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 – May 2021 schedule

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

Working with Anthem webinars – May 2021 schedule

May 2021 Anthem Provider News and Important Updates - Colorado Administrative May 6, 2021

Working with Anthem Webinars -- September 2020 schedule: Provider Claim Questions/Issue Resolution Process Flow

September 2020 Anthem Provider News and Important Updates -- Colorado Administrative Sep 1, 2020

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

Working with Anthem Webinars -- October 2020 schedule: Pathway Essentials

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

Working with Anthem Webinars -- October 2019 schedule: Provider Enrollment Application tool on Availity

October 2019 Anthem Provider News and Important Updates - Colorado Administrative Oct 1, 2019

Working with Anthem Webinars -- October 2019 schedule: Provider Enrollment Application tool on Availity

October Working with Anthem Webinar: New Provider Enrollment Application tool overview - Colorado Administrative Oct 10, 2019

Working with Anthem Webinars -- November 2020 schedule: Blue High Performance Network (HPN)

November 2020 Anthem Provider News and Important Updates -- Colorado Administrative Nov 1, 2020

Working with Anthem Webinars -- November 2019 schedule: Provider Maintenance Form

November 2019 Anthem Provider News and Important Updates - Colorado Administrative Nov 1, 2019

Working with Anthem Webinars -- May 2020 schedule: CU Health Plan and UCHealth changes effective July 1, 2020

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

Working with Anthem Webinars -- March 2021 schedule: Availity.com Tools and Functionality Overview

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

Working with Anthem Webinars -- March 2020 schedule: Availity tools and functionality overview

March 2020 Anthem Provider News and Important Updates -- Colorado Administrative Mar 1, 2020

Working with Anthem Webinars -- June 2020 schedule: Anthem onboarding for physical health and behavioral health providers

June 2020 Anthem Provider News and Important Updates -- Colorado Administrative Jun 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

Working with Anthem Webinars -- January 2021 schedule: What’s new in 2021

December 2020 Anthem Provider News and Important Updates -- Colorado Administrative Dec 1, 2020

Working with Anthem Webinars -- January 2021 schedule: What’s new in 2021

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

Working with Anthem Webinars -- January 2020 schedule: Pathway PPO Overview

January 2020 Anthem Provider News and Important Updates - Colorado Administrative Jan 1, 2020

Working with Anthem Webinars -- January 2019 schedule: Pathway PPO Overview

December 2019 Anthem Provider News and Important Updates - Colorado Administrative Dec 1, 2019

Working with Anthem Webinars -- February 2021 schedule: Anthem.com Overview

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

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

Working with Anthem Webinars -- February 2020 schedule: Anthem.com Overview (legacy pages retiring March 31, 2020)

February Working with Anthem webinar: Anthem.com Overview (legacy pages retiring March 31, 2020) - Colorado Administrative Feb 10, 2020

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

Working with Anthem Webinars -- April 2021 schedule: Enhanced claim question/issue resolution process

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

Working with Anthem Webinars -- April 2020 schedule: New Provider Enrollment Application

April 2020 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2020

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

May 2019 Anthem Provider Newsletter - Colorado Administrative May 1, 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

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 - June 2019 schedule: Anthem 101 / Provider Orientation

June 2019 Anthem Provider Newsletter - Colorado Administrative Jun 1, 2019

Working with Anthem Webinars - July 2019 schedule: Networks Overview

July 2019 Anthem Provider News and Important Updates - Colorado Administrative Jul 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 Webinars - August 2019 schedule: Anthem 101/Provider Orientation for Behavioral Health Providers

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

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

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

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

June 2019 Anthem Provider Newsletter - Colorado Medicare Jun 1, 2019

When and how to initiate Medicare Advantage reopenings

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

What Matters Most: Improving the Patient Experience

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

Welcome to the Custom Learning Center in Availity

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

Webinar recording now available for network providers on SBA loans and other federal relief programs in response to COVID-19 (Updated May 1, 2020)

Anthem hosted a provider webinar to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19. Access the webinar recording using the password “health” to learn more about federal financial relief for providers.
COVID-19 Information - Colorado Administrative May 1, 2020

Webinar recording now available for network providers on how to leverage telehealth to care for Behavioral Health patients during COVID-19 and beyond.

Anthem hosted a provider webinar to share information and resources with Behavioral Health providers to assist with maximizing the telehealth experience.  Access the webinar recording to learn more about leveraging telehealth for behavioral health services.
COVID-19 Information - Colorado Behavioral Health Jun 25, 2020

Voluntary Site of Care outreach for Oncology Checkpoint Inhibitors beginning August 1, 2020

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

Verifying and updating your provider information

December 2019 Anthem Provider News and Important Updates - Colorado Administrative Dec 1, 2019

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

US Antibiotic Awareness Week is November 11-18, 2019

October 2019 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Oct 1, 2019

US Antibiotic Awareness Week

November 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Nov 1, 2020

Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness guidelines

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

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines

January 2021 Anthem Provider News and Important Updates -- Colorado Medicare Jan 1, 2021

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

November 2019 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

June 2020 Anthem Provider News and Important Updates -- Colorado Medicare Jun 1, 2020

Updates to AIM Radiation Oncology: Proton Beam Therapy Clinical Appropriateness Guideline

August 2019 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

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

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines

May 2020 Anthem Provider News and Important Updates -- Colorado Medical Policy & Clinical Guidelines May 1, 2020

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

January 2021 Anthem Provider News and Important Updates -- Colorado Medicare Jan 1, 2021

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

August 2019 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Aug 1, 2019

Updated Prefix Reference List -- Colorado

March 2020 Anthem Provider News and Important Updates -- Colorado Administrative Mar 1, 2020

Updated Prefix Reference List -- Colorado

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

Updated Prefix Reference List

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

Updated Prefix Reference List

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

Updated Prefix Reference List

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

Updated Networks at a Glance and Networks Overview documents -- Colorado

April 2020 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2020

Updated Escalation Contact List -- Colorado

March 2020 Anthem Provider News and Important Updates -- Colorado Administrative Mar 1, 2020

Updated Escalation Contact List -- Colorado

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

Updated Escalation Contact List -- Colorado

June 2020 Anthem Provider News and Important Updates -- Colorado Administrative Jun 1, 2020

Updated Escalation Contact List -- Colorado

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

Updated Escalation Contact List

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

Updated Escalation Contact List

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

Updated Escalation Contact List

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

Updated Escalation Contact List

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

Updated Escalation Contact List

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

Updated Escalation Contact List

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

Updated Escalation Contact List

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

Updated COVID-19 Medicare Information

For the latest COVID-19 Medicare information, please check Medicare Advantage Provider News Archives.
COVID-19 Information - Colorado Medicare Mar 25, 2020

Updated Coverage for HIV PrEP medications

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

Updated Coverage for Breast Cancer prevention medications

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

Updated AIM Rehabilitative Program Effective August 1, 2021 – Initial Evaluations and Site of Service Reviews (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News and Important Updates - Colorado Products & Programs May 1, 2021

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

Update: Sepsis Coding

June 2019 Anthem Provider Newsletter - Colorado Administrative Jun 1, 2019

Update: Notice of changes to the AIM Small Joint Surgery Guideline

March 2021 Anthem Provider News and Important Updates -- Colorado Medical Policy & Clinical Guidelines Mar 1, 2021

UPDATE: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and Setting determinations (MAC)

Material Adverse Change (MAC)
July 2020 Anthem Provider News and Important Updates -- Colorado Medical Policy & Clinical Guidelines Jul 1, 2020

Update: Notice of changes to the AIM musculoskeletal program

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

UPDATE: new Rehabilitative Program remains temporarily delayed - Colorado

UPDATE: new Rehabilitative Program remains temporarily delayed - Colorado Administrative Jul 16, 2019

UPDATE: new Rehabilitative Program now effective August 1, 2019 - Colorado

UPDATE: new Rehabilitative Program now effective August 1, 2019 - Colorado Administrative Jul 3, 2019

Update: New process to submit claim payment disputes electronically

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

UPDATE: New Level of Care Medical Necessity Review of Upper and Lower Endoscopy procedures is delayed

June 2020 Anthem Provider News and Important Updates -- Colorado Products & Programs Jun 1, 2020

UPDATE: New Go Live Date for Level of Care Medical Necessity Review of Upper and Lower Endoscopy procedures

July 2020 Anthem Provider News and Important Updates -- Colorado Products & Programs Jul 1, 2020

UPDATE: New AIM Rehabilitative Program effective April 1, 2020

February 2020 Anthem Provider News and Important Updates -- Colorado Administrative Feb 1, 2020

UPDATE: For Commercial Providers regarding the AIM Sleep Therapy Program CPT Code E1399, NOC: Durable medical equipment, miscellaneous

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

Update: 2019 risk adjustment provider trainings

October 2019 Anthem Provider News and Important Updates - Colorado Medicare Oct 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--Site of Care medical necessity reviews for long-acting colony-stimulating factors begin August 1, 2021 (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Colorado Products & Programs Apr 1, 2021

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

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
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