Colorado
Provider Communications

Articles

Title Publication Category Date

Blue High-Performance network name changing for 2022

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

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 Reimbursement Policy) -- Update

December 2020 Anthem Provider News and Important Updates -- Colorado Reimbursement Policies Dec 1, 2020

Bundled Services and Supplies (Professional Reimbursement Policy) – Update (MAC)

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

Bundled Services and Supplies – Professional

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

CAA: Current provider directory information is key for members and providers to engage with you seamlessly

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

CAA: Have you reviewed your online provider directory information lately?

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

CAA: Keep your provider directory information current

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

CAA: Keep your provider directory information up to date

November 2022 Anthem Provider News - Colorado Administrative Nov 1, 2022

CAA: Provider directories accuracy is important

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

CAA: Review your online provider directory information

October 2022 Anthem Provider News and Updates - Colorado Administrative Oct 1, 2022

CAA: Timely updates help keep our provider directories current

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

CAA: Update your provider directory information

April 2022 Anthem Provider News and Important Updates - Colorado Administrative Apr 1, 2022

Cancer care navigator

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

Cancer Care Navigator

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

Case Management Program

December 2020 Anthem Provider News and Important Updates -- Colorado Products & Programs Dec 1, 2020

Case management program

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

Case Management Program

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

Case Management Program

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

Case Management Program

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

Catching up on routine vaccines

April 2022 Anthem Provider News and Important Updates - Colorado Administrative Apr 1, 2022

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Provider News and Important Updates - Colorado Pharmacy Jul 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

Change Notification to Provider and Facility Manual effective July 1, 2021 (MAC)

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

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 notification to Provider and Facility Manual, effective December 1, 2022

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

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

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

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

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

Chat directly with a Prior Authorization Specialist

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

Childhood Immunization Status and Lead Screening in Children for HEDIS

January 2023 Anthem Provider News - Colorado Administrative Dec 30, 2022

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

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

Claim editing update for Excludes1 notes

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

Claims editing update for ICD-10-CM Excludes 1 notes

November 2020 Anthem Provider News and Important Updates -- Colorado Reimbursement Policies Nov 1, 2020

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

Claims status message enhancements: Providing clear descriptions and actionable next steps

November 2022 Anthem Provider News - Colorado Digital Tools Nov 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

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

Clarification: Anthem’s enhanced claim edits for outpatient facility claims

October 2021 Anthem Provider News and Important Updates - Colorado Administrative Oct 1, 2021

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

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

Clearing up coding confusion for diabetic retinal screenings

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

Clearing up-coding confusion for retinal eye exams (DRE)

New language for two-year compliance (3072F).

August 2021 Anthem Provider News and Important Updates - Colorado Administrative Aug 1, 2021

Clinic Charges (Facility Reimbursement Policy) -- New (MAC)

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

Clinical appeals

October 2021 Anthem Provider News and Important Updates - Colorado Administrative Oct 1, 2021

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

April 2022 Anthem Provider News and Important Updates - Colorado Medicare Apr 1, 2022

Clinical criteria updates

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

Clinical criteria updates

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

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 Criteria Updates Notification December 2020

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

Clinical Criteria Updates Notification November 2020

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

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 Guidelines Notification Letter

Material Adverse Change (MAC)
February 2023 Anthem Provider News - Colorado Medical Policy & Clinical Guidelines Feb 1, 2023

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 Laboratory Improvement Amendments (CLIA) Number -- Additional Information

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

Clinical practice and preventive health guidelines available on anthem.com

December 2022 Anthem Provider News - Colorado Administrative Dec 1, 2022

Clinical practice and preventive health guidelines available on anthem.com

December 2020 Anthem Provider News and Important Updates -- Colorado Medical Policy & Clinical Guidelines Dec 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 anthem.com

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

Clinical Practice and Preventive Health Guidelines available on the web

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

Clinical quality in practice: CME webinar series

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

Clinical Validation (Professional Reimbursement Policy - Update)

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

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

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

Coding tips for reporting administration of Spravato®

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

Colorado Option Standard networks and plans are now active in market for 2023

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

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

Coming soon: The Anthem Blue Cross and Blue Shield Provider Learning Hub makes Availity learning easier

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

Commercial reimbursement policy update to Modifier 66: Surgical Teams - Professional

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

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) Reporting Update: New guidance on telephone-only service CPT codes

October 2020 Anthem Provider News and Important Updates -- Colorado Administrative Oct 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

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

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

ConditionCare Program Benefits Patients and Physicians

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

Continuing to Explore the Intersection of Race and Disability

Continuing to Explore the Intersection of Race and Disability forum - Colorado Administrative Sep 9, 2022

Continuing to Explore the Intersection of Race and Disability

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