Colorado
Provider Communications

Articles

Title Publication Category Date

CORRECTION: Notice regarding post-pay review of ER claims

CORRECTION: Notice regarding post-pay review of ER claims - Colorado Reimbursement Policies May 16, 2019

Working with Anthem Webinars - May 2019 schedule: Availity Tools and Functionality Overview

Working with Anthem Webinars - May 2019 schedule: Availity tools and functionality overview - Colorado Administrative May 10, 2019

Anthem expands specialty pharmacy medical step therapy drug list

May 2019 Anthem Important Updates - Colorado Pharmacy May 1, 2019

MCG care guidelines 23rd Edition and Anthem customizations

May 2019 Anthem Important Updates - Colorado Medical Policy & Clinical Guidelines May 1, 2019

Anthem specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents

May 2019 Anthem Provider Newsletter - Colorado Pharmacy May 1, 2019

Working with Anthem Webinars - May 2019 schedule: Availity Tools and Functionality Overview

May 2019 Anthem Provider Newsletter - Colorado Administrative May 1, 2019

Electronic Member ID Cards - Easy online access on the Availity Portal

May 2019 Anthem Provider Newsletter - Colorado Administrative May 1, 2019

Updated Escalation Contact List

May 2019 Anthem Provider Newsletter - Colorado Administrative May 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Health Assessment requests for 2019 / Alternative reporting engagement

May 2019 Anthem Provider Newsletter - Colorado Administrative May 1, 2019

Anthem Contracted Ambulance Providers

May 2019 Anthem Provider Newsletter - Colorado Administrative May 1, 2019

New Benefit / Service types added to the Eligibility and Benefits Inquiry tool in the Availity Portal

May 2019 Anthem Provider Newsletter - Colorado Administrative May 1, 2019

ATTENTION! Availity launches additional changes to the new look to our Medical Attachment submission tool

May 2019 Anthem Provider Newsletter - Colorado Administrative May 1, 2019

Review of professional claims with emergency room level 5 E/M codes

May 2019 Anthem Provider Newsletter - Colorado Reimbursement Policies May 1, 2019

Drug Screen Testing (Professional Reimbursement Policy - Updated)

May 2019 Anthem Provider Newsletter - Colorado Reimbursement Policies May 1, 2019

Fall prevention tips

May 2019 Anthem Provider Newsletter - Colorado Medicare May 1, 2019

Medical records request for risk adjustment

May 2019 Anthem Provider Newsletter - Colorado Medicare May 1, 2019

Modifier 63: Procedure Performed on Infants Less Than 4 kg - Policy 06-015

May 2019 Anthem Provider Newsletter - Colorado Medicare May 1, 2019

Partial hospitalization services

May 2019 Anthem Provider Newsletter - Colorado Medicare May 1, 2019

Keep up with Medicare news

May 2019 Anthem Provider Newsletter - Colorado Medicare May 1, 2019

Update: Temporarily retracting roll out of Availity Claim Payment dispute tool for Commercial claims - Colorado

Update: Temporarily retracting roll out of Availity Claim Payment dispute tool for Commercial claims - Colorado Administrative Apr 5, 2019

Working with Anthem Webinars - April 2019 schedule: new Digital Provider Enrollment Application tool and Provider Maintenance Form

Working with Anthem Webinars - April 2019 schedule: new Digital Provider Enrollment Application tool and Provider Maintenance Form - Colorado Administrative Apr 5, 2019

Anthem’s new Digital Provider Enrollment application - now available

Working with Anthem Webinars - April 2019 schedule: new Digital Provider Enrollment Application tool and Provider Maintenance Form - Colorado Administrative Apr 5, 2019

Anthem expands specialty pharmacy prior authorization list

April 2019 Anthem Important Updates - Colorado Pharmacy Apr 1, 2019

New AIM Rehabilitation program effective July 1, 2019

April 2019 Anthem Important Updates - Colorado Administrative Apr 1, 2019

Partial Hospitalization and Intensive Outpatient Program Services (Facility Reimbursement Policy - New)

April 2019 Anthem Important Updates - Colorado Reimbursement Policies Apr 1, 2019

AIM Specialty Health Clinical Guidelines update -- Advanced Imaging of the Head and Neck

April 2019 Anthem Important Updates - Colorado Medical Policy & Clinical Guidelines Apr 1, 2019

AIM Specialty Health Clinical Guidelines update -- Advanced Imaging of the Heart

April 2019 Anthem Important Updates - Colorado Medical Policy & Clinical Guidelines Apr 1, 2019

AIM Specialty Health Clinical Guidelines update -- Musculoskeletal Joint Surgery

April 2019 Anthem Important Updates - Colorado Medical Policy & Clinical Guidelines Apr 1, 2019

AIM Specialty Health Clinical Guidelines update -- Sleep Disorder Management

April 2019 Anthem Important Updates - Colorado Medical Policy & Clinical Guidelines Apr 1, 2019

Pharmacy information available at anthem.com

April 2019 Anthem Provider Newsletter - Colorado Pharmacy Apr 1, 2019

Drug fee schedule update

April 2019 Anthem Provider Newsletter - Colorado Administrative Apr 1, 2019

Working with Anthem Webinars - April 2019 schedule: new Digital Provider Enrollment Application tool and Provider Maintenance Form

April 2019 Anthem Provider Newsletter - Colorado Administrative Apr 1, 2019

Anthem’s new Digital Provider Enrollment application - now available

April 2019 Anthem Provider Newsletter - Colorado Administrative Apr 1, 2019

New look to our Medical Attachment submission tool

April 2019 Anthem Provider Newsletter - Colorado Administrative Apr 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Accurate coding helps provide a comprehensive picture of patients’ health and services provided

April 2019 Anthem Provider Newsletter - Colorado Administrative Apr 1, 2019

Non-participating lab referrals

April 2019 Anthem Provider Newsletter - Colorado Administrative Apr 1, 2019

Updated Escalation Contact List

April 2019 Anthem Provider Newsletter - Colorado Administrative Apr 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

April 2019 Anthem Provider Newsletter - Colorado Medicare Apr 1, 2019

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

April 2019 Anthem Provider Newsletter - Colorado Medicare Apr 1, 2019

Electronic claim payment reconsideration

April 2019 Anthem Provider Newsletter - Colorado Medicare Apr 1, 2019

Keep up with Medicare news

April 2019 Anthem Provider Newsletter - Colorado Medicare Apr 1, 2019

Medical Policy and Clinical UM Guideline changes notification letter

March 2019 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Mar 1, 2019

Provider Transparency Update

March 2019 Anthem Provider Newsletter - CO Products & Programs Mar 1, 2019

Some of your patients will begin moving to IngenioRx in Q2 2019

March 2019 Anthem Provider Newsletter - CO Pharmacy Mar 1, 2019

Important reminder regarding Specialty Pharmacy clinical site of care program

March 2019 Anthem Provider Newsletter - CO Pharmacy Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - CO Pharmacy Mar 1, 2019

Important update to Anthem’s commercial drug lists

March 2019 Anthem Provider Newsletter - CO Pharmacy Mar 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

March 2019 Anthem Provider Newsletter - CO Pharmacy Mar 1, 2019

Working with Anthem Webinars - March 2019 schedule: new Availity Claim Payment Dispute Tool

March 2019 Anthem Provider Newsletter - CO Administrative Mar 1, 2019

Update: New process to submit claim payment disputes electronically coming March 18, 2019

March 2019 Anthem Provider Newsletter - CO Administrative Mar 1, 2019

Anthem launches additional changes to anthem.com in March

March 2019 Anthem Provider Newsletter - CO Administrative Mar 1, 2019

Anthem Commercial Risk Adjustment (CRA) Program Update: Medical chart collection for ACA members due March 31, 2019 at the latest

March 2019 Anthem Provider Newsletter - CO Administrative Mar 1, 2019

Updated Escalation Contact List

March 2019 Anthem Provider Newsletter - CO Administrative Mar 1, 2019

Dual Eligible Special Needs Plans -- provider training required

March 2019 Anthem Provider Newsletter - CO Medicare Mar 1, 2019

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Anthem Provider Newsletter - CO Medicare Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - CO Medicare Mar 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Anthem Provider Newsletter - CO Medicare Mar 1, 2019

Keep up with Medicare news

March 2019 Anthem Provider Newsletter - CO Medicare Mar 1, 2019

Working with Anthem Webinars - February 2019 schedule: WellChoice Network and Plans Overview

Working with Anthem Webinars - February 2019 schedule: WellChoice Network and Plans Overview Administrative Feb 6, 2019

Anthem expands specialty pharmacy medical step therapy drug list

February 2019 Anthem Important Updates - CO Pharmacy Feb 1, 2019

Anthem expands specialty pharmacy prior authorization list

February 2019 Anthem Important Updates - CO Pharmacy Feb 1, 2019

Body Mass Index (BMI) (Facility Reimbursement Policy - Update)

February 2019 Anthem Important Updates - CO Reimbursement Policies Feb 1, 2019

Clinical criteria updates for specialty pharmacy

February 2019 Anthem Important Updates - CO Pharmacy Feb 1, 2019

National Drug Code (NDC) Requirement on Outpatient Claims expanded - effective May 1, 2019

February 2019 Anthem Important Updates - CO Administrative Feb 1, 2019

Anthem to enhance claim edits for outpatient facility claims

February 2019 Anthem Important Updates - CO Administrative Feb 1, 2019

Professional Reimbursement Policy Change and supporting claims editing notification for CMS-1500 submitters

February 2019 Anthem Important Updates - CO Reimbursement Policies Feb 1, 2019

AIM Specialty Health Clinical Guidelines update - Musculoskeletal Program

February 2019 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Feb 1, 2019

Medical Policy and Clinical UM Guidelines change notification letter

February 2019 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Feb 1, 2019

Member Satisfaction with Behavioral Health Outpatient Services

February 2019 Anthem Provider Newsletter - CO Behavioral Health Feb 1, 2019

Pharmacy information available on anthem.com

February 2019 Anthem Provider Newsletter - CO Pharmacy Feb 1, 2019

Working with Anthem Webinars - February 2019 schedule: WellChoice Network and Plans Overview

February 2019 Anthem Provider Newsletter - CO Administrative Feb 1, 2019

Updated Escalation Contact List

February 2019 Anthem Provider Newsletter - CO Administrative Feb 1, 2019

Updated Prefix Reference List

February 2019 Anthem Provider Newsletter - CO Administrative Feb 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred (Professional)

February 2019 Anthem Provider Newsletter - CO Reimbursement Policies Feb 1, 2019

Significant Edits (Professional)

February 2019 Anthem Provider Newsletter - CO Reimbursement Policies Feb 1, 2019

Reminder: Review ICD-10-CM Coding Guidelines (Professional)

February 2019 Anthem Provider Newsletter - CO Reimbursement Policies Feb 1, 2019

Reimbursement Policies are available online

February 2019 Anthem Provider Newsletter - CO Reimbursement Policies Feb 1, 2019

Clear Claim Connection: our web-based claim edit tool

February 2019 Anthem Provider Newsletter - CO Reimbursement Policies Feb 1, 2019

HEDIS 2019 Federal Employee Program® medical record request requirements

February 2019 Anthem Provider Newsletter - CO Federal Employee Plan (FEP) Feb 1, 2019

Reminder - Anthem follows Original Medicare policies

February 2019 Anthem Provider Newsletter - CO Medicare Feb 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Provider Newsletter - CO Medicare Feb 1, 2019

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Provider Newsletter - CO Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Provider Newsletter - CO Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Anthem Provider Newsletter - CO Medicare Feb 1, 2019

Provider and Facility identified Overpayments (aka “voluntary” or “unsolicited”)

February 2019 Anthem Provider Newsletter - CO Administrative Feb 1, 2019

Anthem Announces Early Launch of IngenioRx

Anthem Announces Early Launch of IngenioRx Pharmacy Jan 30, 2019

New 2019 Health Care Plan information for all Colorado PERA Retirees UPDATED - CO

New 2019 Health Care Plan information for all Colorado PERA Retirees UPDATED - CO Administrative Jan 25, 2019

New Year Brings New ID Cards - and New ID Numbers - for Many Anthem Members

January 2019 New Year Brings New ID Cards and New ID Numbers for Many Anthem Members - CO Administrative Jan 25, 2019

Working with Anthem Webinar: New 2019 Health Care Plan information for all Colorado PERA Retirees

Working with Anthem Webinar: New 2019 Health Care Plan information for all Colorado PERA Retirees Administrative Jan 14, 2019

Medical Policy and Clinical UM Guideline changes notification letter

January 2019 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Jan 1, 2019

Update regarding drugs not approved by the FDA

January 2019 Anthem Provider Newsletter - CO Pharmacy Jan 1, 2019

Drug fee schedule update

January 2019 Anthem Provider Newsletter - CO Administrative Jan 1, 2019

Reminder: HCPCS code A0998 Ambulance response and treatment with no transport is active and available for use

January 2019 Anthem Provider Newsletter - CO Administrative Jan 1, 2019

Clear Claim Connection

January 2019 Anthem Provider Newsletter - CO Reimbursement Policies Jan 1, 2019

Anthem offers risk adjustment and documentation training

January 2019 Anthem Provider Newsletter - CO Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Provider Newsletter - CO Medicare Jan 1, 2019

Simplifying medication prior authorization processes

January 2019 Anthem Provider Newsletter - CO Pharmacy Jan 1, 2019

Working with Anthem - 2019 Subject Specific Webinars - January schedule

January 2019 Anthem Provider Newsletter - CO Administrative Jan 1, 2019

Update: New process to submit claim payment disputes electronically

January 2019 Anthem Provider Newsletter - CO Administrative Jan 1, 2019

SOAP Notes/Health Assessments for 2018 calendar year are due February 15, 2019

January 2019 Anthem Provider Newsletter - CO Administrative Jan 1, 2019
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