Colorado
Provider Communications

Articles

Title Publication Category Date

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Provider Newsletter - CO Medicare Feb 1, 2019

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Provider Newsletter - CO Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Provider Newsletter - CO Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Anthem Provider Newsletter - CO Medicare Feb 1, 2019

Provider and Facility identified Overpayments (aka “voluntary” or “unsolicited”)

February 2019 Anthem Provider Newsletter - CO Administrative Feb 1, 2019

Anthem Announces Early Launch of IngenioRx

Anthem Announces Early Launch of IngenioRx Pharmacy Jan 30, 2019

New 2019 Health Care Plan information for all Colorado PERA Retirees UPDATED - CO

New 2019 Health Care Plan information for all Colorado PERA Retirees UPDATED - CO Administrative Jan 25, 2019

New Year Brings New ID Cards - and New ID Numbers - for Many Anthem Members

January 2019 New Year Brings New ID Cards and New ID Numbers for Many Anthem Members - CO Administrative Jan 25, 2019

Working with Anthem Webinar: New 2019 Health Care Plan information for all Colorado PERA Retirees

Working with Anthem Webinar: New 2019 Health Care Plan information for all Colorado PERA Retirees Administrative Jan 14, 2019

Medical Policy and Clinical UM Guideline changes notification letter

January 2019 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Jan 1, 2019

Update regarding drugs not approved by the FDA

January 2019 Anthem Provider Newsletter - CO Pharmacy Jan 1, 2019

Drug fee schedule update

January 2019 Anthem Provider Newsletter - CO Administrative Jan 1, 2019

Reminder: HCPCS code A0998 Ambulance response and treatment with no transport is active and available for use

January 2019 Anthem Provider Newsletter - CO Administrative Jan 1, 2019

Clear Claim Connection

January 2019 Anthem Provider Newsletter - CO Reimbursement Policies Jan 1, 2019

Anthem offers risk adjustment and documentation training

January 2019 Anthem Provider Newsletter - CO Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Provider Newsletter - CO Medicare Jan 1, 2019

Simplifying medication prior authorization processes

January 2019 Anthem Provider Newsletter - CO Pharmacy Jan 1, 2019

Working with Anthem - 2019 Subject Specific Webinars - January schedule

January 2019 Anthem Provider Newsletter - CO Administrative Jan 1, 2019

Update: New process to submit claim payment disputes electronically

January 2019 Anthem Provider Newsletter - CO Administrative Jan 1, 2019

SOAP Notes/Health Assessments for 2018 calendar year are due February 15, 2019

January 2019 Anthem Provider Newsletter - CO Administrative Jan 1, 2019

HEDIS® 2019 starts early February

January 2019 Anthem Provider Newsletter - CO Administrative Jan 1, 2019

Medical and Behavioral Health Appointment Access

January 2019 Anthem Provider Newsletter - CO Administrative Jan 1, 2019

Updated Escalation Contact List

January 2019 Anthem Provider Newsletter - CO Administrative Jan 1, 2019

Health Care Reform Updates (including Health Insurance Marketplace / Affordable Care Act)

January 2019 Anthem Provider Newsletter - CO Administrative Jan 1, 2019

Benefits to be available for chronic care management and advance care planning services effective February 23, 2019

January 2019 Anthem Provider Newsletter - CO Reimbursement Policies Jan 1, 2019

Reimbursement Policies are available online

January 2019 Anthem Provider Newsletter - CO Reimbursement Policies Jan 1, 2019

Keep up with Medicare news

January 2019 Anthem Provider Newsletter - CO Medicare Jan 1, 2019

Provider and Facility Manual update effective February 1, 2019 - CO

Provider and Facility Manual update effective February 1, 2019 - CO Administrative Dec 28, 2018

New Autism Codes Effective January 1, 2019 - CO

New Autism Codes Effective January 1, 2019 - CO Administrative Dec 12, 2018

Professional Reimbursement Policy Change and supporting claims editing notification for CMS-1500 submitters

December 2018 Anthem Important Updates - CO Reimbursement Policies Dec 1, 2018

“Rule of Eight” Reporting Guidelines for Physical Medicine and Rehabilitation Services - Professional

December 2018 Anthem Provider Newsletter - CO Reimbursement Policies Dec 1, 2018

System updates for reimbursement policies in 2019 - Professional

December 2018 Anthem Provider Newsletter - CO Reimbursement Policies Dec 1, 2018

Modifier 79 - Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period - Professional

December 2018 Anthem Provider Newsletter - CO Reimbursement Policies Dec 1, 2018

Clear Claim Connection

December 2018 Anthem Provider Newsletter - CO Reimbursement Policies Dec 1, 2018

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

When and how to initiate Medicare Advantage reopenings

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

Keep up with Medicare news

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

Case Management Program

December 2018 Anthem Provider Newsletter - CO Products & Programs Dec 1, 2018

Pharmacy information available on anthem.com

December 2018 Anthem Provider Newsletter - CO Products & Programs Dec 1, 2018

Members’ Rights and Responsibilities

December 2018 Anthem Provider Newsletter - CO Products & Programs Dec 1, 2018

Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid Available on the Web

December 2018 Anthem Provider Newsletter - CO Products & Programs Dec 1, 2018

Clinical Practice and Preventive Health Guidelines available on the web

December 2018 Anthem Provider Newsletter - CO Products & Programs Dec 1, 2018

Anthem accepts electronic prior authorization requests for prescription medications online

December 2018 Anthem Provider Newsletter - CO Products & Programs Dec 1, 2018

Introducing the new Clinical Criteria page for injectable, infused or implanted drugs

December 2018 Anthem Provider Newsletter - CO Pharmacy Dec 1, 2018

Request a Clinical Appeal through new functionality in our Interactive Care Reviewer (ICR) tool on Availity

December 2018 Anthem Provider Newsletter - CO Administrative Dec 1, 2018

Availity to serve as EDI entry point for electronic submissions

December 2018 Anthem Provider Newsletter - CO Administrative Dec 1, 2018

Anthem works to simplify payment recovery process for National Accounts membership

December 2018 Anthem Provider Newsletter - CO Administrative Dec 1, 2018

HEDIS® 2018 Commercial Results Are In

December 2018 Anthem Provider Newsletter - CO Administrative Dec 1, 2018

Plans offered in 2019

December 2018 Anthem Provider Newsletter - CO Administrative Dec 1, 2018

Networks at a Glance

December 2018 Anthem Provider Newsletter - CO Administrative Dec 1, 2018

Updated Escalation Contact List

December 2018 Anthem Provider Newsletter - CO Administrative Dec 1, 2018

Updated Prefix Reference List

December 2018 Anthem Provider Newsletter - CO Administrative Dec 1, 2018

Health Care Reform Updates (including Health Insurance Marketplace / Affordable Care Act)

December 2018 Anthem Provider Newsletter - CO Administrative Dec 1, 2018

Update to AIM Clinical Appropriateness Guidelines

December 2018 Anthem Provider Newsletter - CO Medical Policy & Clinical Guidelines Dec 1, 2018

Restructure of AIM Advanced Imaging Clinical Appropriateness Guidelines

December 2018 Anthem Provider Newsletter - CO Medical Policy & Clinical Guidelines Dec 1, 2018

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

December 2018 Anthem Provider Newsletter - CO Medical Policy & Clinical Guidelines Dec 1, 2018

Reimbursement for Convenience Surgical Supply Kits - Professional

December 2018 Anthem Provider Newsletter - CO Reimbursement Policies Dec 1, 2018

Scope of License - Reimbursement Policy Update (Professional)

December 2018 Anthem Provider Newsletter - CO Reimbursement Policies Dec 1, 2018

Reimbursement Policies are available online

December 2018 Anthem Provider Newsletter - CO Reimbursement Policies Dec 1, 2018

BlueAdvantage HMO on the Pathway HMO Network for Federal Employees

December 2018 Anthem Provider Newsletter - CO Federal Employee Plan (FEP) Dec 1, 2018

Coordination of Benefits for an FEP® member

December 2018 Anthem Provider Newsletter - CO Federal Employee Plan (FEP) Dec 1, 2018

Colorado Public Employees' Retirement Association (PERA) Offers Medicare Advantage Option

December 2018 Anthem Provider Newsletter - CO Medicare Dec 1, 2018

ConditionCare Program Benefits Patients and Physicians

December 2018 Anthem Provider Newsletter - CO Products & Programs Dec 1, 2018

Integrated Care Model for plans purchased on the Health Insurance Marketplace / Connect for Health Colorado benefits patients and physicians

December 2018 Anthem Provider Newsletter - CO Products & Programs Dec 1, 2018

Coordination of Care

December 2018 Anthem Provider Newsletter - CO Products & Programs Dec 1, 2018

Important Information about Utilization Management

December 2018 Anthem Provider Newsletter - CO Products & Programs Dec 1, 2018

Pharmacy information available on anthem.com

December 2018 Anthem Provider Newsletter - CO Pharmacy Dec 1, 2018

Non-participating lab referrals

December 2018 Anthem Provider Newsletter - CO Administrative Dec 1, 2018

Options for helping members avoid ER visits during flu season

November 2018 Anthem Provider Newsletter - CO Products & Programs Nov 1, 2018

Fall Provider Seminars: Even if you missed our in-person sessions, you still have a chance to attend a webinar -- last chance to register!

November 2018 Anthem Provider Newsletter - CO Administrative Nov 1, 2018

Anthem taps Paul Marchetti to lead company’s overall care transformation strategy

November 2018 Anthem Provider Newsletter - CO Administrative Nov 1, 2018

Updated Prefix Reference List

November 2018 Anthem Provider Newsletter - CO Administrative Nov 1, 2018

Updated Escalation Contact List

November 2018 Anthem Provider Newsletter - CO Administrative Nov 1, 2018

Health Care Reform Updates (including Health Insurance Marketplace / Affordable Care Act)

November 2018 Anthem Provider Newsletter - CO Administrative Nov 1, 2018

Please evaluate statin use for Medicare Advantage members with diabetes, cardiovascular disease

November 2018 Anthem Provider Newsletter - CO Medicare Nov 1, 2018

Keep up with Medicare news

November 2018 Anthem Provider Newsletter - CO N/A Nov 1, 2018

Update to Durable Medical Equipment - effective October 14, 2018

November 2018 Anthem Provider Newsletter - CO Administrative Nov 1, 2018

Medical Policy, Clinical UM Guidelines, and Pre-certification changes notification letter

November 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Nov 1, 2018

Update to Durable Medical Equipment - effective October 14, 2018

October 2018 Anthem Provider Newsletter - CO Administrative Oct 12, 2018

New 2019 Health Care Plan information for all Colorado PERA Retirees - CO

New 2019 Health Care Plan information for all Colorado PERA Retirees - CO Medicare Oct 3, 2018

Anthem expands specialty pharmacy clinically equivalent drug list

October 2018 Anthem Important Updates - CO Pharmacy Oct 1, 2018

Anthem expands specialty pharmacy pre-certification list

October 2018 Anthem Important Updates - CO Pharmacy Oct 1, 2018

Anthem expands specialty pharmacy level of care (clinical site of care) drug list

October 2018 Anthem Important Updates - CO Pharmacy Oct 1, 2018

Facility Revenue Code Billing (Facility Reimbursement Policy - New)

October 2018 Anthem Important Updates - CO Administrative Oct 1, 2018

Professional Reimbursement Policy Change and supporting claims editing notification for CMS-1500 submitters

October 2018 Anthem Important Updates - CO Administrative Oct 1, 2018

Readmission (Facility Reimbursement Policy - Update)

October 2018 Anthem Important Updates - CO Administrative Oct 1, 2018

AIM Specialty Health Clinical Guidelines update - Advanced Imaging of the Heart

October 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Oct 1, 2018

AIM Specialty Health Clinical Guidelines update – Radiation Oncology

October 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Oct 1, 2018

AIM Specialty Health Clinical Guidelines update - Sleep Disorder Management

October 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Oct 1, 2018

Drug fee schedule update

October 2018 Anthem Provider Newsletter - CO Administrative Oct 1, 2018

Fall Provider Seminars Final Announcement - sessions start this week!

October 2018 Anthem Provider Newsletter - CO Administrative Oct 1, 2018

Anthem launches additional changes to anthem.com in October

October 2018 Anthem Provider Newsletter - CO Administrative Oct 1, 2018

New process to submit claim payment disputes electronically

October 2018 Anthem Provider Newsletter - CO Administrative Oct 1, 2018

Anthem accepts pre-certification requests for prescription medications online

October 2018 Anthem Provider Newsletter - CO Administrative Oct 1, 2018

Special Investigations Unit updates

October 2018 Anthem Provider Newsletter - CO Administrative Oct 1, 2018

Integrated Medical and Behavioral Healthcare Services

October 2018 Anthem Provider Newsletter - CO Administrative Oct 1, 2018
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