31, 2022
Anthem Blue Cross and Blue Shield to accept Hospital in Home servicesMedicare AdvantageAugust 31, 2022
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