Colorado
Provider Communications

Articles

Title Publication Category Date

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 Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines (MAC)

Material Adverse Change (MAC)
January 2023 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health cardiology clinical appropriateness guidelines CPT code list (MAC)

November 2022 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Nov 1, 2022

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

Material Adverse Change (MAC)
December 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Dec 1, 2021

Updates to AIM Specialty Health cardiology clinical appropriateness guidelines

November 2021 Anthem Provider News and Important Updates - Colorado Medicare Nov 1, 2021

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines

January 2021 Anthem Provider News and Important Updates -- Colorado Medicare Jan 1, 2021

Updates to AIM Specialty Health Cardiac Clinical Appropriateness (MAC)

Material Adverse Change (MAC)
January 2023 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Dec 30, 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 Advanced Imaging Clinical Appropriateness Guidelines

February 2023 Anthem Provider News - Colorado Medicare Feb 1, 2023

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Material Adverse Change (MAC)
January 2023 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

December 2021 Anthem Provider News and Important Updates - Colorado Medicare Dec 1, 2021

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

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

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

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

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

November 2019 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Nov 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 Musculoskeletal Surgery Clinical Appropriateness Guidelines

December 2018 Anthem Provider Newsletter - CO Medical Policy & Clinical Guidelines Dec 1, 2018

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines

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

Updates to AIM Musculoskeletal Program Effective November 1, 2021 – Site of Care Reviews (MAC)

Material Adverse Change (MAC)
August 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Aug 1, 2021

Updates to AIM Musculoskeletal program clinical appropriateness guidelines (MAC)

Material Adverse Change (MAC)

June 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Jun 1, 2021

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

January 2021 Anthem Provider News and Important Updates -- Colorado Medicare Jan 1, 2021

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

Updates to AIM Advanced Imaging Clinical appropriateness guidelines (MAC)

Material Adverse Change (MAC)

June 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Jun 1, 2021

Updates to AIM advanced imaging clinical appropriateness guideline (MAC)

Material Adverse Change (MAC)
December 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Dec 1, 2021

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

Updated preventive care guidance regarding screening colonoscopies

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

Updated Prefix Reference List -- Colorado

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

Updated Prefix Reference List -- Colorado

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

Updated Prefix Reference List

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

Updated Prefix Reference List

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

Updated Prefix Reference List

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

Updated Networks at a Glance and Networks Overview documents -- Colorado

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

Updated Escalation Contact List -- Colorado

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

Updated Escalation Contact List -- Colorado

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

Updated Escalation Contact List -- Colorado

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

Updated Escalation Contact List -- Colorado

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

Updated Escalation Contact List

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

Updated Escalation Contact List

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

Updated Escalation Contact List

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

Updated Escalation Contact List

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

Updated escalation contact list

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

Updated Escalation Contact List

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

Updated Escalation Contact List

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

Updated Escalation Contact List

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

Updated COVID-19 Medicare Information

For the latest COVID-19 Medicare information, please check Medicare Advantage Provider News Archives.
COVID-19 Information – Colorado – Publication RETIRED as of November 8, 2022 Medicare Mar 25, 2020

Updated Coverage for HIV PrEP medications

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

Updated Coverage for Breast Cancer prevention medications

October 2020 Anthem Provider News and Important Updates -- Colorado Pharmacy Oct 1, 2020

Updated AIM Rehabilitative Program Effective August 1, 2021 – Initial Evaluations and Site of Service Reviews (MAC)

Material Adverse Change (MAC)
May 2021 Anthem Provider News and Important Updates - Colorado Products & Programs May 1, 2021

Updated AIM Musculoskeletal program site of care reviews delayed

December 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Dec 1, 2021

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

Update: Temporarily retracting roll out of Availity Claim Payment dispute tool for Commercial claims - Colorado

Update: Temporarily retracting roll out of Availity Claim Payment dispute tool for Commercial claims - Colorado Administrative Apr 5, 2019

Update: Sepsis Coding

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

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

Update: Notice of changes to the AIM Small Joint Surgery Guideline

March 2021 Anthem Provider News and Important Updates -- Colorado Medical Policy & Clinical Guidelines Mar 1, 2021

UPDATE: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and Setting determinations (MAC)

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

Update: Notice of changes to the AIM musculoskeletal program

October 2020 Anthem Provider News and Important Updates -- Colorado Medicare Oct 1, 2020

UPDATE: new Rehabilitative Program remains temporarily delayed - Colorado

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

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 process to submit claim payment disputes electronically

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

UPDATE: New Level of Care Medical Necessity Review of Upper and Lower Endoscopy procedures is delayed

June 2020 Anthem Provider News and Important Updates -- Colorado Products & Programs Jun 1, 2020

UPDATE: New Go Live Date for Level of Care Medical Necessity Review of Upper and Lower Endoscopy procedures

July 2020 Anthem Provider News and Important Updates -- Colorado Products & Programs Jul 1, 2020

UPDATE: New AIM Rehabilitative Program effective April 1, 2020

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

UPDATE: For Commercial Providers regarding the AIM Sleep Therapy Program CPT Code E1399, NOC: Durable medical equipment, miscellaneous

April 2021 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2021

Update: Anthem Blue Cross and Blue Shield to implement provider claim payment dispute process for Commercial lines of business has been delayed

December 2021 Anthem Provider News and Important Updates - Colorado Administrative Dec 1, 2021

Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List

January 2023 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Dec 30, 2022

Update: 2019 risk adjustment provider trainings

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

Update: New process to submit claim payment disputes electronically coming March 18, 2019

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

UPDATE--Site of Care medical necessity reviews for long-acting colony-stimulating factors begin August 1, 2021 (MAC)

Material Adverse Change (MAC)
April 2021 Anthem Provider News and Important Updates -- Colorado Products & Programs Apr 1, 2021

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

Update to Provider/Facility UM reimbursement penalties and corresponding update to Provider/Facility Manual (MAC)

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

Update to formulary lists for Commercial health plan pharmacy benefit

September 2022 Anthem Provider News and Updates - Colorado Pharmacy Sep 1, 2022

Update to facility editing: HCPCS code G0463

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

Update to Durable Medical Equipment - effective October 14, 2018

October 2018 Anthem Provider Newsletter - CO Administrative Oct 12, 2018

Update to Durable Medical Equipment - effective October 14, 2018

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

Update to AIM Specialty Health Oncologic Imaging Clinical appropriateness guideline

May 2021 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines May 1, 2021

Update to AIM Radiation Oncology 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 Clinical Appropriateness Guidelines

December 2018 Anthem Provider Newsletter - CO Medical Policy & Clinical Guidelines Dec 1, 2018

Update to AIM Advanced Imaging Clinical Guidelines

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

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred (Professional)

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

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

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

Update regarding drugs not approved by the FDA

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

Update regarding annual wellness visits for ACA-compliant health plans

November 2021 Anthem Provider News and Important Updates - Colorado Administrative Nov 1, 2021

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

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

Upcoming retirement planned for legacy Medical Attachment submission tool

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

Unit Frequency Maximum for Drugs and Biologic Substances (Professional Reimbursement Policy) -- Update (MAC)

Material Adverse Change (MAC)
January 2021 Anthem Provider News and Important Updates -- Colorado Reimbursement Policies Jan 1, 2021

Understanding your patients’ differences is lifesaving

March 2022 Anthem Provider News and Important Updates - Colorado Administrative Mar 1, 2022

Understanding Availity Roles for Electronic Data Interchange (EDI)

April 2021 Anthem Provider News and Important Updates -- Colorado Administrative Apr 1, 2021

Two great learning resources on one secure portal

June 2021 Anthem Provider News and Important Updates - Colorado Digital Tools Jun 1, 2021

Treatment Rooms with Office Evaluation and Management Services (Facility Reimbursement Policy) -- New (MAC)

Material Adverse Change (MAC)
February 2021 Anthem Provider News and Important Updates -- Colorado Reimbursement Policies Feb 1, 2021

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

November 2022 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Nov 1, 2022

Transition to AIM Specialty Health Imaging of the Heart Clinical Appropriateness Guideline for Computed Tomography to Detect Coronary Artery Calcification (MAC)

Material Adverse Change (MAC)
August 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Aug 1, 2021

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

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

Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines delayed

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

Transition to AIM Clinical Appropriateness Guidelines -- Rehabilitative Services (MAC)

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

Tips for billing CPT modifier 33

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

Timely updates help keep our provider directories current

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

Timely updates help keep our provider directories current

August 2022 Anthem Provider News and Important Updates - Colorado Administrative Aug 1, 2022

Timely receipt of the primary payer’s EOB can help reduce timely filing denials for secondary claims

July 2021 Anthem Provider News and Important Updates - Colorado Administrative Jul 1, 2021

Time to prepare for HEDIS® medical record review

November 2021 Anthem Provider News and Important Updates - Colorado Administrative Nov 1, 2021

The Provider Learning Hub is here

October 2022 Anthem Provider News and Updates - Colorado Administrative Oct 1, 2022
Previous Page Page 2 of 12 Next Page