Colorado
Provider Communications

Articles

Title Publication Category Date

Clear Claim Connection

August 2018 Anthem Provider Newsletter - CO Reimbursement Policies Aug 17, 2018

Clear Claim Connection

September 2018 Anthem Provider Newsletter - CO Reimbursement Policies Aug 31, 2018

Clear Claim Connection

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

Clear Claim Connection: our web-based claim edit tool

February 2019 Anthem Provider Newsletter - CO Reimbursement Policies Feb 1, 2019

Clinical Criteria and prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
August 2019 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2019

Clinical Criteria and prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
November 2019 Anthem Provider News and Important Updates - Colorado Pharmacy Nov 1, 2019

Clinical Criteria coding updates for specialty pharmacy are available

July 2019 Anthem Provider News and Important Updates - Colorado Pharmacy Jul 1, 2019

Clinical Criteria updates

September 2019 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2019

Clinical criteria updates for specialty pharmacy

July 2019 Anthem Provider News and Important Updates - Colorado Pharmacy Jul 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - CO Pharmacy Mar 1, 2019

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - CO Medicare Mar 1, 2019

Clinical criteria updates for specialty pharmacy

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

Clinical practice and preventive health guidelines available on anthem.com

December 2019 Anthem Provider News and Important Updates - Colorado Administrative Dec 1, 2019

Clinical Practice and Preventive Health Guidelines available on the web

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

Clinical Validation (Professional Reimbursement Policy - Update)

June 2019 Anthem Important Updates - Colorado Reimbursement Policies Jun 1, 2019

CMS issues regulatory changes for short- and long- acting narcotics; days’ supply limits effective January 1, 2019

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

CMS Medicare Preclusion List effective April 1, 2019

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

CMS reminder: expedited/urgent requests

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

Coding Tip for Psychological and Neuropsychological Testing

December 2019 Anthem Provider News and Important Updates - Colorado Administrative Dec 1, 2019

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

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

Coming Soon: Anthem Electronic Attachments

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

Coming soon: electronic attachments

September 2019 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2019

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

April 2019 Anthem Provider Newsletter - Colorado Medicare Apr 1, 2019

ConditionCare Program Benefits Patients and Physicians

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

Coordination of Benefits for an FEP® member

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

Coordination of Benefits for an FEP® member

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

Coordination of Care

December 2019 Anthem Provider News and Important Updates - Colorado Administrative Dec 1, 2019

Coordination of Care

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

CORRECTION: Notice regarding post-pay review of ER claims

CORRECTION: Notice regarding post-pay review of ER claims - Colorado Reimbursement Policies May 16, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2019

Dispatch Health: An extension of your team - Innovative On-demand Healthcare at Home

January 2020 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Jan 1, 2020

DME providers and physicians: important wheelchair prior authorization information

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

Drug fee schedule update

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

Drug fee schedule update

April 2019 Anthem Provider Newsletter - Colorado Administrative Apr 1, 2019

Drug fee schedule update

July 2019 Anthem Provider News and Important Updates - Colorado Administrative Jul 1, 2019

Drug fee schedule update

January 2020 Anthem Provider News and Important Updates - Colorado Administrative Jan 1, 2020

Drug fee schedule update

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

Drug fee schedule update

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

Drug Screen Testing (Professional Reimbursement Policy - Updated)

May 2019 Anthem Provider Newsletter - Colorado Reimbursement Policies May 1, 2019

Dual Eligible Special Needs Plans -- provider training required

March 2019 Anthem Provider Newsletter - CO Medicare Mar 1, 2019

Electronic claim payment reconsideration

April 2019 Anthem Provider Newsletter - Colorado Medicare Apr 1, 2019

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

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

Electronic submission is preferred method for requesting pharmacy prior authorization

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

Enhanced search and download options allow easy access to information at your fingertips

Get the latest critical information from Anthem that impacts you; View Provider News for easy access at your fingertips - Colorado Administrative Oct 25, 2019

Explore new enhancements to the Education and Reference Center on the Availity Portal

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

Facility Revenue Code Billing (Facility Reimbursement Policy - New)

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

Fall prevention tips

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

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

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

Fall Provider Seminars Final Announcement - sessions start next week!

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

Fall Provider Seminars Final Announcement - sessions start this week!

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

Fall Provider Seminars Reminder - Register Today!

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

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

Find A Doctor -- New Sort Option

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

Frequency Editing (Professional Reimbursement Policy - Update)

June 2019 Anthem Important Updates - Colorado Reimbursement Policies Jun 1, 2019

Frequency Editing (Professional Reimbursement Policy - Update) (MAC)

Material Adverse Change (MAC)
August 2019 Anthem Provider News and Important Updates - Colorado Reimbursement Policies Aug 1, 2019

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

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

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

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

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

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

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

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

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

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

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

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

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

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

HEDIS 2019 Federal Employee Program® medical record request requirements

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

HEDIS® 2018 Commercial Results Are In

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

HEDIS® 2018: Provider Incentive Winners Announced!

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

Help protect your patients by providing medical ID protection -- best practices

January 2020 Anthem Provider News and Important Updates - Colorado Medicare Jan 1, 2020

Home health billing guidelines for contracted providers

July 2019 Anthem Provider News and Important Updates - Colorado Medicare Jul 1, 2019

ICD-10-CM Coding Guidelines and Laterality: Professional

July 2019 Anthem Provider News and Important Updates - Colorado Reimbursement Policies Jul 1, 2019

Important billing update for professional delivery claims

August 2018 Anthem Important Updates - CO Administrative Aug 17, 2018

Important information about billing colonoscopy and related anesthesia services

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

Important Information about Utilization Management

December 2019 Anthem Provider News and Important Updates - Colorado Administrative Dec 1, 2019

Important Information about Utilization Management

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

Important reminder regarding Specialty Pharmacy clinical site of care program

March 2019 Anthem Provider Newsletter - CO Pharmacy Mar 1, 2019

Important update to Anthem’s commercial drug lists

March 2019 Anthem Provider Newsletter - CO Pharmacy Mar 1, 2019

Important update to Anthem’s commercial drug lists

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

Important Update: Milliman Care Guideline (MCG), 23rd Edition, Pelvic Organ Prolapse Repair (MAC)

Material Adverse Change (MAC)
January 2020 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Jan 1, 2020

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

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

Innovative ways to improve your patients’ experiences and earn CME credits

August 2018 Anthem Provider Newsletter - CO Administrative Aug 17, 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

Integrated Medical and Behavioral Healthcare Services

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

Intensity Modulated Radiation Therapy Planning and Delivery (Professional Reimbursement Policy – New) (MAC)

Material Adverse Change (MAC)
September 2019 Anthem Provider News and Important Updates - Colorado Reimbursement Policies Sep 1, 2019

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Anthem Provider Newsletter - CO Medicare Mar 1, 2019

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

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

Introducing two new Medicare Advantage special needs plans for 2020

January 2020 Anthem Provider News and Important Updates - Colorado Medicare Jan 1, 2020

Keep up with Medicare news

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

Keep up with Medicare news

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

Keep up with Medicare news

April 2019 Anthem Provider Newsletter - Colorado Medicare Apr 1, 2019

Keep up with Medicare news

September 2019 Anthem Provider News and Important Updates - Colorado Medicare Sep 1, 2019

Keep up with Medicare news

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

Keep up with Medicare news

August 2019 Anthem Provider News and Important Updates - Colorado Medicare Aug 1, 2019

Keep up with Medicare news

July 2019 Anthem Provider News and Important Updates - Colorado Medicare Jul 1, 2019

Keep up with Medicare news

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

Keep up with Medicare news

March 2019 Anthem Provider Newsletter - CO Medicare Mar 1, 2019

Keep up with Medicare news

December 2019 Anthem Provider News and Important Updates - Colorado Medicare Dec 1, 2019

Keep up with Medicare news

January 2020 Anthem Provider News and Important Updates - Colorado Medicare Jan 1, 2020

Keep up with Medicare news

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

Keep up with Medicare news

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

Keep up with Medicare news

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