Colorado
Provider Communications

Articles

Title Publication Category Date

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

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: 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 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 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 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) 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

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 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

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 May 19, 2020)

COVID-19 Information - Colorado Administrative May 19, 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

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 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

Federal Resources Available for Care Providers and Employers in the Federal CARES Act

During the COVID-19 crisis, care providers are working to keep the country running while navigating the financial impact it is having on them. To help care providers navigate the resources available to them Anthem has compiled information on programs we have learned about that could provide additional financial relief during this crisis.
COVID-19 Information - Colorado Administrative Apr 10, 2020

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)

August 2018 Anthem Provider Newsletter - CO Administrative 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

HEDIS 2020 Federal Employee Program® medical record request requirements

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

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 clarification about HMO/Point of Service (POS) health plan information for CHEIBA members

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

Important coding reminder for Walk-In Retail Health Clinics

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

Important COVID-19 update: Prior authorization and other policy adjustments (Updated April 17, 2020)

Anthem previously announced the suspension of select prior authorization requirements and other policy adjustments in response to unprecedented demands on health care providers. We’ve updated information about peer to peer reviews, self-funded customers, and Federal Employee Program (FEP®) membership.
COVID-19 Information - Colorado Administrative Apr 17, 2020
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