Colorado
Provider Communications

Articles Category: Administrative

Title Publication Category Date

Anthem Chat: A fast, easy way to have your questions answered

September 2020 Anthem Provider News and Important Updates -- Colorado Administrative Sep 1, 2020

EDI Gateway Migration Deadline is September 15, 2020

September 2020 Anthem Provider News and Important Updates -- Colorado Administrative Sep 1, 2020

Enhanced Medical Records Submission Process to Support Claims Processing

September 2020 Anthem Provider News and Important Updates -- Colorado Administrative Sep 1, 2020

Patient360 Adds Care Gap Alert Feedback for Medical Providers

September 2020 Anthem Provider News and Important Updates -- Colorado Administrative Sep 1, 2020

Receive and respond to medical record requests for postpay audit via Change Healthcare’s Attach Assist functionality

September 2020 Anthem Provider News and Important Updates -- Colorado Administrative Sep 1, 2020

Commercial Risk Adjustment (CRA) Reporting Update: 2020 Prospective Program Continues

September 2020 Anthem Provider News and Important Updates -- Colorado Administrative Sep 1, 2020

Working with Anthem Webinars -- September 2020 schedule: Provider Claim Questions/Issue Resolution Process Flow

September 2020 Anthem Provider News and Important Updates -- Colorado Administrative Sep 1, 2020

New provider directory indicators for medication assisted treatment (MAT) providers

September 2020 Anthem Provider News and Important Updates -- Colorado Administrative Sep 1, 2020

National Account members living in Colorado utilizing the Pathway network

September 2020 Anthem Provider News and Important Updates -- Colorado Administrative Sep 1, 2020

Information from Anthem for Care Providers about COVID-19 (Updated August 10, 2020)

We recently updated FAQs with information about the use of modifier CS on claims related to evaluation for COVID-19 testing.
COVID-19 Information - Colorado Administrative Aug 10, 2020

Working with Anthem Webinars -- August 2020 schedule: Quick Tips for adding, changing, terming a provider using the Provider Maintenance Form

August 2020 Anthem Provider News and Important Updates -- Colorado Administrative Aug 1, 2020

Quick Tips: adding, changing, terming a provider using the Provider Maintenance Form

August 2020 Anthem Provider News and Important Updates -- Colorado Administrative Aug 1, 2020

Change Notification to Provider and Facility Manual effective November 1, 2020 (MAC)

Material Adverse Change (MAC)
August 2020 Anthem Provider News and Important Updates -- Colorado Administrative Aug 1, 2020

Expansion of AIM Musculoskeletal Program Effective November 1, 2020 (MAC)

Material Adverse Change (MAC)
August 2020 Anthem Provider News and Important Updates -- Colorado Administrative Aug 1, 2020

Commercial Risk Adjustment (CRA): Appropriate coding helps provide a comprehensive picture of patients’ health

August 2020 Anthem Provider News and Important Updates -- Colorado Administrative Aug 1, 2020

Non-participating lab referrals

August 2020 Anthem Provider News and Important Updates -- Colorado Administrative Aug 1, 2020

Resources to support diverse patients and communities

August 2020 Anthem Provider News and Important Updates -- Colorado Administrative Aug 1, 2020

Migrate Your EDI Transactions to Availity Today

August 2020 Anthem Provider News and Important Updates -- Colorado Administrative Aug 1, 2020

Anthem Electronic Attachments -- X12 275 5010

August 2020 Anthem Provider News and Important Updates -- Colorado Administrative Aug 1, 2020

Prior Authorization/Referral Request and Inpatient Admission/Discharge Notification transactions coming soon

August 2020 Anthem Provider News and Important Updates -- Colorado Administrative Aug 1, 2020

Clinical Laboratory Improvement Amendments (CLIA) ID number required for electronic claims submissions

August 2020 Anthem Provider News and Important Updates -- Colorado Administrative Aug 1, 2020

Updated Escalation Contact List -- Colorado

August 2020 Anthem Provider News and Important Updates -- Colorado Administrative Aug 1, 2020

Drug fee schedule update

July 2020 Anthem Provider News and Important Updates -- Colorado Administrative Jul 1, 2020

Welcome to the Custom Learning Center in Availity

July 2020 Anthem Provider News and Important Updates -- Colorado Administrative Jul 1, 2020

Commercial Risk Adjustment (CRA) 2020 Program Year Progression: What’s in it for you and your patients?

July 2020 Anthem Provider News and Important Updates -- Colorado Administrative Jul 1, 2020

Working with Anthem Webinars -- July 2020 schedule: Anthem Networks Overview

July 2020 Anthem Provider News and Important Updates -- Colorado Administrative Jul 1, 2020

Provider claim questions/issue resolution process flow for Colorado -- Commercial members

July 2020 Anthem Provider News and Important Updates -- Colorado Administrative Jul 1, 2020

Updated Prefix Reference List -- Colorado

July 2020 Anthem Provider News and Important Updates -- Colorado Administrative Jul 1, 2020

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated June 9, 2020)

We are extending coverage for telehealth and telephone-only care. Through September 30, 2020, Anthem will waive member cost shares for telehealth visits from in-network providers, including visits for mental health or substance use disorders.
COVID-19 Information - Colorado Administrative Jun 9, 2020

Important COVID-19 update: Prior authorization and other policy adjustments (Updated June 3, 2020)

We’ve updated guidance about prior authorization requirements and other policy adjustments in response to unprecedented demands on health care providers.
COVID-19 Information - Colorado Administrative Jun 3, 2020

A special thank you to Care Providers

Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.
June 2020 Anthem Provider News and Important Updates -- Colorado Administrative Jun 1, 2020

Anthem introduces lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

June 2020 Anthem Provider News and Important Updates -- Colorado Administrative Jun 1, 2020

Anthem Commercial Risk Adjustment (CRA) Program Update: Retrospective Program Begins; Prospective Program Continues

June 2020 Anthem Provider News and Important Updates -- Colorado Administrative Jun 1, 2020

Availity Portal Notification Center

June 2020 Anthem Provider News and Important Updates -- Colorado Administrative Jun 1, 2020

Quality Corner: CPT® Category II codes – Collaborating for enhanced patient care

June 2020 Anthem Provider News and Important Updates -- Colorado Administrative Jun 1, 2020

Working with Anthem Webinars -- June 2020 schedule: Anthem onboarding for physical health and behavioral health providers

June 2020 Anthem Provider News and Important Updates -- Colorado Administrative Jun 1, 2020

Reminder: CU Health Plan and UCHealth changes effective July 1, 2020

June 2020 Anthem Provider News and Important Updates -- Colorado Administrative Jun 1, 2020

Updated Escalation Contact List -- Colorado

June 2020 Anthem Provider News and Important Updates -- Colorado Administrative Jun 1, 2020

Anthem waives cost share for COVID-19 treatment (updated May 29, 2020)

Effective April 1, we expanded coverage for our members undergoing treatment related to a COVID-19 diagnosis, which covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020.
COVID-19 Information - Colorado Administrative May 29, 2020

Introducing lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

Beginning June 1, 2020, Anthem is introducing our Anthem Health Access Plans for certain large group employers currently enrolled in our commercial lines of business only.
COVID-19 Information - Colorado Administrative May 26, 2020

Webinar recording now available for network providers on SBA loans and other federal relief programs in response to COVID-19 (Updated May 1, 2020)

Anthem hosted a provider webinar to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19. Access the webinar recording using the password “health” to learn more about federal financial relief for providers.
COVID-19 Information - Colorado Administrative May 1, 2020

Quality Corner: Diabetes HbA1c<8 HEDIS Guidance

May 2020 Anthem Provider News and Important Updates -- Colorado Administrative May 1, 2020

COVID-19 information repository for Anthem care Providers

May 2020 Anthem Provider News and Important Updates -- Colorado Administrative May 1, 2020

CU Health Plan and UCHealth changes effective July 1, 2020

May 2020 Anthem Provider News and Important Updates -- Colorado Administrative May 1, 2020

Working with Anthem Webinars -- May 2020 schedule: CU Health Plan and UCHealth changes effective July 1, 2020

May 2020 Anthem Provider News and Important Updates -- Colorado Administrative May 1, 2020

Updated Escalation Contact List -- Colorado

May 2020 Anthem Provider News and Important Updates -- Colorado Administrative May 1, 2020

Non-participating lab referrals

May 2020 Anthem Provider News and Important Updates -- Colorado Administrative May 1, 2020

Anthem Commercial Risk Adjustment (CRA) Prospective Program Update: Assessing Your Patients for Risk Adjustable Conditions

May 2020 Anthem Provider News and Important Updates -- Colorado Administrative May 1, 2020

Federal Resources Available for Care Providers and Employers in the Federal CARES Act

During the COVID-19 crisis, care providers are working to keep the country running while navigating the financial impact it is having on them. To help care providers navigate the resources available to them Anthem has compiled information on programs we have learned about that could provide additional financial relief during this crisis.
COVID-19 Information - Colorado Administrative Apr 10, 2020

Information from Anthem for Care Providers about COVID-19

Bookmark Provider News Home for the latest information for Care Providers about COVID-19.
April 2020 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2020

Working with Anthem Webinars -- April 2020 schedule: New Provider Enrollment Application

April 2020 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2020

REMINDER: New AIM Rehabilitative Program effective April 1, 2020

April 2020 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2020

Important clarification about HMO/Point of Service (POS) health plan information for CHEIBA members

April 2020 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2020

Updated Networks at a Glance and Networks Overview documents -- Colorado

April 2020 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2020

Drug fee schedule update

April 2020 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2020

Provider Transparency Update

April 2020 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2020

Anthem continues focus on updates to our public provider website

April 2020 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2020

Anthem acquires Beacon Health Options

April 2020 Anthem Provider News and Important Updates -- Colorado Administrative Mar 2, 2020

Commercial Risk Adjustment (CRA) Program Update: Medical chart collection for ACA members due March 31, 2020

March 2020 Anthem Provider News and Important Updates -- Colorado Administrative Mar 1, 2020

Modifier use reminders

March 2020 Anthem Provider News and Important Updates -- Colorado Administrative Mar 1, 2020

Important coding reminder for Walk-In Retail Health Clinics

March 2020 Anthem Provider News and Important Updates -- Colorado Administrative Mar 1, 2020

Patient360 enhancement for medical providers

March 2020 Anthem Provider News and Important Updates -- Colorado Administrative Mar 1, 2020

Working with Anthem Webinars -- March 2020 schedule: Availity tools and functionality overview

March 2020 Anthem Provider News and Important Updates -- Colorado Administrative Mar 1, 2020

Provider News site enhancements

March 2020 Anthem Provider News and Important Updates -- Colorado Administrative Mar 1, 2020

Updated Escalation Contact List -- Colorado

March 2020 Anthem Provider News and Important Updates -- Colorado Administrative Mar 1, 2020

Updated Prefix Reference List -- Colorado

March 2020 Anthem Provider News and Important Updates -- Colorado Administrative Mar 1, 2020

Working with Anthem Webinars -- February 2020 schedule: Anthem.com Overview (legacy pages retiring March 31, 2020)

February Working with Anthem webinar: Anthem.com Overview (legacy pages retiring March 31, 2020) - Colorado Administrative Feb 10, 2020

Working with Anthem Webinars -- February 2020 schedule: Anthem.com Overview (legacy pages retiring March 31, 2020)

February 2020 Anthem Provider News and Important Updates -- Colorado Administrative Feb 1, 2020

UPDATE: New AIM Rehabilitative Program effective April 1, 2020

February 2020 Anthem Provider News and Important Updates -- Colorado Administrative Feb 1, 2020

Anthem SOAP Notes/Health Assessments for 2019 calendar year are due February 15, 2020

February 2020 Anthem Provider News and Important Updates -- Colorado Administrative Feb 1, 2020

Receive and respond to post pay audit medical record requests via Availity beginning February 10, 2020

January 2020 Anthem Provider News and Important Updates - Colorado Administrative Jan 1, 2020

New Musculoskeletal and Pain Management Solution Effective for Select National ASO Accounts January 1, 2020

January 2020 Anthem Provider News and Important Updates - Colorado Administrative Jan 1, 2020

Upcoming retirement planned for legacy Medical Attachment submission tool

January 2020 Anthem Provider News and Important Updates - Colorado Administrative Jan 1, 2020

Let us help you accomplish your 2020 “To Do” list early – EDI Migration

January 2020 Anthem Provider News and Important Updates - Colorado Administrative Jan 1, 2020

New Year brings new ID cards for many Anthem members

January 2020 Anthem Provider News and Important Updates - Colorado Administrative Jan 1, 2020

Drug fee schedule update

January 2020 Anthem Provider News and Important Updates - Colorado Administrative Jan 1, 2020

New Pathway PPO network to support new product offerings available January 1, 2020

January 2020 Anthem Provider News and Important Updates - Colorado Administrative Jan 1, 2020

Working with Anthem Webinars -- January 2020 schedule: Pathway PPO Overview

January 2020 Anthem Provider News and Important Updates - Colorado Administrative Jan 1, 2020

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

December 2019 Anthem Provider News and Important Updates - Colorado Administrative Dec 1, 2019

Case Management Program

December 2019 Anthem Provider News and Important Updates - Colorado Administrative Dec 1, 2019

Coordination of Care

December 2019 Anthem Provider News and Important Updates - Colorado Administrative Dec 1, 2019

Retrieve your Anthem Patient’s HEDIS® care gaps through Patient360 located on the Availity Portal

December 2019 Anthem Provider News and Important Updates - Colorado Administrative Dec 1, 2019

Working with Anthem Webinars -- January 2019 schedule: Pathway PPO Overview

December 2019 Anthem Provider News and Important Updates - Colorado Administrative Dec 1, 2019

Verifying and updating your provider information

December 2019 Anthem Provider News and Important Updates - Colorado Administrative Dec 1, 2019

Non-participating lab referrals

December 2019 Anthem Provider News and Important Updates - Colorado Administrative Dec 1, 2019

Important Information about Utilization Management

December 2019 Anthem Provider News and Important Updates - Colorado Administrative Dec 1, 2019

Members’ Rights and Responsibilities

December 2019 Anthem Provider News and Important Updates - Colorado Administrative Dec 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

December 2019 Anthem Provider News and Important Updates - Colorado Administrative Dec 1, 2019

Anthem appropriate coding helps provide a comprehensive picture of patients’ health

November 2019 Anthem Provider News and Important Updates - Colorado Administrative Nov 1, 2019

Working with Anthem Webinars -- November 2019 schedule: Provider Maintenance Form

November 2019 Anthem Provider News and Important Updates - Colorado Administrative Nov 1, 2019

Provider Action Needed: verify your information is correct, and update us with any changes utilizing our online Provider Maintenance Form

November 2019 Anthem Provider News and Important Updates - Colorado Administrative Nov 1, 2019

Enhanced search and download options allow easy access to information at your fingertips

Get the latest critical information from Anthem that impacts you; View Provider News for easy access at your fingertips - Colorado Administrative Oct 25, 2019

Working with Anthem Webinars -- October 2019 schedule: Provider Enrollment Application tool on Availity

October Working with Anthem Webinar: New Provider Enrollment Application tool overview - Colorado Administrative Oct 10, 2019

Anthem launches additional changes to anthem.com

October 2019 Anthem Provider News and Important Updates - Colorado Administrative Oct 1, 2019

Drug fee schedule update

October 2019 Anthem Provider News and Important Updates - Colorado Administrative Oct 1, 2019

National Accounts 2020 Pre-certification list

October 2019 Anthem Provider News and Important Updates - Colorado Administrative Oct 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program continues

October 2019 Anthem Provider News and Important Updates - Colorado Administrative Oct 1, 2019

Anthem engages Matrix to conduct mobile health clinics and in-home assessments for targeted members

October 2019 Anthem Provider News and Important Updates - Colorado Administrative Oct 1, 2019

Pre-certification/Pre-authorization requirement changes effective January 1, 2020 (MAC)

Material Adverse Change (MAC)
October 2019 Anthem Provider News and Important Updates - Colorado Administrative Oct 1, 2019

Working with Anthem Webinars -- October 2019 schedule: Provider Enrollment Application tool on Availity

October 2019 Anthem Provider News and Important Updates - Colorado Administrative Oct 1, 2019
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