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

Well-child visits: Know the numbers

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

Working with Anthem webinars – January 2022 schedule: What’s new in 2022

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

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

Federal Price Transparency and Consolidated Appropriations Act phase in new mandates beginning January 1, 2022

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

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

Clarification: Anthem’s enhanced claim edits for outpatient facility claims

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

Anthem accepts pre-certification requests for prescription medications online

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

Drug fee schedule update

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

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

Your recommendation is key to encouraging cancer screenings for your female patients

October 2021 Anthem Provider News and Important Updates - Colorado Administrative Oct 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

Good news! Non-payment remittance advice enhancements coming soon

October 2021 Anthem Provider News and Important Updates - Colorado Administrative Oct 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

Looking to earn continuing medical education credits? Register for these on-demand webinars

October 2021 Anthem Provider News and Important Updates - Colorado Administrative Oct 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

Clinical appeals

October 2021 Anthem Provider News and Important Updates - Colorado Administrative Oct 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

Are you talking to ALL of your patients about breast cancer screenings?

African American and Hispanic women have higher risk of death from breast cancer than their White counterparts.1

October 2021 Anthem Provider News and Important Updates - Colorado Administrative Oct 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

Working with Anthem webinars – October 2021 schedule: Blue High Performance Network (HPN)

October 2021 Anthem Provider News and Important Updates - Colorado Administrative Oct 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 – Publication RETIRED as of November 8, 2022 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

Anthem Blue Cross and Blue Shield announces changes to post-payment audits conducted on our behalf

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

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

Coding tips for reporting administration of Spravato®

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

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

Join the American Heart Association for a CME webinar on hypertension and diabetes disease management


Chronic disease management strategies for your patients with hypertension and diabetes
Date: Friday, October 8, 2021
Time: 12:00 p.m. ET

Clinical Quality CME Webinar Series Continues - Colorado Administrative Oct 5, 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

Timely updates help keep our provider directories current

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

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

Primary care appointment access and open panels

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

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

Non-participating lab referrals

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

Networks at a Glance

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

Working with Anthem webinars May 2022 schedule: Colorado Public Option HB 21-1232 (the “Public Option Law”) for Anthem plans

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

Resources to support diverse patients and communities

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

Updated Escalation Contact List

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

May is National High Blood Pressure Education Month: We’ve got this!

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

Alcohol use disorder has a big cost

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

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

Join The Fenway Institute for a CME webinar about improving your LGBTQIA+ patient interactions

Join a live webinar, “LGBTQIA+ Care: Delivering Trust and Belonging with Every Interaction,” presented by the National LGBTQIA+ Health Education Center at The Fenway Institute. 

Gain LGBTQIA+ Patient Interaction Knowledge - Colorado Administrative Oct 21, 2021

New AIM Rehabilitation program effective July 1, 2019

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

Working with Anthem webinars – October 2021 schedule: Blue High Performance Network (HPN)

Working with Anthem Webinars - October 2021 schedule: Blue High Performance Network (HPN) Administrative Oct 20, 2021

Working with Anthem webinars — August 2022 schedule

Working with Anthem webinars: August 2022 schedule Administrative Aug 15, 2022

Working with Anthem webinars – November 2021 schedule: New Availity multi-payer Authorization tool

Working with Anthem webinars November 2021 schedule: New Availity multi-payer Authorization tool Administrative Nov 17, 2021

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 – Publication RETIRED as of November 8, 2022 Administrative May 29, 2020

Exploring the Intersection of Race and Disability

Register today for a forum on Exploring the Intersection of Race and Disability hosted by Anthem Blue Cross and Blue Shield and Motivo* for Anthem Blue Cross and Blue Shield providers on June 22, 2022.
June 2022 Anthem Provider News and Updates - Colorado Administrative Jun 1, 2022

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 – Publication RETIRED as of November 8, 2022 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

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

Working with Anthem webinars August 2021 schedule: Quick tips for adding, changing, terming a provider using the Provider Maintenance Form Administrative Aug 16, 2021

Attention lab providers: COVID-19 update regarding reimbursement

Material Adverse Change (MAC)
December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022
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