Colorado
Provider Communications

Articles

Title Publication Category Date

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

Working with Anthem webinars — July 2022 schedule: Anthem Blue Cross and Blue Shield networks overview

Working with Anthem webinars — July 2022 schedule: Anthem Blue Cross and Blue Shield networks overview - Colorado Administrative Jul 15, 2022

Introducing Elevance Health: Focusing on whole health and its most powerful drivers

July 2022 Anthem Provider News and Important Updates - Colorado Administrative Jul 1, 2022

CAA: Keep your provider directory information current

July 2022 Anthem Provider News and Important Updates - Colorado Administrative Jul 1, 2022

Updates to edits associated with implants

July 2022 Anthem Provider News and Important Updates - Colorado Administrative Jul 1, 2022

Update to facility editing: HCPCS code G0463

July 2022 Anthem Provider News and Important Updates - Colorado Administrative Jul 1, 2022

Help patients heal from the comfort of home with Hospital in Home care

July 2022 Anthem Provider News and Important Updates - Colorado Administrative Jul 1, 2022

Non-participating lab referrals

July 2022 Anthem Provider News and Important Updates - Colorado Administrative Jul 1, 2022

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

July 2022 Anthem Provider News and Important Updates - Colorado Administrative Jul 1, 2022

Clearing up coding confusion for diabetic retinal screenings

July 2022 Anthem Provider News and Important Updates - Colorado Administrative Jul 1, 2022

Working with Anthem webinars – July 2022 schedule: Anthem Blue Cross and Blue Shield networks overview

July 2022 Anthem Provider News and Important Updates - Colorado Administrative Jul 1, 2022

Enhancing claims attachment processes through digital applications: Add attachments through Claims Status Inquiry

July 2022 Anthem Provider News and Important Updates - Colorado Digital Tools Jul 1, 2022

Coming soon: The Anthem Blue Cross and Blue Shield Provider Learning Hub makes Availity learning easier

July 2022 Anthem Provider News and Important Updates - Colorado Digital Tools Jul 1, 2022

Enhanced reimbursement for voluntary Cancer Care Quality program to be discontinued effective December 31, 2022

July 2022 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Jul 1, 2022

Medical Policy and Clinical UM Guidelines notification (MAC)

Material Adverse Change (MAC)

July 2022 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Jul 1, 2022

Retraction for reimbursement policy – Sexually Transmitted Infections - professional

July 2022 Anthem Provider News and Important Updates - Colorado Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Laboratory and Venipuncture Services – professional and facility (MAC)

Material Adverse Change (MAC)
July 2022 Anthem Provider News and Important Updates - Colorado Reimbursement Policies Jul 1, 2022

New Reimbursement policy: Modifier FB – professional and facility (MAC)

Material Adverse Change (MAC)
July 2022 Anthem Provider News and Important Updates - Colorado Reimbursement Policies Jul 1, 2022

New reimbursement policy: Transitional Care Management - professional

July 2022 Anthem Provider News and Important Updates - Colorado Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Place of Service – facility (MAC)

Material Adverse Change (MAC)

July 2022 Anthem Provider News and Important Updates - Colorado Reimbursement Policies Jul 1, 2022

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

Material Adverse Change (MAC)
July 2022 Anthem Provider News and Important Updates - Colorado Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Modifiers Rules - professional (MAC)

Material Adverse Change (MAC)
July 2022 Anthem Provider News and Important Updates - Colorado Reimbursement Policies Jul 1, 2022

Pharmacy information available online

July 2022 Anthem Provider News and Important Updates - Colorado Pharmacy Jul 1, 2022

Drug fee schedule update

July 2022 Anthem Provider News and Important Updates - Colorado Pharmacy Jul 1, 2022

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

July 2022 Anthem Provider News and Important Updates - Colorado Medicare Jul 1, 2022

Cancer Care Navigator

July 2022 Anthem Provider News and Important Updates - Colorado Medicare Jul 1, 2022

Keep up with Medicare news – July 2022

July 2022 Anthem Provider News and Important Updates - Colorado Medicare Jul 1, 2022

Working with Anthem webinars – June 2022 schedule: Availity Attachments tool

Working with Anthem webinars – June 2022 schedule: Availity Attachments tool - Colorado Administrative Jun 16, 2022

Introducing Elevance Health — Focusing on whole health and its most powerful drivers

Elevance Health Administrative Jun 15, 2022

Exploring the Intersection of Race and Disability

Register today for a forum on Exploring the Intersection of Race and Disability hosted by Anthem Blue Cross and Blue Shield (Anthem) and Motivo* for Anthem providers on June 22, 2022.

Exploring the Intersection of Race and Disability forum - Colorado Administrative Jun 8, 2022

Exploring the Intersection of Race and Disability

Register today for a forum on Exploring the Intersection of Race and Disability hosted by Anthem Blue Cross and Blue Shield and Motivo* for Anthem Blue Cross and Blue Shield providers on June 22, 2022.
June 2022 Anthem Provider News and Updates - Colorado Administrative Jun 1, 2022

CAA: Provider directories accuracy is important

June 2022 Anthem Provider News and Updates - Colorado Administrative Jun 1, 2022

Provider outreach to validate your provider data

June 2022 Anthem Provider News and Updates - Colorado Administrative Jun 1, 2022

Once-a-year testing is critically important to providing quality diabetes care

June 2022 Anthem Provider News and Updates - Colorado Administrative Jun 1, 2022

Working with Anthem webinars – June 2022 schedule: Availity Attachments tool

June 2022 Anthem Provider News and Updates - Colorado Administrative Jun 1, 2022

Updated escalation contact list

June 2022 Anthem Provider News and Updates - Colorado Administrative Jun 1, 2022

Updates to AIM Specialty Health musculoskeletal clinical appropriateness guidelines (MAC)

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

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines (MAC)

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

Updates to AIM Specialty Health sleep disorder management clinical appropriateness guidelines (MAC)

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

Medical Policy and Clinical UM Guidelines notification (MAC)

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

Updated AIM Musculoskeletal Program effective October 1, 2022: Monitored Anesthesia Care Reviews (MAC)

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

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services -- Facility (MAC)

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

Updated use of Modifier 25 when billing for visits that include preventive services and problem-oriented evaluation and management services (MAC)

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

Opioid overdose deaths: What can we do?

June 2022 Anthem Provider News and Updates - Colorado Behavioral Health Jun 1, 2022

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

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

Process change for Federal Employee Program® third-party correspondence requests

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

Authorizations for post-acute care services for Medicare Advantage individual, Group Retiree Solutions (GRS), and Dual-Eligible Plan members

June 2022 Anthem Provider News and Updates - Colorado Medicare Jun 1, 2022

Medical drug benefit Clinical Criteria updates

June 2022 Anthem Provider News and Updates - Colorado Medicare Jun 1, 2022

Medical policies and clinical utilization Management guidelines update

June 2022 Anthem Provider News and Updates - Colorado Medicare Jun 1, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

June 2022 Anthem Provider News and Updates - Colorado Medicare Jun 1, 2022

Provider notice for COVID-19 testing

June 2022 Anthem Provider News and Updates - Colorado Medicare Jun 1, 2022

Keep up with Medicare news – June 2022

June 2022 Anthem Provider News and Updates - Colorado Medicare Jun 1, 2022

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

NEW Registration link as of May 9, 2022, re-registration required.
CORRECTION: Working with Anthem Webinars -- May 2022 schedule: Colorado Public Option HB 21-1232 (the “Public Option Law”) for Anthem Plans Administrative May 10, 2022

Anthem Blue Cross and Blue Shield announces changes to post-payment audits conducted on our behalf

May 2022 Anthem Provider News and Update - Colorado Administrative May 1, 2022

Coding tips for reporting administration of Spravato®

May 2022 Anthem Provider News and Update - Colorado Administrative May 1, 2022

Timely updates help keep our provider directories current

May 2022 Anthem Provider News and Update - Colorado Administrative May 1, 2022

Primary care appointment access and open panels

May 2022 Anthem Provider News and Update - Colorado Administrative May 1, 2022

Non-participating lab referrals

May 2022 Anthem Provider News and Update - Colorado Administrative May 1, 2022

Working with Anthem webinars May 2022 schedule: Colorado Public Option HB 21-1232 (the “Public Option Law”) for Anthem plans

May 2022 Anthem Provider News and Update - Colorado Administrative May 1, 2022

Resources to support diverse patients and communities

May 2022 Anthem Provider News and Update - Colorado Administrative May 1, 2022

May is National High Blood Pressure Education Month: We’ve got this!

May 2022 Anthem Provider News and Update - Colorado Administrative May 1, 2022

Alcohol use disorder has a big cost

May 2022 Anthem Provider News and Update - Colorado Administrative May 1, 2022

Member benefit lookup by procedure code

May 2022 Anthem Provider News and Update - Colorado Digital Tools May 1, 2022

Prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
May 2022 Anthem Provider News and Update - Colorado Pharmacy May 1, 2022

CORRECTION: Save time tomorrow by using CPT II codes today: Introducing the FEP Quality Reimbursement Program for PPO providers

May 2022 Anthem Provider News and Update - Colorado Federal Employee Plan (FEP) May 1, 2022
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