Colorado
Provider Communications

Articles

Title Publication Category Date

Fall Provider Seminars Final Announcement - sessions start next week!

Fall 2018 Anthem Provider Seminar Final Announcement - CO Administrative Sep 25, 2018

National Drug Code (NDC) Requirement on Outpatient Claims expanded - effective May 1, 2019

February 2019 Anthem Important Updates - CO Administrative Feb 1, 2019

Anthem to enhance claim edits for outpatient facility claims

February 2019 Anthem Important Updates - CO Administrative Feb 1, 2019

Anthem has partnered with Availity to become our designated EDI Gateway

August 2018 Anthem Provider Newsletter - CO Administrative Aug 17, 2018

Availity webinars regarding EDI

August 2018 Anthem Provider Newsletter - CO Administrative Aug 17, 2018

New enhancements to the Interactive Care Reviewer (ICR) tool

August 2018 Anthem Provider Newsletter - CO Administrative Aug 17, 2018

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

August 2018 Anthem Provider Newsletter - CO Administrative Aug 17, 2018

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

August 2018 Anthem Provider Newsletter - CO Administrative Aug 17, 2018

Working with Anthem Webinars - February 2019 schedule: WellChoice Network and Plans Overview

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

Updated Escalation Contact List

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

Updated Prefix Reference List

February 2019 Anthem Provider Newsletter - CO Administrative Feb 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

UPDATE: new Rehabilitative Program now effective August 1, 2019 - Colorado

UPDATE: new Rehabilitative Program now effective August 1, 2019 - Colorado Administrative Jul 3, 2019

UPDATE: new Rehabilitative Program remains temporarily delayed - Colorado

UPDATE: new Rehabilitative Program remains temporarily delayed - Colorado Administrative Jul 16, 2019

Working with Anthem Webinars - May 2019 schedule: Availity Tools and Functionality Overview

May 2019 Anthem Provider Newsletter - Colorado Administrative May 1, 2019

Electronic Member ID Cards - Easy online access on the Availity Portal

May 2019 Anthem Provider Newsletter - Colorado Administrative May 1, 2019

Updated Escalation Contact List

May 2019 Anthem Provider Newsletter - Colorado Administrative May 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Health Assessment requests for 2019 / Alternative reporting engagement

May 2019 Anthem Provider Newsletter - Colorado Administrative May 1, 2019

Drug fee schedule update

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

Anthem Contracted Ambulance Providers

May 2019 Anthem Provider Newsletter - Colorado Administrative May 1, 2019

Working with Anthem Webinars -- November 2019 schedule: Provider Maintenance Form

November 2019 Anthem Provider News and Important Updates - Colorado Administrative Nov 1, 2019

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

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

New Benefit / Service types added to the Eligibility and Benefits Inquiry tool in the Availity Portal

May 2019 Anthem Provider Newsletter - Colorado Administrative May 1, 2019

Provider Action Needed: verify your information is correct, and update us with any changes utilizing our online Provider Maintenance Form

November 2019 Anthem Provider News and Important Updates - Colorado Administrative Nov 1, 2019

Working with Anthem Webinars - February 2019 schedule: WellChoice Network and Plans Overview

Working with Anthem Webinars - February 2019 schedule: WellChoice Network and Plans Overview Administrative Feb 6, 2019

Anthem appropriate coding helps provide a comprehensive picture of patients’ health

November 2019 Anthem Provider News and Important Updates - Colorado Administrative Nov 1, 2019

ATTENTION! Availity launches additional changes to the new look to our Medical Attachment submission tool

May 2019 Anthem Provider Newsletter - Colorado Administrative May 1, 2019

Update and Reminder: new Rehabilitative Program effective July 1, 2019

June 2019 Anthem Provider Newsletter - Colorado Administrative Jun 1, 2019

Fall Provider Seminars coming soon - register today to save your spot!

September 2018 Anthem Provider Newsletter - CO Administrative Aug 31, 2018

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

Now Available: Get patient payments faster with Healthcare Bill Payments at anthem.com

September 2018 Anthem Provider Newsletter - CO Administrative Aug 31, 2018

Anthem launches additional changes to anthem.com in September

September 2018 Anthem Provider Newsletter - CO Administrative Aug 31, 2018

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

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

AIM programs may require additional pre-certification documentation

June 2019 Anthem Provider Newsletter - Colorado Administrative Jun 1, 2019

Submit electronic SOAP notes today using ePASS® and receive $100 each

September 2018 Anthem Provider Newsletter - CO Administrative Aug 31, 2018

HEDIS® 2019 starts early February

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

Working with Anthem Webinars - June 2019 schedule: Anthem 101 / Provider Orientation

June 2019 Anthem Provider Newsletter - Colorado Administrative Jun 1, 2019

HEDIS® 2018: Provider Incentive Winners Announced!

September 2018 Anthem Provider Newsletter - CO Administrative Aug 31, 2018

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

Medical and Behavioral Health Appointment Access

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

Anthem launches additional changes to anthem.com for Q2

June 2019 Anthem Provider Newsletter - Colorado Administrative Jun 1, 2019

Coming Soon: Anthem Electronic Attachments

June 2019 Anthem Provider Newsletter - Colorado Administrative Jun 1, 2019

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

September 2018 Anthem Provider Newsletter - CO Administrative Aug 31, 2018

Updated Escalation Contact List

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

New ICR Immediate Decision List posted on Availity Payer Spaces

June 2019 Anthem Provider Newsletter - Colorado Administrative Jun 1, 2019

Find A Doctor -- New Sort Option

June 2019 Anthem Provider Newsletter - Colorado Administrative Jun 1, 2019

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

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

Update: Sepsis Coding

June 2019 Anthem Provider Newsletter - Colorado Administrative Jun 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program begins; benefits of direct connection access to your EMR

June 2019 Anthem Provider Newsletter - Colorado Administrative Jun 1, 2019

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

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

Pre-certification/Pre-authorization requirement changes effective January 1, 2020 (MAC)

Material Adverse Change (MAC)
October 2019 Anthem Provider News and Important Updates - Colorado Administrative Oct 1, 2019

Anthem works to simplify payment recovery process for National Accounts membership

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

Working with Anthem Webinars -- October 2019 schedule: Provider Enrollment Application tool on Availity

October 2019 Anthem Provider News and Important Updates - Colorado Administrative Oct 1, 2019

Non-participating lab referrals

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

Anthem launches additional changes to anthem.com

October 2019 Anthem Provider News and Important Updates - Colorado Administrative Oct 1, 2019

Drug fee schedule update

October 2019 Anthem Provider News and Important Updates - Colorado Administrative Oct 1, 2019

National Accounts 2020 Pre-certification list

October 2019 Anthem Provider News and Important Updates - Colorado Administrative Oct 1, 2019

Fall Provider Seminars Reminder - Register Today!

Fall 2018 Anthem Provider Seminar Reminder - CO Administrative Sep 17, 2018

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program continues

October 2019 Anthem Provider News and Important Updates - Colorado Administrative Oct 1, 2019

Anthem engages Matrix to conduct mobile health clinics and in-home assessments for targeted members

October 2019 Anthem Provider News and Important Updates - Colorado Administrative Oct 1, 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

Member Satisfaction with Behavioral Health Outpatient Services

February 2019 Anthem Provider Newsletter - CO Behavioral Health Feb 1, 2019

Pre-certification request turnaround times for the Federal Employee Program

October 2019 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Oct 1, 2019

US Antibiotic Awareness Week is November 11-18, 2019

October 2019 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Oct 1, 2019

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

Anthem Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific Specialty Drugs and Site of Care

July 2019 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Jul 1, 2019

Coordination of Benefits for an FEP® member

December 2019 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Dec 1, 2019

2020 FEP® Benefit information available online

January 2020 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Jan 1, 2020

Mailing Address for Federal Employee Program® (FEP) Paper Claims and Claims Related Correspondence

August 2018 Anthem Provider Newsletter - CO Federal Employee Plan (FEP) Aug 17, 2018

HEDIS 2019 Federal Employee Program® medical record request requirements

February 2019 Anthem Provider Newsletter - CO Federal Employee Plan (FEP) Feb 1, 2019

Federal Employee Program® Specialty Pharmacy Clinical Site of Care prior authorization review (MAC)

Material Adverse Change (MAC)
October 2019 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Oct 1, 2019

AIM Specialty Health Clinical Guidelines update - Advanced Imaging (MAC)

Material Adverse Change (MAC)
July 2019 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Jul 1, 2019

New Clinical Guideline: Pneumatic Compression Devices, effective December 1, 2019 (MAC)

Material Adverse Change (MAC)
September 2019 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Sep 1, 2019

Pre-Service/Prior Authorization Clinical Review Update -- September 2019 (MAC)

Material Adverse Change (MAC)
September 2019 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Sep 1, 2019

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

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

AIM Specialty Health Clinical Guidelines update -- Advanced Imaging of the Head and Neck

April 2019 Anthem Important Updates - Colorado Medical Policy & Clinical Guidelines Apr 1, 2019

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

April 2019 Anthem Important Updates - Colorado Medical Policy & Clinical Guidelines Apr 1, 2019

AIM Specialty Health Clinical Guidelines update -- Musculoskeletal Joint Surgery

April 2019 Anthem Important Updates - Colorado Medical Policy & Clinical Guidelines Apr 1, 2019

AIM Specialty Health Clinical Guidelines update -- Sleep Disorder Management

April 2019 Anthem Important Updates - Colorado Medical Policy & Clinical Guidelines Apr 1, 2019

Anthem customizations to MCG care guidelines 23rd edition (MAC)

Material Adverse Change (MAC)
August 2019 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Aug 1, 2019

AIM Specialty Health Clinical Guidelines update - Advanced Imaging (MAC)

Material Adverse Change (MAC)
August 2019 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Aug 1, 2019

Medical Policy and Clinical UM Guidelines notification letter (MAC)

Material Adverse Change (MAC)
August 2019 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Radiation Oncology: Proton Beam Therapy Clinical Appropriateness Guideline

August 2019 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Aug 1, 2019

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

August 2019 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Aug 1, 2019

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

August 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Aug 17, 2018

Update to AIM Advanced Imaging Clinical Guidelines

August 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Aug 17, 2018

Update to AIM Level of Care Musculoskeletal Surgery Clinical Guidelines

August 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Aug 17, 2018

Update to AIM Radiation Oncology Clinical Guidelines

August 2018 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Aug 17, 2018

Medical Policy and Clinical UM Guideline changes notification letter

March 2019 Anthem Important Updates - CO Medical Policy & Clinical Guidelines Mar 1, 2019

Medical Policy and Clinical UM Guidelines notification (MAC)

Material Adverse Change (MAC)
December 2019 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Dec 1, 2019

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

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