Colorado
Provider Communications

Articles

Title Publication Category Date

Working with Anthem Webinars -- March 2022 schedule: Provider orientation for physical health and behavioral health providers

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

Your influence matters: Recommending cancer screenings to your patients

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

Understanding your patients’ differences is lifesaving

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

Enhancements to the Availity Authorization application are now available

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

CLARIFICATION to reimbursement policy update: Virtual Visits – professional and facility (MAC)

Material Adverse Change (MAC)
March 2022 Anthem Provider News and Important Updates - Colorado Reimbursement Policies Mar 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

Updates to AIM Specialty Health outpatient rehabilitative and habilitative services (MAC)

Material Adverse Change (MAC)
March 2022 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Mar 1, 2022

Correction to February 2022 specialty pharmacy updates (MAC)

Material Adverse Change (MAC)
March 2022 Anthem Provider News and Important Updates - Colorado Pharmacy Mar 1, 2022

Specialty pharmacy updates – March 2022 (MAC)

Material Adverse Change (MAC)
March 2022 Anthem Provider News and Important Updates - Colorado Pharmacy Mar 1, 2022

Change to the Federal Employee Program® Clinical Grievance and Appeal address

March 2022 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Mar 1, 2022

HEDIS® 2022 Federal Employee Program® medical record request requirements

March 2022 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Mar 1, 2022

Annual wellness visits for Medicare Advantage members

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

Pharmacy updates

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

Clinical criteria updates

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

Provider notification for utilization management authorization rule operations workgroup item 2662

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

Keep up with Medicare news – March 2022

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

Prepare for the CAA: Keep your provider directory information current

February 2022 Anthem Provider News and Important Updates - Colorado Administrative Feb 1, 2022

Heart disease is the number one killer of women

Share information with patients about taking an active role in their heart health.
February 2022 Anthem Provider News and Important Updates - Colorado Administrative Feb 1, 2022

Working with Anthem Webinars – February 2022 schedule: Anthem.com Overview

February 2022 Anthem Provider News and Important Updates - Colorado Administrative Feb 1, 2022

Cancer care navigator

February 2022 Anthem Provider News and Important Updates - Colorado Administrative Feb 1, 2022

It is CAHPS survey time!

February 2022 Anthem Provider News and Important Updates - Colorado Administrative Feb 1, 2022

Anthem will no longer accept medical attachments through VYNE Medical effective May 1, 2022

Material Adverse Change (MAC)
February 2022 Anthem Provider News and Important Updates - Colorado Administrative Feb 1, 2022

Medical Policy and Clinical UM Guidelines

Material Adverse Change (MAC)
February 2022 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Feb 1, 2022

Pharmacy information available on anthem.com

February 2022 Anthem Provider News and Important Updates - Colorado Pharmacy Feb 1, 2022

Specialty pharmacy updates

Material Adverse Change (MAC)

February 2022 Anthem Provider News and Important Updates - Colorado Pharmacy Feb 1, 2022

Get faster payments with EFT

February 2022 Anthem Provider News and Important Updates - Colorado Medicare Feb 1, 2022

New strategic provider system will launch in April 2022

February 2022 Anthem Provider News and Important Updates - Colorado Medicare Feb 1, 2022

Keep up with Medicare news – February 2022

NYC Medicare Advantage Plus update.
February 2022 Anthem Provider News and Important Updates - Colorado Medicare Feb 1, 2022

New Medicare Advantage plan will have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing Providers Nationally

Effective April 1, 2022, approximately 200,000 Medicare-eligible City of New York retirees across the United States will transition to the NYC Medicare Advantage Plus plan and have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.
Important Update for New 200k Group Retiree PPO Plan - CO Administrative Jan 5, 2022

Well-child visits: Know the numbers

January 2022 Anthem Provider News and Important Updates - Colorado Administrative Jan 1, 2022

Working with Anthem webinars – January 2022 schedule: What’s new in 2022

January 2022 Anthem Provider News and Important Updates - Colorado Administrative Jan 1, 2022

Drug fee schedule update

January 2022 Anthem Provider News and Important Updates - Colorado Pharmacy Jan 1, 2022

2022 Federal Employee Plan® benefit information available online

January 2022 Anthem Provider News and Important Updates - Colorado Federal Employee Plan (FEP) Jan 1, 2022

Important update on Botox® for Medicare members of Anthem Blue Cross and Blue Shield

January 2022 Anthem Provider News and Important Updates - Colorado Medicare Jan 1, 2022

Reducing the burden of medical record review an improving health outcomes with HEDIS ECDS reporting

January 2022 Anthem Provider News and Important Updates - Colorado Medicare Jan 1, 2022

Professional claims – billing referring provider and NPI for home infusion therapy and ambulatory infusion suite

January 2022 Anthem Provider News and Important Updates - Colorado Medicare Jan 1, 2022

Keep up with Medicare news – January 2022

January 2022 Anthem Provider News and Important Updates - Colorado Medicare Jan 1, 2022

Anthem Blue Cross and Blue Shield is transitioning to the Availity Authorization App

Availity Authorization App improvements based on your feedback
Availity Authorization App improvements - CO Digital Tools Dec 28, 2021

Non-par lab referrals

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

Professional system updates for 2022

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

Outpatient system updates for 2022

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

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

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

Anthem to retire Blue Precision program at the end of the year

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

Behavioral healthcare appointment access requirements

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

Importance of PCP after-hours messaging

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

Chlamydia is asymptomatic. Only through screening will we know for sure

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

Case Management Program

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

Member rights and responsibilities

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

Coordination of care

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

Clinical practice and preventive health guidelines available on anthem.com

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

Submitting prior authorizations is getting easier

Anthem Blue Cross and Blue Shield is transitioning to the Availity Authorization app

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

Important information about utilization management

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

Is prior authorization required?

Answering your questions about the new Availity Authorization App
December 2021 Anthem Provider News and Important Updates - Colorado Digital Tools Dec 1, 2021

Reminder: EnrollSafe is available – electronic funds transfer enrollment portal for Anthem Blue Cross and Blue Shield providers

EnrollSafe replaced CAQH Enrollhub effective November 1, 2021

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

Professional reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) (MAC)

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

New professional reimbursement policy update: Modifier 62: Co-Surgeon Services and Modifier 66: Surgical Teams (MAC)

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

RETRACTION: Inpatient Facility Transfers reimbursement policy (facility)

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

Reimbursement policy update: Virtual Visits - professional and facility

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

Updates to AIM Specialty Health musculoskeletal interventional pain management clinical appropriateness guideline (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 (MAC)

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

Updates to AIM Specialty Health radiation oncology clinical appropriateness guideline (MAC)

Material Adverse Change (MAC)
December 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Dec 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 AIM Musculoskeletal program site of care reviews delayed

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

Pharmacy information available on Anthem.com

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

Anthem prior authorization updates for specialty pharmacy are available (MAC)

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

Good news: Non-payment remittance advice enhancements are here

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

Policy update: Drug screen testing

Policy update Drug Screen Testing, effective March 1, 2022

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

2022 Medicare Advantage service area and benefit updates

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

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

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

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

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

Somatus is your resource for kidney care management

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

Keep up with Medicare news – December 2021

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

Grief and Loss Forum - Colorado

Join us to hear from a diverse panel of experienced Motivo and Anthem Blue Cross and Blue Shield professionals about the disproportionate impact of the pandemic on communities of color.
Grief and Loss Forum - Colorado Administrative Nov 29, 2021

Working with Anthem webinars – November 2021 schedule: New Availity multi-payer Authorization tool

Working with Anthem webinars November 2021 schedule: New Availity multi-payer Authorization tool Administrative Nov 17, 2021

Keep up with Medicare news – November 2021

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

Providers claim payment disputes for Anthem’s Commercial lines of business

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

Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claims

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

Update regarding annual wellness visits for ACA-compliant health plans

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

Time to prepare for HEDIS® medical record review

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

Reducing the burden of medical record review and improving health outcomes with HEDIS® ECDS reporting

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

CME credits available in 2021 for a variety of clinical quality webinars – register now!

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

Join Anthem in talking about racism and its impact on health and earn continuing education credits!

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

Avoid claim denials: VYNE medical attachment program has expired

Advise clearinghouses we no longer accept attachments through this vendor to avoid claim denials.

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

Be antibiotics aware: Protect your patient

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

Working with Anthem webinars – November 2021 schedule: New claim dispute tool on Availity for Commercial business

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

Surprisingly easy ways to help patients quit smoking cigarettes

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

Change in coverage for continuous glucose monitors for some fully insured groups

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

Against medical advice (AMA) discharge physician tracking tool

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

EnrollSafe is available: Our new electronic funds transfer enrollment portal for Anthem providers

EnrollSafe replaces CAQH Enrollhub effective November 1, 2021

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

Medical Policies and Clinical UM Guidelines (MAC)

Material Adverse Change (MAC)
November 2021 Anthem Provider News and Important Updates - Colorado Medical Policy & Clinical Guidelines Nov 1, 2021

Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation - professional

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

Blue High-Performance network name changing for 2022

November 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Nov 1, 2021

Anthem prior authorization updates for specialty pharmacy are available (MAC)

Material Adverse Change (MAC)
November 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Nov 1, 2021

Important update on Botox® for Anthem members

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

New York City Medicare Advantage announcement

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

Updates to AIM Specialty Health cardiology clinical appropriateness guidelines

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

Clinical criteria updates

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

Anthem Blue Cross and Blue Shield offering Advance Medical Directives program for 2022

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

Electronic data interchange process

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