Colorado
Provider Communications

Articles

Title Publication Category Date

Drug fee schedule update

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

Drug fee schedule update

October 2018 Anthem Provider Newsletter - CO Administrative Oct 1, 2018

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

Commercial Risk Adjustment (CRA) Reporting Update: New guidance on telephone-only service CPT codes

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

Fall Provider Seminars Final Announcement - sessions start this week!

October 2018 Anthem Provider Newsletter - CO Administrative Oct 1, 2018

National Accounts 2021 Pre-certification list

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

Anthem launches additional changes to anthem.com in October

October 2018 Anthem Provider Newsletter - CO Administrative Oct 1, 2018

Drug fee schedule update

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

New process to submit claim payment disputes electronically

October 2018 Anthem Provider Newsletter - CO Administrative Oct 1, 2018

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 accepts pre-certification requests for prescription medications online

October 2018 Anthem Provider Newsletter - CO Administrative Oct 1, 2018

Anthem’s new Digital Provider Enrollment application - now available

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

Anthem to acquire Beacon Health Options

N/A Administrative Jun 18, 2019

Non-participating lab referrals

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

Special Investigations Unit updates

October 2018 Anthem Provider Newsletter - CO Administrative Oct 1, 2018

Working with Anthem Webinars -- September 2019 schedule: Anthem 101/Provider Orientation for Behavioral Health Providers

September 2019 Anthem Provider News and Important Updates - Colorado Administrative Sep 1, 2019

Appointment Scheduler application

Digital online scheduling feature now available in the Availity portal.

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

Integrated Medical and Behavioral Healthcare Services

October 2018 Anthem Provider Newsletter - CO Administrative Oct 1, 2018

New look to our Medical Attachment submission tool

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

Electronic solutions at your fingertips

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

Tips for billing CPT modifier 33

October 2018 Anthem Provider Newsletter - CO Administrative Oct 1, 2018

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

Anthem launches Sydney on September 1; New app offers better digital health care support to members

September 2019 Anthem Provider News and Important Updates - Colorado Administrative Sep 1, 2019

2021 Affirmative Statement regarding utilization management decisions

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

Explore new enhancements to the Education and Reference Center on the Availity Portal

October 2018 Anthem Provider Newsletter - CO Administrative Oct 1, 2018

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

July 2019 Anthem Provider News and Important Updates - Colorado Administrative Jul 1, 2019

Reminder: Changes to timely filing requirements coming in October

September 2019 Anthem Provider News and Important Updates - Colorado Administrative Sep 1, 2019

A helpful and complete guide to covered well-child visits

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

Regular check-ins with your clearinghouse could affect timely filing

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

Anthem has partnered with Availity as our designated EDI Gateway

October 2018 Anthem Provider Newsletter - CO Administrative Oct 1, 2018

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Risk Adjustment Data Validation (RADV) Audit happening now

September 2019 Anthem Provider News and Important Updates - Colorado Administrative Sep 1, 2019

May is National High Blood Pressure education month

A WISEWOMAN™ knows that improving blood pressure is good for the heart.

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

Availity EDI Gateway Webinars Scheduled

October 2018 Anthem Provider Newsletter - CO Administrative Oct 1, 2018

Update to Provider/Facility UM reimbursement penalties and corresponding update to Provider/Facility Manual (MAC)

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

Access requirements for Behavioral Healthcare services

September 2019 Anthem Provider News and Important Updates - Colorado Administrative Sep 1, 2019

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

Resources to support diverse patients and communities

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

Health Care Reform Updates (including Health Insurance Marketplace / Affordable Care Act)

October 2018 Anthem Provider Newsletter - CO Administrative Oct 1, 2018

Non-participating lab referrals

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

Working with Anthem Webinars - July 2019 schedule: Networks Overview

July 2019 Anthem Provider News and Important Updates - Colorado Administrative Jul 1, 2019

Send larger digital attachments through Availity

We’ve expanded our file size to 100 megabytes.

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

PCP after-hours access requirements

September 2019 Anthem Provider News and Important Updates - Colorado Administrative Sep 1, 2019

Referring to network DME providers for negative pressure wound therapy helps members save on out-of-pocket costs

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

Provider Transparency Update

September 2019 Anthem Provider News and Important Updates - Colorado Administrative Sep 1, 2019

Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study finds

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

Keep your contact information current

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

Working with Anthem webinars – June 2021 schedule: Provider orientation for physical health and behavioral health providers

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

HEDIS® 2018 Commercial Results Are In

December 2018 Anthem Provider Newsletter - CO Administrative Dec 1, 2018

Plans offered in 2019

December 2018 Anthem Provider Newsletter - CO Administrative Dec 1, 2018

Updated Escalation Contact List

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

Anthem acquires Beacon Health Options

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

Networks at a Glance

December 2018 Anthem Provider Newsletter - CO Administrative Dec 1, 2018

Updated Escalation Contact List

December 2018 Anthem Provider Newsletter - CO Administrative Dec 1, 2018

Updated Prefix Reference List

December 2018 Anthem Provider Newsletter - CO Administrative Dec 1, 2018

Working with Anthem webinars – May 2021 schedule

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

Health Care Reform Updates (including Health Insurance Marketplace / Affordable Care Act)

December 2018 Anthem Provider Newsletter - CO Administrative Dec 1, 2018

Working with Anthem webinars – June 2021 schedule: Provider orientation for physical health and behavioral health providers

Anthem webinars – June 2021 schedule - Colorado Administrative Jun 22, 2021

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

Telehealth visits can impact after-hospitalization follow-up care for mental illness

Reductions in missed appointments are significant.

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

Clearing up-coding confusion for retinal eye exams (DRE)

New language for two-year compliance (3072F).

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

Register now for our August CME webinars!

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

Facility Revenue Code Billing (Facility Reimbursement Policy - New)

October 2018 Anthem Important Updates - CO Administrative Oct 1, 2018

Working with Anthem webinars – August 2021 schedule: Quick tips for adding, changing, terming a provider using the Provider Maintenance Form

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

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

October 2018 Anthem Important Updates - CO Administrative Oct 1, 2018

Readmission (Facility Reimbursement Policy - Update)

October 2018 Anthem Important Updates - CO Administrative Oct 1, 2018

New AIM Rehabilitation program effective July 1, 2019

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

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

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

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

Register for upcoming CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

5 Strategies to Improve Your Quality Measures - June 10th, 12 p.m. or 3 p.m. ET
7 Ways to Enhance Your Patients’ Experience - June 17th, 12 p.m. or 3 p.m. ET

Register now!



Clinical Quality CME Webinar Series - Colorado Administrative May 27, 2021

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated January 8, 2021)

We’ve updated information about coverage for telephonic-only care.
COVID-19 Information - Colorado Administrative Jan 8, 2021

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

Information from Anthem for Care Providers about COVID-19 (Updated August 2, 2021)

We recently updated information about coverage dates for telephonic-only care.

COVID-19 Information - Colorado Administrative Aug 2, 2021

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

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators Administrative Jun 25, 2021

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

New Autism Codes Effective January 1, 2019 - CO

New Autism Codes Effective January 1, 2019 - CO Administrative Dec 12, 2018

Non-participating lab referrals

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

Drug fee schedule update

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

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

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

Resources to support diverse patients and communities

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

Timely receipt of the primary payer’s EOB can help reduce timely filing denials for secondary claims

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

Drug fee schedule update

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

Migrate Your EDI Transactions to Availity Today

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

Proper coding for in-home monitoring can make a measurable difference for INR

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

Welcome to the Custom Learning Center in Availity

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

Anthem Electronic Attachments -- X12 275 5010

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

Company to retire Blue Precision program at the end of the year

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

Working with Anthem webinars – Anthem networks overview

July 2021 webinar schedule.
Working with Anthem Webinars: July 2021 Schedule: Anthem Networks Overview - Colorado Administrative Jul 15, 2021

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

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

Non-participating lab referrals

August 2019 Anthem Provider News and Important Updates - Colorado Administrative Aug 1, 2019

Updated Prefix Reference List -- Colorado

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

Register for upcoming August CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

Motivating Patients to Adhere to Cervical Cancer Prevention and Screening Recommendations
Tuesday, August 3, 2021, 12:00 p.m. ET

10 Best Practices for Improving Pharmacy Quality Measures
Thursday, August 12, 2021, 1:00 p.m. or 3:00 p.m. ET

6 Ways to Improve Risk Adjustment Documentation Accuracy
Tuesday, August 17, 2021, 12:00 p.m. or 3:00 p.m. ET

Register Now!


Clinical Quality CME Webinar Series Continues - Colorado Administrative Jul 29, 2021
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