Colorado
Provider Communications

Articles Month: March 2023

Title Publication Category Date

Genetic testing CPT code list update for Carelon Medical Benefits Management (formerly AIM Specialty Health)

Material Adverse Change (MAC)
April 2023 Provider News - Colorado Administrative Mar 31, 2023

Enhanced outpatient facility editing for National Correct Coding Initiative

April 2023 Provider News - Colorado Administrative Mar 31, 2023

Update use of modifier 25 for billing for visits that include preventive and problem-oriented evaluation and management services

April 2023 Provider News - Colorado Administrative Mar 31, 2023

Expansion of Carelon Medical Benefits Management, Inc. cardiology, genetic testing, and radiology programs effective

Material Adverse Change (MAC)
April 2023 Provider News - Colorado Administrative Mar 31, 2023

CAA: Maintain your online provider directory information

April 2023 Provider News - Colorado Administrative Mar 31, 2023

Helping to reduce delays when submitting attachments

April 2023 Provider News - Colorado Administrative Mar 31, 2023

Medical Oncology Program ProviderPortal case entry enhancements

April 2023 Provider News - Colorado Administrative Mar 31, 2023

Anthem Blue Cross and Blue Shield to implement new strategic provider system in August 2023

Material Adverse Change (MAC)
April 2023 Provider News - Colorado Administrative Mar 31, 2023

Survey for all skilled nursing facilities

April 2023 Provider News - Colorado Digital Tools Mar 31, 2023

Notification about submitting itemized bills

Material Adverse Change (MAC)
April 2023 Provider News - Colorado Policy Updates Mar 31, 2023

Genetic Testing claim edits

April 2023 Provider News - Colorado Policy Updates Mar 31, 2023

Reimbursement policy update: Documentation and Reporting Guidelines for Evaluation and Management Services - Professional

April 2023 Provider News - Colorado Reimbursement Policies Mar 31, 2023

Bundled Services and Supplies - Professional

Material Adverse Change (MAC)
April 2023 Provider News - Colorado Reimbursement Policies Mar 31, 2023

Notification Regarding Reimbursement Changes to COVID-19 Vaccine Administration update

Material Adverse Change (MAC)
April 2023 Provider News - Colorado Reimbursement Policies Mar 31, 2023

Pay Doctor Bill (provider payment option) - General FAQ

April 2023 Provider News - Colorado Products & Programs Mar 31, 2023

Let’s Vaccinate

April 2023 Provider News - Colorado Products & Programs Mar 31, 2023

Pharmacy information available on our provider website

April 2023 Provider News - Colorado Pharmacy Mar 31, 2023

HEDIS 2023 Federal Employee Program medical record request requirements

April 2023 Provider News - Colorado Federal Employee Plan (FEP) Mar 31, 2023

FEP Quality Reimbursement Program update

April 2023 Provider News - Colorado Federal Employee Plan (FEP) Mar 31, 2023

Authorizations for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) services for consumers with individual, group retiree solutions (GRS), and dual-eligible plans from Medicare Advantage

April 2023 Provider News - Colorado Medicare Mar 31, 2023

E-visits

April 2023 Provider News - Colorado Medicare Mar 31, 2023

Keep up with Medicare news - April 2023

April 2023 Provider News - Colorado Medicare Mar 31, 2023

Important update: Claims denying for authorization incorrectly when authorization is not required resolution plan

Claims denying for authorization incorrectly when authorization is not required resolution plan Administrative Mar 7, 2023

Carelon Medical Benefits Management (formerly AIM Specialty Health) Clinical Appropriateness Guidelines CPT code list update

March 2023 Anthem Provider News - Colorado Administrative Mar 1, 2023

Time to prepare for HEDIS medical record review

March 2023 Anthem Provider News - Colorado Administrative Mar 1, 2023

Outpatient Facility Revenue Code Billing Requirements - Facility

March 2023 Anthem Provider News - Colorado Administrative Mar 1, 2023

Working with Anthem webinars

Topic: Provider enrollment application (new providers joining an existing group)
Date/time: Thursday, March 30, 2023, from noon to 1 p.m. MT

March 2023 Anthem Provider News - Colorado Administrative Mar 1, 2023

Medical Policy and Clinical Utilization Management Guidelines notification

Material Adverse Change (MAC)
March 2023 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Mar 1, 2023

Reimbursement policy update: Modifiers 25 and 57 - Professional

March 2023 Anthem Provider News - Colorado Reimbursement Policies Mar 1, 2023

Specialty pharmacy updates for March 2023

Material Adverse Change (MAC)
March 2023 Anthem Provider News - Colorado Pharmacy Mar 1, 2023

Keep up with Medicare news - March 2023

March 2023 Anthem Provider News - Colorado Medicare Mar 1, 2023

March is National Colorectal Cancer Awareness Month

March 2023 Anthem Provider News - Colorado Administrative Mar 1, 2023

Drug fee schedule update

March 2023 Anthem Provider News - Colorado Administrative Mar 1, 2023

You are invited: Advancing Mental Health Equity for Youth & Young Adults

Register today for the Advancing Mental Health Equity for Youth & Young Adults forum hosted by Anthem Blue Cross and Blue Shield (Anthem) and Motivo* for Anthem providers on March 15, 2023.
March 2023 Anthem Provider News - Colorado Administrative Mar 1, 2023

Provider directory - annual audit for NCQA Accreditation

March 2023 Anthem Provider News - Colorado Administrative Mar 1, 2023

Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measures

March 2023 Anthem Provider News - Colorado Administrative Mar 1, 2023

Reminder - Updated Carelon Musculoskeletal Program effective April 1, 2023: monitored anesthesia care reviews

March 2023 Anthem Provider News - Colorado Administrative Mar 1, 2023

Consumer payment option, Pay Doctor Bill, to terminate effective March 31, 2023

March 2023 Anthem Provider News - Colorado Products & Programs Mar 1, 2023

Pharmacy information available on our provider website

March 2023 Anthem Provider News - Colorado Pharmacy Mar 1, 2023

Annual planned visits

March 2023 Anthem Provider News - Colorado Medicare Mar 1, 2023

Controlling High Blood Pressure and Submitting Compliant Readings

March 2023 Anthem Provider News - Colorado Medicare Mar 1, 2023

Shared savings and transition care management after inpatient discharges

March 2023 Anthem Provider News - Colorado Medicare Mar 1, 2023

Informational Update Modifier Usage

March 2023 Anthem Provider News - Colorado Medicare Mar 1, 2023
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