Colorado
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

OBRA 93 clam filing for Federal Employee Program

September 2022 Anthem Provider News and Updates - Colorado Federal Employee Plan (FEP) Sep 1, 2022

Prior authorization requirement changes effective December 1, 2022

September 2022 Anthem Provider News and Updates - Colorado Medicare Sep 1, 2022

Reminder: AIM prior authorization phone number change for Medicare

September 2022 Anthem Provider News and Updates - Colorado Medicare Sep 1, 2022

Enhancing claims attachment processes through digital applications

September 2022 Anthem Provider News and Updates - Colorado Medicare Sep 1, 2022

Reimbursement policy update: Modifiers 25 and 57 Evaluation and Management with Global Procedures

Policy update: G-06003
September 2022 Anthem Provider News and Updates - Colorado Medicare Sep 1, 2022

Anthem Blue Cross and Blue Shield Expands Specialty Pharmacy Precertification list

September 2022 Anthem Provider News and Updates - Colorado Medicare Sep 1, 2022

Anthem Blue Cross and Blue Shield to accept Hospital in Home services

September 2022 Anthem Provider News and Updates - Colorado Medicare Sep 1, 2022

Keep up with Medicare news – September 2022

September 2022 Anthem Provider News and Updates - Colorado Medicare Sep 1, 2022

Keep up with Medicare news – August 2022

August 2022 Anthem Provider News and Important Updates - Colorado Medicare Aug 1, 2022

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

July 2022 Anthem Provider News and Important Updates - Colorado Medicare Jul 1, 2022

Cancer Care Navigator

July 2022 Anthem Provider News and Important Updates - Colorado Medicare Jul 1, 2022

Keep up with Medicare news – July 2022

July 2022 Anthem Provider News and Important Updates - Colorado Medicare Jul 1, 2022

Process change for Federal Employee Program® third-party correspondence requests

June 2022 Anthem Provider News and Updates - Colorado Federal Employee Plan (FEP) Jun 1, 2022

Authorizations for post-acute care services for Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members

June 2022 Anthem Provider News and Updates - Colorado Medicare Jun 1, 2022

Medical drug benefit Clinical Criteria updates

June 2022 Anthem Provider News and Updates - Colorado Medicare Jun 1, 2022

Medical policies and clinical utilization Management guidelines update

June 2022 Anthem Provider News and Updates - Colorado Medicare Jun 1, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

June 2022 Anthem Provider News and Updates - Colorado Medicare Jun 1, 2022

Provider notice for COVID-19 testing

June 2022 Anthem Provider News and Updates - Colorado Medicare Jun 1, 2022

Keep up with Medicare news – June 2022

June 2022 Anthem Provider News and Updates - Colorado Medicare Jun 1, 2022

CORRECTION: Save time tomorrow by using CPT II codes today: Introducing the FEP Quality Reimbursement Program for PPO providers

May 2022 Anthem Provider News and Update - Colorado Federal Employee Plan (FEP) May 1, 2022

Join us for an FEP Quality Learning Program Live webinar

Everything you need to know about using CPT II Codes.

May 2022 Anthem Provider News and Update - Colorado Federal Employee Plan (FEP) May 1, 2022

Convenient, reliable at-home testing for colorectal cancer and diabetes care

May 2022 Anthem Provider News and Update - Colorado Medicare May 1, 2022

New Strategic Provider System implementation May 2022

May 2022 Anthem Provider News and Update - Colorado Medicare May 1, 2022

HEDIS 2022: Summary of changes from NCQA

May 2022 Anthem Provider News and Update - Colorado Medicare May 1, 2022

HEDIS 2022: Summary of changes from NCQA

May 2022 Anthem Provider News and Update - Colorado Medicare May 1, 2022

New specialty pharmacy medical step therapy requirements

May 2022 Anthem Provider News and Update - Colorado Medicare May 1, 2022

Keep up with Medicare news – May 2022

May 2022 Anthem Provider News and Update - Colorado Medicare May 1, 2022

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO Providers

April 2022 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Apr 1, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Provider News and Important Updates - Colorado Medicare Apr 1, 2022

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

April 2022 Anthem Provider News and Important Updates - Colorado Medicare Apr 1, 2022

The impact of listening

April 2022 Anthem Provider News and Important Updates - Colorado Medicare Apr 1, 2022

Reimbursement policy update: Inpatient Readmissions

Policy G-13001, effective 07/01/22

April 2022 Anthem Provider News and Important Updates - Colorado Medicare Apr 1, 2022

Clinical criteria updates

April 2022 Anthem Provider News and Important Updates - Colorado Medicare Apr 1, 2022

Model of Care required training

April 2022 Anthem Provider News and Important Updates - Colorado Medicare Apr 1, 2022

Keep up with Medicare news – April 2022

April 2022 Anthem Provider News and Important Updates - Colorado Medicare Apr 1, 2022

Change to the Federal Employee Program® Clinical Grievance and Appeal address

March 2022 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Mar 1, 2022

HEDIS® 2022 Federal Employee Program® medical record request requirements

March 2022 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Mar 1, 2022

Annual wellness visits for Medicare Advantage members

March 2022 Anthem Provider News and Important Updates - Colorado Medicare Mar 1, 2022

Pharmacy updates

March 2022 Anthem Provider News and Important Updates - Colorado Medicare Mar 1, 2022

Clinical criteria updates

March 2022 Anthem Provider News and Important Updates - Colorado Medicare Mar 1, 2022

Provider notification for utilization management authorization rule operations workgroup item 2662

March 2022 Anthem Provider News and Important Updates - Colorado Medicare Mar 1, 2022

Keep up with Medicare news – March 2022

March 2022 Anthem Provider News and Important Updates - Colorado Medicare Mar 1, 2022

Get faster payments with EFT

February 2022 Anthem Provider News and Important Updates - Colorado Medicare Feb 1, 2022

New strategic provider system will launch in April 2022

February 2022 Anthem Provider News and Important Updates - Colorado Medicare Feb 1, 2022

Keep up with Medicare news – February 2022

NYC Medicare Advantage Plus update.
February 2022 Anthem Provider News and Important Updates - Colorado Medicare Feb 1, 2022

2022 Federal Employee Plan® benefit information available online

January 2022 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Jan 1, 2022

Important update on Botox® for Medicare members of Anthem Blue Cross and Blue Shield

January 2022 Anthem Provider News and Important Updates - Colorado Medicare Jan 1, 2022

Reducing the burden of medical record review an improving health outcomes with HEDIS ECDS reporting

January 2022 Anthem Provider News and Important Updates - Colorado Medicare Jan 1, 2022

Professional claims – billing referring provider and NPI for home infusion therapy and ambulatory infusion suite

January 2022 Anthem Provider News and Important Updates - Colorado Medicare Jan 1, 2022

Keep up with Medicare news – January 2022

January 2022 Anthem Provider News and Important Updates - Colorado Medicare Jan 1, 2022

Good news: Non-payment remittance advice enhancements are here

December 2021 Anthem Provider News and Important Updates - Colorado Medicare Dec 1, 2021

Policy update: Drug screen testing

Policy update Drug Screen Testing, effective March 1, 2022

December 2021 Anthem Provider News and Important Updates - Colorado Medicare Dec 1, 2021

2022 Medicare Advantage service area and benefit updates

December 2021 Anthem Provider News and Important Updates - Colorado Medicare Dec 1, 2021

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

December 2021 Anthem Provider News and Important Updates - Colorado Medicare Dec 1, 2021

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

December 2021 Anthem Provider News and Important Updates - Colorado Medicare Dec 1, 2021

Somatus is your resource for kidney care management

December 2021 Anthem Provider News and Important Updates - Colorado Medicare Dec 1, 2021

Keep up with Medicare news – December 2021

December 2021 Anthem Provider News and Important Updates - Colorado Medicare Dec 1, 2021

Keep up with Medicare news – November 2021

November 2021 Anthem Provider News and Important Updates - Colorado Medicare Nov 1, 2021

New York City Medicare Advantage announcement

November 2021 Anthem Provider News and Important Updates - Colorado Medicare Nov 1, 2021

Updates to AIM Specialty Health cardiology clinical appropriateness guidelines

November 2021 Anthem Provider News and Important Updates - Colorado Medicare Nov 1, 2021

Clinical criteria updates

November 2021 Anthem Provider News and Important Updates - Colorado Medicare Nov 1, 2021

Anthem Blue Cross and Blue Shield offering Advance Medical Directives program for 2022

November 2021 Anthem Provider News and Important Updates - Colorado Medicare Nov 1, 2021

Electronic data interchange process

November 2021 Anthem Provider News and Important Updates - Colorado Medicare Nov 1, 2021

New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing Providers Nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.  

New 240k member Medicare Advantage Group Retiree PPO plan Medicare Oct 19, 2021

New policy: Sexually transmitted infections testing - professional

October 2021 Anthem Provider News and Important Updates - Colorado Medicare Oct 1, 2021

Information about 2021 special needs plans

October 2021 Anthem Provider News and Important Updates - Colorado Medicare Oct 1, 2021

HEDIS® medical record submission made easier with our Remote EMR Access Service

October 2021 Anthem Provider News and Important Updates - Colorado Medicare Oct 1, 2021

New medical step therapy requirements

October 2021 Anthem Provider News and Important Updates - Colorado Medicare Oct 1, 2021

Get your payments faster when you sign up for electronic funds transfer

October 2021 Anthem Provider News and Important Updates - Colorado Medicare Oct 1, 2021

Keep up with Medicare news – October 2021

October 2021 Anthem Provider News and Important Updates - Colorado Medicare Oct 1, 2021

Reimbursement policy update: DRG inpatient facility transfers

Policy update: DRG inpatient facility transfers effective November 20, 2021
September 2021 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2021

Prior authorization/pre-certification form notification

September 2021 Anthem Provider News and Important Updates - Colorado Medicare Sep 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
September 2021 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2021

Important Update: Change in Email Submission of Service Requests for Federal Employee Program® (MAC)

Material Adverse Change (MAC)
August 2021 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Aug 1, 2021

Preventing claims denials: Shingles vaccine

Know best: Shingles vaccinations are a Medicare Part D benefit whether administered in your office or in the pharmacy.

August 2021 Anthem Provider News and Important Updates - Colorado Medicare Aug 1, 2021

Prior authorization requirement changes effective October 1, 2021 – UM AROW 1907

August 2021 Anthem Provider News and Important Updates - Colorado Medicare Aug 1, 2021

Infliximab Step Therapy – effective July 15, 2021

August 2021 Anthem Provider News and Important Updates - Colorado Medicare Aug 1, 2021

Reimbursement policy reminder: Inpatient readmissions

July 2021 Anthem Provider News and Important Updates - Colorado Medicare Jul 1, 2021

Updates to the AIM advanced imaging clinical appropriateness guidelines

July 2021 Anthem Provider News and Important Updates - Colorado Medicare Jul 1, 2021

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

July 2021 Anthem Provider News and Important Updates - Colorado Medicare Jul 1, 2021

Prior authorization requirement changes effective September 1, 2021 – UM AROW 1845

July 2021 Anthem Provider News and Important Updates - Colorado Medicare Jul 1, 2021

Let’s vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies

July 2021 Anthem Provider News and Important Updates - Colorado Medicare Jul 1, 2021

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

July 2021 Anthem Provider News and Important Updates - Colorado Medicare Jul 1, 2021

Medical drug benefit clinical criteria updates

July 2021 Anthem Provider News and Important Updates - Colorado Medicare Jul 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross and Blue Shield results in improved care management for patients

July 2021 Anthem Provider News and Important Updates - Colorado Medicare Jul 1, 2021

DEXA bone scan criteria for the Federal Employee Program

June 2021 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Jun 1, 2021

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

June 2021 Anthem Provider News and Important Updates - Colorado Medicare Jun 1, 2021

MCG care guidelines 25th edition

June 2021 Anthem Provider News and Important Updates - Colorado Medicare Jun 1, 2021

Medical drug benefit clinical criteria updates

June 2021 Anthem Provider News and Important Updates - Colorado Medicare Jun 1, 2021

Medical policies and clinical utilization management guidelines update

June 2021 Anthem Provider News and Important Updates - Colorado Medicare Jun 1, 2021

Reminders for Medicare Advantage group retiree PPO plans and national access plus FAQ

June 2021 Anthem Provider News and Important Updates - Colorado Medicare Jun 1, 2021

Maximizing efficient, high quality COVID-19 screenings

May 2021 Anthem Provider News and Important Updates - Colorado Medicare May 1, 2021

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

May 2021 Anthem Provider News and Important Updates - Colorado Medicare May 1, 2021

Helping our senior members

May 2021 Anthem Provider News and Important Updates - Colorado Medicare May 1, 2021

Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness guidelines

May 2021 Anthem Provider News and Important Updates - Colorado Medicare May 1, 2021

HEDIS 2021 Federal Employee Program® medical record request requirements

April 2021 Anthem Provider News and Important Updates -- Colorado Federal Employee Plan (FEP) Apr 1, 2021

In-Office Assessment program

April 2021 Anthem Provider News and Important Updates -- Colorado Medicare Apr 1, 2021

Oncology Dose Reduction Program beginning July 1, 2021

April 2021 Anthem Provider News and Important Updates -- Colorado Medicare Apr 1, 2021

Clinical Criteria Updates Notification November 2020

April 2021 Anthem Provider News and Important Updates -- Colorado Medicare Apr 1, 2021

Clinical Criteria Updates Notification December 2020

April 2021 Anthem Provider News and Important Updates -- Colorado Medicare Apr 1, 2021
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