Colorado
Provider Communications

Articles

Title Publication Category Date

2019 Medicare Advantage individual benefits and formularies

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

Access patient-specific drug benefit information through EMR

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

Additional Support Available for Members with Rare Conditions

August 2018 Anthem Provider Newsletter - CO Products & Programs Aug 17, 2018

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

October 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Oct 1, 2018

AIM Specialty Health Clinical Guidelines update - Musculoskeletal Program

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

AIM Specialty Health Clinical Guidelines update - Sleep Disorder Management

October 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Oct 1, 2018

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

AIM Specialty Health Clinical Guidelines update – Radiation Oncology

October 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Oct 1, 2018

Anthem accepts electronic prior authorization requests for prescription medications online

December 2018 Anthem Provider Newsletter - CO Products & Programs Dec 1, 2018

Anthem accepts pre-certification requests for prescription medications online

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

Anthem accepts pre-certification requests for prescription medications online

August 2018 Anthem Provider Newsletter - CO Administrative Aug 17, 2018

Anthem Announces Early Launch of IngenioRx

Anthem Announces Early Launch of IngenioRx Pharmacy Jan 30, 2019

Anthem applies daily morphine equivalent dosing limit

August 2018 Anthem Provider Newsletter - CO Pharmacy Aug 17, 2018

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

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 Community Care Coordination expands relationship with Innovative Health Delivery to support commercial members with complex needs

August 2018 Anthem Provider Newsletter - CO Products & Programs Aug 17, 2018

Anthem expands Specialty Pharmacy Clinical Site of Care (Level of Care) drug list

August 2018 Anthem Important Updates - CO Pharmacy Aug 17, 2018

Anthem expands specialty pharmacy clinically equivalent drug list

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

Anthem expands specialty pharmacy level of care (clinical site of care) drug list

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

Anthem expands specialty pharmacy medical step therapy drug list

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

Anthem expands specialty pharmacy pre-certification list

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

Anthem expands specialty pharmacy pre-certification list

August 2018 Anthem Important Updates - CO Pharmacy Aug 17, 2018

Anthem expands specialty pharmacy prior authorization list

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

Anthem expands specialty pharmacy prior authorization list

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

Anthem eye refraction and routine eye exam billing information

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

Anthem fights opioid addiction: Extension for Community Healthcare Outcomes and Quality Medication-Assisted Therapy

October 2018 Anthem Provider Newsletter - CO Products & Programs Oct 1, 2018

Anthem has partnered with Availity as our designated EDI Gateway

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

Anthem has partnered with Availity to become our designated EDI Gateway

August 2018 Anthem Provider Newsletter - CO Administrative Aug 17, 2018

Anthem launches additional changes to anthem.com in March

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

Anthem launches additional changes to anthem.com in October

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

Anthem launches additional changes to anthem.com in September

September 2018 Anthem Provider Newsletter - CO Administrative Aug 31, 2018

Anthem offers risk adjustment and documentation training

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

Anthem removes drugs from specialty pharmacy clinical site of care (level of care) drug list

August 2018 Anthem Provider Newsletter - CO Pharmacy Aug 17, 2018

Anthem taps Paul Marchetti to lead company’s overall care transformation strategy

November 2018 Anthem Provider Newsletter - CO Administrative Nov 1, 2018

Anthem to enhance automated claim edits for professional claims

August 2018 Anthem Provider Newsletter - CO Administrative Aug 17, 2018

Anthem to enhance claim edits for outpatient facility claims

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

Anthem to update drug lists supporting commercial health plans

August 2018 Anthem Provider Newsletter - CO Pharmacy Aug 17, 2018

Anthem transitions MA back pain management and cardiology UM programs from OrthoNet to AIM

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

Anthem works to simplify payment recovery process for National Accounts membership

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

Anthem’s Individualized Care Program supports palliative care for commercial members

August 2018 Anthem Provider Newsletter - CO Products & Programs Aug 17, 2018

Anthem’s new Digital Provider Enrollment application - now available

April 2019 Anthem Provider Newsletter - Colorado Administrative Apr 1, 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

Assistant Surgery Services/Code List policy update - Professional

October 2018 Anthem Provider Newsletter - CO Reimbursement Policies Oct 1, 2018

Availity EDI Gateway Webinars Scheduled

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

Availity to serve as EDI entry point for electronic submissions

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

Availity webinars regarding EDI

August 2018 Anthem Provider Newsletter - CO Administrative Aug 17, 2018

Benefits to be available for chronic care management and advance care planning services effective February 23, 2019

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

BlueAdvantage HMO on the Pathway HMO Network for Federal Employees

December 2018 Anthem Provider Newsletter - CO Federal Employee Plan (FEP) Dec 1, 2018

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

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

Bundled Services and Supplies – Professional

August 2018 Anthem Provider Newsletter - CO Reimbursement Policies Aug 17, 2018

Case Management Program

December 2018 Anthem Provider Newsletter - CO Products & Programs Dec 1, 2018

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

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

Clear Claim Connection

October 2018 Anthem Provider Newsletter - CO Reimbursement Policies Oct 1, 2018

Clear Claim Connection

December 2018 Anthem Provider Newsletter - CO Reimbursement Policies Dec 1, 2018

Clear Claim Connection

August 2018 Anthem Provider Newsletter - CO Reimbursement Policies Aug 17, 2018

Clear Claim Connection

September 2018 Anthem Provider Newsletter - CO Reimbursement Policies Aug 31, 2018

Clear Claim Connection

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

Clear Claim Connection: our web-based claim edit tool

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

Clinical criteria updates for specialty pharmacy

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

Clinical criteria updates for specialty pharmacy

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

Clinical criteria updates for specialty pharmacy

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

Clinical Practice and Preventive Health Guidelines available on the web

December 2018 Anthem Provider Newsletter - CO Products & Programs Dec 1, 2018

CMS issues regulatory changes for short- and long- acting narcotics; days’ supply limits effective January 1, 2019

September 2018 Anthem Provider Newsletter - CO Medicare Aug 31, 2018

CMS Medicare Preclusion List effective April 1, 2019

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

Colorado Public Employees' Retirement Association (PERA) Offers Medicare Advantage Option

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

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

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

ConditionCare Program Benefits Patients and Physicians

December 2018 Anthem Provider Newsletter - CO Products & Programs Dec 1, 2018

Coordination of Benefits for an FEP® member

December 2018 Anthem Provider Newsletter - CO Federal Employee Plan (FEP) Dec 1, 2018

Coordination of Care

December 2018 Anthem Provider Newsletter - CO Products & Programs Dec 1, 2018

DME providers and physicians: important wheelchair prior authorization information

September 2018 Anthem Provider Newsletter - CO Medicare Aug 31, 2018

Drug fee schedule update

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

Drug fee schedule update

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

Drug fee schedule update

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

Dual Eligible Special Needs Plans -- provider training required

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

Electronic claim payment reconsideration

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

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

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

Facility Revenue Code Billing (Facility Reimbursement Policy - New)

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

Fall Provider Seminars coming soon - register today to save your spot!

September 2018 Anthem Provider Newsletter - CO Administrative Aug 31, 2018

Fall Provider Seminars Final Announcement - sessions start next week!

Fall 2018 Anthem Provider Seminar Final Announcement - CO Administrative Sep 25, 2018

Fall Provider Seminars Final Announcement - sessions start this week!

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

Fall Provider Seminars Reminder - Register Today!

Fall 2018 Anthem Provider Seminar Reminder - CO Administrative Sep 17, 2018

Fall Provider Seminars: Even if you missed our in-person sessions, you still have a chance to attend a webinar -- last chance to register!

November 2018 Anthem Provider Newsletter - CO Administrative Nov 1, 2018

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

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

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

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

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

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

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

November 2018 Anthem Provider Newsletter - CO Administrative Nov 1, 2018

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

August 2018 Anthem Provider Newsletter - CO Administrative Aug 17, 2018

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

September 2018 Anthem Provider Newsletter - CO Administrative Aug 31, 2018

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

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

HEDIS 2019 Federal Employee Program® medical record request requirements

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

HEDIS® 2018 Commercial Results Are In

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

HEDIS® 2018: Provider Incentive Winners Announced!

September 2018 Anthem Provider Newsletter - CO Administrative Aug 31, 2018

HEDIS® 2019 starts early February

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

Important billing update for professional delivery claims

August 2018 Anthem Important Updates - CO Administrative Aug 17, 2018

Important information about billing colonoscopy and related anesthesia services

August 2018 Anthem Provider Newsletter - CO Administrative Aug 17, 2018

Important Information about Utilization Management

December 2018 Anthem Provider Newsletter - CO Products & Programs Dec 1, 2018

Important reminder regarding Specialty Pharmacy clinical site of care program

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