Colorado
Provider Communications

Articles Month: August 2021

Title Publication Category Date

Working with Anthem webinars – August 2021 schedule: Quick tips for adding, changing, terming a provider using the Provider Maintenance Form

Working with Anthem webinars August 2021 schedule: Quick tips for adding, changing, terming a provider using the Provider Maintenance Form Administrative Aug 16, 2021

Information from Anthem for Care Providers about COVID-19 (Updated August 2, 2021)

We recently updated information about coverage dates for telephonic-only care.

COVID-19 Information - Colorado Administrative Aug 2, 2021

Telehealth visits can impact after-hospitalization follow-up care for mental illness

Reductions in missed appointments are significant.

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

Clearing up-coding confusion for retinal eye exams (DRE)

New language for two-year compliance (3072F).

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

Register now for our August CME webinars!

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

Working with Anthem webinars – August 2021 schedule: Quick tips for adding, changing, terming a provider using the Provider Maintenance Form

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

Schedule appointments online through Availity

August 2021 Anthem Provider News and Important Updates - Colorado Digital Tools Aug 1, 2021

Submitting prior authorizations is getting easier

Anthem is transitioning to Availity Authorization.
August 2021 Anthem Provider News and Important Updates - Colorado Digital Tools Aug 1, 2021

New Clinical Guideline: Home Parenteral Nutrition, effective November 1, 2021 (MAC)

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

Reimbursement policy update: Claims requiring additional documentation (facility)

August 2021 Anthem Provider News and Important Updates - Colorado Reimbursement Policies Aug 1, 2021

Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS and XU (MAC)

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

Reimbursement policy update: Virtual Visits – Professional and Facility (MAC)

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

Transition to AIM Specialty Health Imaging of the Heart Clinical Appropriateness Guideline for Computed Tomography to Detect Coronary Artery Calcification (MAC)

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

Updates to AIM Musculoskeletal Program Effective November 1, 2021 – Site of Care Reviews (MAC)

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

Specialty dose rounding program for certain oncology medications

August 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2021

Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021

August 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2021

Anthem Blue Cross and Blue Shield to update formulary lists for commercial health plan pharmacy benefit

August 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2021

Immune globulin adjusted body weight dosting program beginning August 1, 2021

August 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2021

Pharmacy information available on anthem.com

August 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2021

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

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

Some physician requests to AIM require the submission of documentation to support attestations for prior authorization

August 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Aug 1, 2021

Important Update: Change in Email Submission of Service Requests for Federal Employee Program® (MAC)

Material Adverse Change (MAC)
August 2021 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Aug 1, 2021

Preventing claims denials: Shingles vaccine

Know best: Shingles vaccinations are a Medicare Part D benefit whether administered in your office or in the pharmacy.

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

Prior authorization requirement changes effective October 1, 2021 – UM AROW 1907

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

Infliximab Step Therapy – effective July 15, 2021

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