Colorado
Provider Communications

Articles

Title Publication Category Date

“Rule of Eight” Reporting Guidelines for Physical Medicine and Rehabilitation Services - Professional

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

Working with Anthem – 2018 Subject Specific Webinars – August schedule

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

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

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

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

February 2019 Anthem Provider Newsletter - CO Administrative Feb 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

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

Working with Anthem - 2019 Subject Specific Webinars - January schedule

January 2019 Anthem Provider Newsletter - CO Administrative Jan 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

When and how to initiate Medicare Advantage reopenings

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

Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid Available on the Web

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

Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid Available on the Web

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

Use grouped CPT codes for AIM Specialty Health authorizations

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

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

December 2018 Anthem Provider Newsletter - CO Medical Policy & Clinical Guidelines Dec 1, 2018

Updated Prefix Reference List

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

Updated Prefix Reference List

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

Updated Prefix Reference List

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

Updated Escalation Contact List

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

Updated Escalation Contact List

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

Updated Escalation Contact List

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

Updated Escalation Contact List

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

Updated Escalation Contact List

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

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

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

Update to Durable Medical Equipment - effective October 14, 2018

October 2018 Anthem Provider Newsletter - CO Administrative Oct 12, 2018

Update to Durable Medical Equipment - effective October 14, 2018

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

Update to AIM Radiation Oncology Clinical Guidelines

August 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Aug 17, 2018

Update to AIM Level of Care Musculoskeletal Surgery Clinical Guidelines

August 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Aug 17, 2018

Update to AIM Clinical Appropriateness Guidelines

December 2018 Anthem Provider Newsletter - CO Medical Policy & Clinical Guidelines Dec 1, 2018

Update to AIM Advanced Imaging Clinical Guidelines

August 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Aug 17, 2018

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

Update regarding drugs not approved by the FDA

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

Tips for billing CPT modifier 33

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

System updates for reimbursement policies in 2019 - Professional

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

Submit Prior Authorizations medication requests electronically; new phone and fax numbers for MA prescription PAs effective September 1

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

Submit electronic SOAP notes today using ePASS® and receive $100 each

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

Special Investigations Unit updates

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

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

March 2019 Anthem Provider Newsletter - CO Pharmacy Mar 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

Simplifying medication prior authorization processes

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

Significant Edits (Professional)

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

Scope of License - Reimbursement Policy Update (Professional)

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

Restructure of AIM Advanced Imaging Clinical Appropriateness Guidelines

December 2018 Anthem Provider Newsletter - CO Medical Policy & Clinical Guidelines Dec 1, 2018

Request a Clinical Appeal through new functionality in our Interactive Care Reviewer (ICR) tool on Availity

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

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

February 2019 Anthem Provider Newsletter - CO Reimbursement Policies Feb 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

Reminder - Anthem follows Original Medicare policies

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

Reimbursement Policy Update - Claims requiring additional documentation (Facility)

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

Reimbursement Policies are available online

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

Reimbursement Policies are available online

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

Reimbursement Policies are available online

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

Reimbursement Policies are available online

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

Reimbursement Policies are available online

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

Reimbursement Policies are available online

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

Reimbursement for Convenience Surgical Supply Kits - Professional

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

Readmission (Facility Reimbursement Policy - Update)

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

Provider Transparency Update

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

Provider Transparency Update

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

Provider and Facility Manual update effective February 1, 2019 - CO

Provider and Facility Manual update effective February 1, 2019 - CO Administrative Dec 28, 2018

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

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

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

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

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

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

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

December 2018 Anthem Important Updates - CO Reimbursement Policies Dec 1, 2018

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

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

Please evaluate statin use for Medicare Advantage members with diabetes, cardiovascular disease

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

Plans offered in 2019

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

Pharmacy information available on anthem.com

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

Pharmacy information available on anthem.com

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

Pharmacy information available on anthem.com

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

Pharmacy information available on anthem.com

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

Pharmacy information available on anthem.com

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

Options for helping members avoid ER visits during flu season

November 2018 Anthem Provider Newsletter - CO Products & Programs Nov 1, 2018

Once per Lifetime Procedures – Professional

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

Now Available: Get patient payments faster with Healthcare Bill Payments at anthem.com

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

Non-participating lab referrals

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

Non-participating lab referrals

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

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

New specialty Medicare Part B device preferred product program

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

New process to submit claim payment disputes electronically

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

New pre-certification requirement for EGD services begins November 1, 2018

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

New Medicare Advantage provider service phone number beginning January 1, 2019

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

New enhancements to the Interactive Care Reviewer (ICR) tool

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

New Autism Codes Effective January 1, 2019 - CO

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

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

New 2019 Health Care Plan information for all Colorado PERA Retirees - CO Medicare Oct 3, 2018

Networks at a Glance

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

Network Update newsletter has a new look and usability features

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

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

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

MyDiversePatients.com addresses health care disparities

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

Modifier 79 - Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period - Professional

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

Members’ Rights and Responsibilities

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

Member Satisfaction with Behavioral Health Outpatient Services

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

Member Explanation of Benefits gets a makeover

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

Medicare pharmacy and prescriber home starts January 2019

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

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

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

Medicare Advantage member Explanation of Benefits redesigned

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

Medical Policy, Clinical UM Guidelines, and Pre-certification changes notification letter

August 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Aug 17, 2018

Medical Policy, Clinical UM Guidelines, and Pre-certification changes notification letter

November 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Nov 1, 2018

Medical Policy, Clinical UM Guidelines, and Pre-certification changes notification letter

September 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Aug 31, 2018

Medical Policy and Clinical UM Guidelines change notification letter

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

Medical Policy and Clinical UM Guideline changes notification letter

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