Colorado
Provider Communications

Articles

Title Publication Category Date

Anthem to update drug lists supporting commercial health plans

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

Anthem to update formulary lists for commercial health plan pharmacy benefit

February 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Feb 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

August 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Aug 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

September 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Sep 1, 2020

Anthem transitions MA back pain management and cardiology UM programs from OrthoNet to AIM

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

Anthem waives cost share for COVID-19 treatment (updated May 29, 2020)

Effective April 1, we expanded coverage for our members undergoing treatment related to a COVID-19 diagnosis, which covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020.
COVID-19 Information - Colorado Administrative May 29, 2020

Anthem works to simplify payment recovery process for National Accounts membership

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

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

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

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

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

Anthem’s Individualized Care Program supports palliative care for commercial members

August 2018 Anthem Provider Newsletter - CO Products & Programs Aug 17, 2018

Anthem’s new Digital Provider Enrollment application - now available

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

Anthem’s new Digital Provider Enrollment application - now available

Working with Anthem Webinars - April 2019 schedule: new Digital Provider Enrollment Application tool and Provider Maintenance Form - Colorado Administrative Apr 5, 2019

Aspire Telehealth Palliative Care program

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

Assistant Surgery Services/Code List policy update - Professional

October 2018 Anthem Provider Newsletter - CO Reimbursement Policies Oct 1, 2018

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

Availity EDI Gateway Webinars Scheduled

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

Availity Portal Notification Center

June 2020 Anthem Provider News and Important Updates -- Colorado Administrative Jun 1, 2020

Availity to serve as EDI entry point for electronic submissions

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

Availity webinars regarding EDI

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

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

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement (APM ID 0037943)

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

Body Mass Index (BMI) (Facility Reimbursement Policy - Update)

February 2019 Anthem Important Updates - CO Reimbursement Policies Feb 1, 2019

Bundled Services (Professional Reimbursement Policy - Update) (MAC)

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

Bundled Services and Supplies – Professional

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

Case Management Program

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

Case Management Program

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

Change Notification to Provider and Facility Manual effective November 1, 2020 (MAC)

Material Adverse Change (MAC)
August 2020 Anthem Provider News and Important Updates -- Colorado Administrative Aug 1, 2020

Change to 835 ERA for all D-SNP MA members for 2019

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

Changes coming this month with Anthem’s Provider Newsletter and Important Updates

July 2019 Anthem Provider News and Important Updates - Colorado Administrative Jun 28, 2019

Changes to PA requirements

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

Claim editing update for Excludes1 notes

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

Claims requiring additional documentation (Facility Reimbursement Policy -- Update for Outpatient) (MAC)

Material Adverse Change (MAC)
May 2020 Anthem Provider News and Important Updates -- Colorado Reimbursement Policies May 1, 2020

Claims requiring additional documentation facility reimbursement policy update

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

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

October 2018 Anthem Provider Newsletter - CO Reimbursement Policies Oct 1, 2018

Clear Claim Connection

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

February 2019 Anthem Important Updates - CO Pharmacy Feb 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

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

Clinical guideline update effective June 1, 2020 -- CG-SURG-92 / Paraesophageal Hernia Repair (MAC)

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

Clinical Laboratory Improvement Amendments (CLIA) claim requirements effective May 1, 2020 (MAC)

Material Adverse Change (MAC)
February 2020 Anthem Provider News and Important Updates -- Colorado Reimbursement Policies Feb 1, 2020

Clinical Laboratory Improvement Amendments (CLIA) ID number required for electronic claims submissions

August 2020 Anthem Provider News and Important Updates -- Colorado Administrative Aug 1, 2020

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 Behavioral Health 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

Commercial Risk Adjustment (CRA) 2020 Program Year Progression: What’s in it for you and your patients?

July 2020 Anthem Provider News and Important Updates -- Colorado Administrative Jul 1, 2020

Commercial Risk Adjustment (CRA) Program Update: Medical chart collection for ACA members due March 31, 2020

March 2020 Anthem Provider News and Important Updates -- Colorado Administrative Mar 1, 2020

Commercial Risk Adjustment (CRA) Reporting Update: 2020 Prospective Program Continues

September 2020 Anthem Provider News and Important Updates -- Colorado Administrative Sep 1, 2020

Commercial Risk Adjustment (CRA): Appropriate coding helps provide a comprehensive picture of patients’ health

August 2020 Anthem Provider News and Important Updates -- Colorado Administrative Aug 1, 2020

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

Coordination of Care

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

CORRECTION: Notice regarding post-pay review of ER claims

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

COVID-19 information repository for Anthem care Providers

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

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated June 9, 2020)

We are extending coverage for telehealth and telephone-only care. Through September 30, 2020, Anthem will waive member cost shares for telehealth visits from in-network providers, including visits for mental health or substance use disorders.
COVID-19 Information - Colorado Administrative Jun 9, 2020

COVID-19 Virus Talking Points - Medicare

April 2020 Anthem Provider News and Important Updates -- Colorado Medicare Apr 1, 2020

CU Health Plan and UCHealth changes effective July 1, 2020

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

Customizations to the 23rd edition of the MCG Care Guidelines

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

Diabetes HbA1c < 8 HEDIS guidance

June 2020 Anthem Provider News and Important Updates -- Colorado Medicare Jun 1, 2020

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

Distinctive Procedural Services, Modifiers 59, XE, XP, XS, XU (Professional Reimbursement Policy) -- Update (MAC)

Material Adverse Change (MAC)
September 2020 Anthem Provider News and Important Updates -- Colorado Reimbursement Policies Sep 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

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

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

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

Drug fee schedule update

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

Drug fee schedule update

April 2020 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2020

Drug fee schedule update

July 2020 Anthem Provider News and Important Updates -- Colorado Administrative Jul 1, 2020

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

EDI Gateway Migration Deadline is September 15, 2020

September 2020 Anthem Provider News and Important Updates -- Colorado Administrative Sep 1, 2020

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 Medical Records Submission Process to Support Claims Processing

September 2020 Anthem Provider News and Important Updates -- Colorado Administrative Sep 1, 2020

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

Expansion of AIM Musculoskeletal Program Effective November 1, 2020 (MAC)

Material Adverse Change (MAC)
August 2020 Anthem Provider News and Important Updates -- Colorado Administrative Aug 1, 2020

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
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