Colorado
Provider Communications

Articles

Title Publication Category Date

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

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

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

Drug fee schedule update

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

The Provider Learning Hub is here

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

National Accounts 2023 Pre-certification list

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

Improve Patient Scheduling: Alerts Hub is now available for admission, discharge, and transfer reporting

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

Medical Policy and Clinical UM Guidelines notification (MAC)

Material Adverse Change (MAC)
October 2022 Anthem Provider News and Updates - Colorado Medical Policy & Clinical Guidelines Oct 1, 2022

Reimbursement policy update: Three-Dimensional (3D) Radiology Services - Professional and Facility

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

Reimbursement Policy update: Multiple and Bilateral Surgery Processing - professional (MAC)

Material Adverse Change (MAC)
October 2022 Anthem Provider News and Updates - Colorado Reimbursement Policies Oct 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

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

Pharmacy information available on provider website

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

Prior authorization specialty pharmacy updates (MAC)

Material Adverse Change (MAC)

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

Availity Essentials provider chat - a fast, easy way to get your UM questions answered for Federal Employee members

October 2022 Anthem Provider News and Updates - Colorado Federal Employee Plan (FEP) Oct 1, 2022

Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

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

Courtesy notification of specialty pharmacy medical step therapy updates

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

Reimbursement policy retraction: Sexually Transmitted Infections Testing - professional

Policy 21-001, effective January 1, 2022
October 2022 Anthem Provider News and Updates - Colorado Medicare Oct 1, 2022

Keep up with Medicare news - October 2022

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

Working with Anthem Webinars -- September 2022 schedule: Colorado Public Option HB 21-1232 (the “Public Option Law”) for Anthem Plans

Working with Anthem Webinars -- September 2022 schedule: Colorado Public Option for Anthem Plans Administrative Sep 15, 2022

Continuing to Explore the Intersection of Race and Disability

Continuing to Explore the Intersection of Race and Disability forum - Colorado Administrative Sep 9, 2022

CAA: Current provider directory information is key for members and providers to engage with you seamlessly

September 2022 Anthem Provider News and Updates - Colorado Administrative Sep 1, 2022

Correction: New patient evaluation and management services when reported for the same patient within the last three years

September 2022 Anthem Provider News and Updates - Colorado Administrative Sep 1, 2022

Monkeypox resources and recommendations for our care providers

September 2022 Anthem Provider News and Updates - Colorado Administrative Sep 1, 2022

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

September 2022 Anthem Provider News and Updates - Colorado Administrative Sep 1, 2022

Important information about women’s preventive care visits

September 2022 Anthem Provider News and Updates - Colorado Administrative Sep 1, 2022

Working with Anthem webinars – September 2022 schedule: Colorado Public Option HB 21-1232 (the “Public Option Law”) for Anthem Blue Cross and Blue Shield Plans

September 2022 Anthem Provider News and Updates - Colorado Administrative Sep 1, 2022

Drug code billing reminder

September 2022 Anthem Provider News and Updates - Colorado Administrative Sep 1, 2022

Continuing to Explore the Intersection of Race and Disability

September 2022 Anthem Provider News and Updates - Colorado Administrative Sep 1, 2022

Anthem Blue Cross and Blue Shield to accept Hospital in Home services

September 2022 Anthem Provider News and Updates - Colorado Administrative Sep 1, 2022

Important updates for referrals to specialists in the CU Health Plan - Exclusive

September 2022 Anthem Provider News and Updates - Colorado Administrative Sep 1, 2022

Updates to the Claim Attachment workflow

September 2022 Anthem Provider News and Updates - Colorado Digital Tools Sep 1, 2022

Medical Policy and Clinical UM Guidelines notification (MAC)

Material Adverse Change (MAC)
September 2022 Anthem Provider News and Updates - Colorado Medical Policy & Clinical Guidelines Sep 1, 2022

Commercial reimbursement policy update to Modifier 66: Surgical Teams - Professional

September 2022 Anthem Provider News and Updates - Colorado Reimbursement Policies Sep 1, 2022

Reimbursement policy update Assistant at Surgery (Modifiers 80, 81, 82, AS) - Professional

September 2022 Anthem Provider News and Updates - Colorado Reimbursement Policies Sep 1, 2022

Reimbursement Policy update: Modifier Rules – Professional (MAC)

Material Adverse Change (MAC)
September 2022 Anthem Provider News and Updates - Colorado Reimbursement Policies Sep 1, 2022

Update to formulary lists for Commercial health plan pharmacy benefit

September 2022 Anthem Provider News and Updates - Colorado Pharmacy Sep 1, 2022

Prior authorization specialty pharmacy updates (MAC)

Material Adverse Change (MAC)
September 2022 Anthem Provider News and Updates - Colorado Pharmacy Sep 1, 2022

OBRA 93 clam filing for Federal Employee Program

September 2022 Anthem Provider News and Updates - Colorado Federal Employee Plan (FEP) Sep 1, 2022

Prior authorization requirement changes effective December 1, 2022

September 2022 Anthem Provider News and Updates - Colorado Medicare Sep 1, 2022

Reminder: AIM prior authorization phone number change for Medicare

September 2022 Anthem Provider News and Updates - Colorado Medicare Sep 1, 2022

Enhancing claims attachment processes through digital applications

September 2022 Anthem Provider News and Updates - Colorado Medicare Sep 1, 2022

Reimbursement policy update: Modifiers 25 and 57 Evaluation and Management with Global Procedures

Policy update: G-06003
September 2022 Anthem Provider News and Updates - Colorado Medicare Sep 1, 2022

Anthem Blue Cross and Blue Shield Expands Specialty Pharmacy Precertification list

September 2022 Anthem Provider News and Updates - Colorado Medicare Sep 1, 2022

Anthem Blue Cross and Blue Shield to accept Hospital in Home services

September 2022 Anthem Provider News and Updates - Colorado Medicare Sep 1, 2022

Keep up with Medicare news – September 2022

September 2022 Anthem Provider News and Updates - Colorado Medicare Sep 1, 2022

Working with Anthem webinars — August 2022 schedule

Working with Anthem webinars: August 2022 schedule Administrative Aug 15, 2022

Timely updates help keep our provider directories current

August 2022 Anthem Provider News and Important Updates - Colorado Administrative Aug 1, 2022

Reminder: Inpatient/outpatient commercial claim denials

August 2022 Anthem Provider News and Important Updates - Colorado Administrative Aug 1, 2022

Update: Outpatient prepay itemized bill review program (MAC)

Material Adverse Change (MAC)
August 2022 Anthem Provider News and Important Updates - Colorado Administrative Aug 1, 2022

New patient evaluation and management services when reported for the same patient within the last three years

August 2022 Anthem Provider News and Important Updates - Colorado Administrative Aug 1, 2022

Working with Anthem webinars – August 2022 schedule

August 2022 Anthem Provider News and Important Updates - Colorado Administrative Aug 1, 2022

Performance enhancements to the authorization application on Availity Essentials

August 2022 Anthem Provider News and Important Updates - Colorado Digital Tools Aug 1, 2022

Now open for learning. Introducing the Anthem Blue Cross and Blue Shield Provider Learning Hub

August 2022 Anthem Provider News and Important Updates - Colorado Digital Tools Aug 1, 2022

Add supporting documents directly to your claims with the new Claims Status Send Attachments feature

August 2022 Anthem Provider News and Important Updates - Colorado Digital Tools Aug 1, 2022

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

August 2022 Anthem Provider News and Important Updates - Colorado Behavioral Health Aug 1, 2022

Pharmacy information available online

August 2022 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2022

Prior authorization specialty pharmacy updates (MAC)

Material Adverse Change (MAC)
August 2022 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2022

Keep up with Medicare news – August 2022

August 2022 Anthem Provider News and Important Updates - Colorado Medicare Aug 1, 2022

Join us for our next clinical quality in practice webinar

Join us for our next clinical quality in practice webinar - Colorado Administrative Jul 20, 2022
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