Colorado
Provider Communications

Articles Month: July 2021

Title Publication Category Date

Working with Anthem webinars – Anthem networks overview

July 2021 webinar schedule.
Working with Anthem Webinars: July 2021 Schedule: Anthem Networks Overview - Colorado Administrative Jul 15, 2021

Drug fee schedule update

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

Clinical quality in practice: CME webinar series

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

Proper coding for in-home monitoring can make a measurable difference for INR

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

Company to retire Blue Precision program at the end of the year

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

Timely receipt of the primary payer’s EOB can help reduce timely filing denials for secondary claims

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

Another mark of the pandemic: An increase in childhood obesity

More potato chips, sugary drinks and less physical activity are key contributors

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

Working with Anthem webinars – July 2021 schedule: Anthem networks overview

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

Interactive Care Reviewer (ICR): New search option for cases submitted through ICR

July 2021 Anthem Provider News and Important Updates - Colorado Digital Tools Jul 1, 2021

How to enroll in electronic fund transfer for faster remittance

July 2021 Anthem Provider News and Important Updates - Colorado Digital Tools Jul 1, 2021

Electronic claim response files

July 2021 Anthem Provider News and Important Updates - Colorado Digital Tools Jul 1, 2021

Site-of-Care medical necessity reviews for long-acting colony-stimulating factors will not be implemented on August 1, 2021 (MAC)

Material Adverse Change (MAC)
July 2021 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Jul 1, 2021

Pre-Service / Prior Authorization Clinical Review Update: July 2021 (MAC)

Material Adverse Change (MAC)
July 2021 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Jul 1, 2021

New reimbursement policy: Non-patient laboratory services - facility (MAC)

Material Adverse Change (MAC)
July 2021 Anthem Provider News and Important Updates - Colorado Reimbursement Policies Jul 1, 2021

Reminder: Back pain guide program, effective July 19, 2021

July 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Jul 1, 2021

Reminder: Updated AIM rehabilitative program, effective August 1, 2021 – and site of service reviews

July 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Jul 1, 2021

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
July 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Jul 1, 2021

Reimbursement policy reminder: Inpatient readmissions

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

Updates to the AIM advanced imaging clinical appropriateness guidelines

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

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

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

Prior authorization requirement changes effective September 1, 2021 – UM AROW 1845

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

Let’s vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies

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

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

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

Medical drug benefit clinical criteria updates

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

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross and Blue Shield results in improved care management for patients

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