Colorado
Provider Communications

Articles

Title Publication Category Date

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

Controlling High Blood Pressure and Submitting Compliant Readings

February 2023 Anthem Provider News - Colorado Administrative Feb 1, 2023

Working with Anthem webinars - February 2023 schedule

February 2023 Anthem Provider News - Colorado Administrative Feb 1, 2023

New policy for clinical data sharing and ADT notifications

Material Adverse Change (MAC)
February 2023 Anthem Provider News - Colorado Administrative Feb 1, 2023

Colorado Option Standard networks and plans are now active in market for 2023

February 2023 Anthem Provider News - Colorado Administrative Feb 1, 2023

Have you reviewed your online provider directory information lately?

February 2023 Anthem Provider News - Colorado Administrative Feb 1, 2023

AIM Specialty Health Radiology Clinical Appropriateness Guidelines CPT Code List Update

Material Adverse Change (MAC)
February 2023 Anthem Provider News - Colorado Administrative Feb 1, 2023

AIM Specialty Health will transition to Carelon Medical Benefits Management Inc.

February 2023 Anthem Provider News - Colorado Administrative Feb 1, 2023

Helping to reduce delays when submitting attachments: Make sure your correspondence includes one of these elements

February 2023 Anthem Provider News - Colorado Digital Tools Feb 1, 2023

Enhancing Provider News website and email communications

February 2023 Anthem Provider News - Colorado Digital Tools Feb 1, 2023

Clinical Guidelines Notification Letter

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

Anthem prior authorization updates for specialty pharmacy are available

Material Adverse Change (MAC)
February 2023 Anthem Provider News - Colorado Pharmacy Feb 1, 2023

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update (MAC)

Material adverse change (MAC)

February 2023 Anthem Provider News - Colorado Medicare Feb 1, 2023

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

February 2023 Anthem Provider News - Colorado Medicare Feb 1, 2023

Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023

February 2023 Anthem Provider News - Colorado Medicare Feb 1, 2023

Keep up with Medicare news - February 2023

February 2023 Anthem Provider News - Colorado Medicare Feb 1, 2023

2023 FEP benefit information available online

February 2023 Anthem Provider News - Colorado Federal Employee Plan (FEP) Feb 1, 2023

Working with Anthem webinars - January 2023: anthem.com overview

Working with Anthem webinars - January 2023 overview Administrative Jan 13, 2023

Telephonic-only care allowance extended through April 11, 2023

Telephonic-only care allowance extended through April 11, 2023 - Colorado Administrative Jan 11, 2023

Professional system updates for 2023

January 2023 Anthem Provider News - Colorado Administrative Dec 30, 2022

Outpatient system updates for 2023

January 2023 Anthem Provider News - Colorado Administrative Dec 30, 2022

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

January 2023 Anthem Provider News - Colorado Administrative Dec 30, 2022

Engagement with your patient counts

January 2023 Anthem Provider News - Colorado Administrative Dec 30, 2022

2022 HB1008 infertility treatment

January 2023 Anthem Provider News - Colorado Administrative Dec 30, 2022

Childhood Immunization Status and Lead Screening in Children for HEDIS

January 2023 Anthem Provider News - Colorado Administrative Dec 30, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update (MAC)

Material Adverse Change (MAC)
January 2023 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Dec 30, 2022

Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List

January 2023 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines (MAC)

Material Adverse Change (MAC)
January 2023 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Dec 30, 2022

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update (MAC)

Material Adverse Change (MAC)
January 2023 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Cardiac Clinical Appropriateness (MAC)

Material Adverse Change (MAC)
January 2023 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines

Material Adverse Change (MAC)
January 2023 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Material Adverse Change (MAC)
January 2023 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Dec 30, 2022

Specialty pharmacy updates

Material Adverse Change (MAC)
January 2023 Anthem Provider News - Colorado Pharmacy Dec 30, 2022

Federal Employee Program Observation Conversion for Musculoskeletal Cases

Material Adverse Change (MAC)
January 2023 Anthem Provider News - Colorado Federal Employee Plan (FEP) Dec 30, 2022

Notification regarding reimbursement changes to COVID-19 laboratory services codes

Material Adverse Change (MAC)
January 2023 Anthem Provider News - Colorado Medicare Dec 30, 2022

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Colorado Medicare Dec 30, 2022

Keep up with Medicare news - January 2023

January 2023 Anthem Provider News - Colorado Medicare Dec 30, 2022

Attention lab providers: COVID-19 update regarding reimbursement

Material Adverse Change (MAC)
December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

Important information about utilization management

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

Member assessment of PCP after-hours messaging in 2022

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

Member’s assessment of behavioral healthcare after-hours messaging in 2022

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

Members’ rights and responsibilities

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

Case management program

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

Coordination of care

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

Correction: Change notification to Provider and Facility Manual effective December 1, 2022

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

CAA: Timely updates help keep our provider directories current

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

Clinical practice and preventive health guidelines available on anthem.com

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

Signature requirements for laboratory orders or requisitions

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

Pharmacy information available on the provider website

December 2022 Anthem Provider News - Colorado Pharmacy Dec 1, 2022

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

Material Adverse Change (MAC)
December 2022 Anthem Provider News - Colorado Pharmacy Dec 1, 2022

Medical Policy and Clinical UM Guidelines notification letter (MAC)

Material Adverse Change (MAC)
December 2022 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Dec 1, 2022

Reimbursement policy update: Multiple Surgery - Facility

December 2022 Anthem Provider News - Colorado Reimbursement Policies Dec 1, 2022

Reimbursement policy retirement: Acupuncture Billed with Evaluation and Management - Professional

December 2022 Anthem Provider News - Colorado Reimbursement Policies Dec 1, 2022

2023 Medicare Advantage service area and benefit updates

December 2022 Anthem Provider News - Colorado Medicare Dec 1, 2022

Personal home helper benefit ending

December 2022 Anthem Provider News - Colorado Medicare Dec 1, 2022

Keep up with Medicare news - December 2022

December 2022 Anthem Provider News - Colorado Medicare Dec 1, 2022

Working with Anthem webinars November 2022 schedule: Requests for Additional Information (RFAI) program

Working with Anthem webinars November 2022 schedule: Requests for Additional Information (RFAI) program - Colorado Administrative Nov 15, 2022

Participating lab referrals help our members most

November 2022 Anthem Provider News - Colorado Administrative Nov 1, 2022

CAA: Keep your provider directory information up to date

November 2022 Anthem Provider News - Colorado Administrative Nov 1, 2022

Working with Anthem webinars November 2022 schedule: Requests for Additional Information (RFAI) program

November 2022 Anthem Provider News - Colorado Administrative Nov 1, 2022

Remote EMR access service for HEDIS

November 2022 Anthem Provider News - Colorado Digital Tools Nov 1, 2022

Claims status message enhancements: Providing clear descriptions and actionable next steps

November 2022 Anthem Provider News - Colorado Digital Tools Nov 1, 2022

Authorization application enhancements: Faster, easier, and more efficient

Join our webcast on Wednesday, November 9, 2022, at 11 a.m. ET. Register here.
November 2022 Anthem Provider News - Colorado Digital Tools Nov 1, 2022

Submit digital attachments within seven-calendar days for claims filed with a PWK segment indicator

November 2022 Anthem Provider News - Colorado Digital Tools Nov 1, 2022

RETRACTION - You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, too

November 2022 Anthem Provider News - Colorado Digital Tools Nov 1, 2022

Visit the Provider Learning Hub to view our latest learning opportunities

November 2022 Anthem Provider News - Colorado Digital Tools Nov 1, 2022

Improve patient outcomes for colorectal cancer screening with Labcorp’s FIT test

November 2022 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Nov 1, 2022

Updates to AIM Specialty Health cardiology clinical appropriateness guidelines CPT code list (MAC)

November 2022 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Nov 1, 2022

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

November 2022 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Nov 1, 2022

Correction to reimbursement policy: Place of Service – facility (MAC)

November 2022 Anthem Provider News - Colorado Reimbursement Policies Nov 1, 2022

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

November 2022 Anthem Provider News - Colorado Pharmacy Nov 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list

November 2022 Anthem Provider News - Colorado Medicare Nov 1, 2022

Keep up with Medicare news - November 2022

  • Medical drug benefit Clinical Criteria updates
  • New specialty pharmacy medical step therapy requirements (Acastin, Mvasi)
  • New specialty pharmacy medical step therapy requirements (Zarxio)
November 2022 Anthem Provider News - Colorado Medicare Nov 1, 2022

Working with Anthem webinars – October 2022 schedule: Availity Essentials applications and functionality overview

Working with Anthem webinars October 2022 schedule: Availity Essentials applications and functionality overview - Colorado Administrative Oct 14, 2022

Information from Anthem for Care Providers about COVID-19 – RETIRED as of November 8, 2022

As of November 8, 2022, THIS DOCUMENT WILL NO LONGER BE UPDATED.

Future updates regarding COVID-19 will appear in the monthly Provider News publication.

COVID-19 Information – Colorado – Publication RETIRED as of November 8, 2022 Administrative Oct 13, 2022

Register for our upcoming CME webinar about low back pain management

CME webinar about low back pain management - Colorado Administrative Oct 7, 2022

CAA: Review your online provider directory information

October 2022 Anthem Provider News and Updates - Colorado Administrative Oct 1, 2022

Monkeypox and smallpox vaccines: Product code on claims

October 2022 Anthem Provider News and Updates - Colorado Administrative Oct 1, 2022

Guidance for coding evaluation and management services for new and established patients RETRACTION: Please refer to article published 9/1/22

October 2022 Anthem Provider News and Updates - Colorado Administrative Oct 1, 2022
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