Colorado
Provider Communications

Articles

Title Publication Category Date

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

Time to prepare for HEDIS medical record review

March 2023 Anthem Provider News - Colorado Administrative Mar 1, 2023

The Provider Learning Hub is here

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

The impact of listening

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

The heath of millennials: Trends in behavioral health conditions

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

The Anthem, Inc. name is changing

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

The Anthem, Inc. name is changing

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

The Anthem, Inc. name is changing

Our parent company's name is changing Administrative Mar 14, 2022

Telephonic-only care allowance extended through April 11, 2023

Telephonic-only care allowance extended through April 11, 2023 - Colorado Administrative Jan 11, 2023

Telehealth visits can impact after-hospitalization follow-up care for mental illness

Reductions in missed appointments are significant.

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

Telehealth visits can impact after-hospitalization follow-up care for mental illness

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

System updates impacting Professional reimbursement policies for 2021

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

System updates for reimbursement policies in 2019 - Professional

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

System updates for 2020 (Professional)

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

Survey for all skilled nursing facilities

April 2023 Provider News - Colorado Digital Tools Mar 31, 2023

Surprisingly easy ways to help patients quit smoking cigarettes

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

Submitting prior authorizations is getting easier

Anthem is transitioning to Availity Authorization.
August 2021 Anthem Provider News and Important Updates - Colorado Digital Tools Aug 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

Submit Prior Authorizations medication requests electronically; new phone and fax numbers for MA prescription PAs effective September 1

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

Submit electronic SOAP notes today using ePASS® and receive $100 each

September 2018 Anthem Provider Newsletter - CO Administrative Aug 31, 2018

Submit digital attachments within seven-calendar days for claims filed with a PWK segment indicator

November 2022 Anthem Provider News - Colorado Digital Tools Nov 1, 2022

Statin therapy for patients with diabetes

Achieve 90% patient statin therapy adherence with a personalized approach

September 2021 Anthem Provider News and Important Updates - Colorado Administrative Sep 1, 2021

Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measures

March 2023 Anthem Provider News - Colorado Administrative Mar 1, 2023

Specialty pharmacy updates – March 2022 (MAC)

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

Specialty pharmacy updates for March 2023

Material Adverse Change (MAC)
March 2023 Anthem Provider News - Colorado Pharmacy Mar 1, 2023

Specialty pharmacy updates

Material Adverse Change (MAC)
January 2023 Anthem Provider News - Colorado Pharmacy Dec 30, 2022

Specialty pharmacy updates

Material Adverse Change (MAC)

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

Specialty dose rounding program for certain oncology medications

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

Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021

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

Special needs plans -- provider training required

August 2019 Anthem Provider News and Important Updates - Colorado Medicare Aug 1, 2019

Special Investigations Unit updates

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

Some physician requests to AIM require the submission of documentation to support attestations for prior authorization

August 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Aug 1, 2021

Some of your patients will begin moving to IngenioRx in Q2 2019

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

Some HIV medication combinations may require prior authorization

March 2021 Anthem Provider News and Important Updates -- Colorado Pharmacy Mar 1, 2021

Somatus is your resource for kidney care management

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

Social determinants of health support expanding with GroundGame Health

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

SOAP Notes/Health Assessments for 2018 calendar year are due February 15, 2019

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

Site-of-Care medical necessity reviews for long-acting colony-stimulating factors will not be implemented on August 1, 2021 (MAC)

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

Site of Care* medical necessity reviews expand to numerous surgical procedures begin December 1, 2020 (MAC)

Material Adverse Change (MAC)
September 2020 Anthem Provider News and Important Updates -- Colorado Products & Programs Sep 1, 2020

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

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

Simplifying requests for additional information

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

Simplifying medication prior authorization processes

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

Significant Edits (Professional)

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

Signature requirements for laboratory orders or requisitions

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

Shine Light on Depression school-based suicide prevention initiative

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

Shared savings and transition care management after inpatient discharges

March 2023 Anthem Provider News - Colorado Medicare Mar 1, 2023

Sepsis diagnosis coding and billing reminder

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

Send larger digital attachments through Availity

We’ve expanded our file size to 100 megabytes.

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

Self-service, digital transactions are fast and easy

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

Scope of License - Reimbursement Policy Update (Professional)

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

Schedule appointments online through Availity

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

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO Providers

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

Review of professional claims with emergency room level 5 E/M codes - *CORRECTION: For more information, refer to article published May 16, 2019.

May 2019 Anthem Provider Newsletter - Colorado Reimbursement Policies May 1, 2019

Review of professional claims with emergency department level 5 E&M codes

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

Retrieve your Anthem Patient’s HEDIS® care gaps through Patient360 located on the Availity Portal

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

RETRACTION: Inpatient Facility Transfers reimbursement policy (facility)

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

Retraction for reimbursement policy – Sexually Transmitted Infections - professional

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

RETRACTION - You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, too

November 2022 Anthem Provider News - Colorado Digital Tools Nov 1, 2022

Restructure of AIM Advanced Imaging Clinical Appropriateness Guidelines

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

Resources to support diverse patients and communities

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

Resources to support diverse patients and communities

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

Resources to support diverse patients and communities

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

Request a Clinical Appeal through new functionality in our Interactive Care Reviewer (ICR) tool on Availity

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

Remote EMR access service for HEDIS

November 2022 Anthem Provider News - Colorado Digital Tools Nov 1, 2022

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

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

Reminders for Medicare Advantage group retiree PPO plans and national access plus FAQ

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

Reminder: Updated AIM rehabilitative program, effective August 1, 2021 – and site of service reviews

July 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Jul 1, 2021

Reminder: Updated AIM Musculoskeletal Program site of care reviews effective November 1, 2021

October 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Oct 1, 2021

Reminder: Review ICD-10-CM Coding Guidelines (Professional)

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

REMINDER: Post-service reviews using AIM

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

REMINDER: New AIM Rehabilitative Program effective April 1, 2020

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

Reminder: Mid-level practitioners are required to file using their NPI

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

Reminder: Mid-level practitioners are required to file using their NPI

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

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

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

Reminder: Inpatient/outpatient commercial claim denials

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

Reminder: HCPCS code A0998 Ambulance response and treatment with no transport is active and available for use

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

REMINDER: Expansion of AIM Musculoskeletal Program Effective November 1, 2020

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

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

Reminder: Changes to timely filing requirements coming in October

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

REMINDER: Changes to the process for Medical Non-Oncology Specialty Drug reviews effective June 15, 2019

August 2019 Anthem Provider News and Important Updates - Colorado Pharmacy Aug 1, 2019

Reminder: Back pain guide program, effective July 19, 2021

July 2021 Anthem Provider News and Important Updates - Colorado Products & Programs Jul 1, 2021

Reminder: AIM prior authorization phone number change for Medicare

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

REMINDER: EnrollSafe, the new electronic funds transfer enrollment portal for Anthem providers – replacing CAQH Enrollhub effective November 1, 2021

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

Reminder: CU Health Plan and UCHealth changes effective July 1, 2020

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

Reminder on Botox® for Anthem Blue Cross and Blue Shield members

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

Reminder about System Updates

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

Reminder - Updated Carelon Musculoskeletal Program effective April 1, 2023: monitored anesthesia care reviews

March 2023 Anthem Provider News - Colorado Administrative Mar 1, 2023

Reminder - Anthem follows Original Medicare policies

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

Remaining members will transition to new PBM, IngenioRx, on January 1, 2020

November 2019 Anthem Provider News and Important Updates - Colorado Pharmacy Nov 1, 2019

Reimbursement Policy: Policy Update-Unlisted, Unspecified or Miscellaneous Codes

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

Reimbursement policy update: Virtual Visits – Professional and Facility (MAC)

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

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services -- Facility (MAC)

Material Adverse Change (MAC)
June 2022 Anthem Provider News and Updates - Colorado Reimbursement Policies Jun 1, 2022

Reimbursement policy update: Three-Dimensional (3D) Radiology Services - Professional and Facility

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

Reimbursement policy update: Sexually transmitted infections testing – professional (MAC)

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

Reimbursement policy update: Place of Service – facility (MAC)

Material Adverse Change (MAC)

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

Reimbursement Policy update: Multiple and Bilateral Surgery Processing - professional (MAC)

Material Adverse Change (MAC)
October 2022 Anthem Provider News and Updates - Colorado Reimbursement Policies Oct 1, 2022

Reimbursement policy update: Modifiers Rules - professional (MAC)

Material Adverse Change (MAC)
July 2022 Anthem Provider News and Important Updates - Colorado Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Modifiers 25 and 57 Evaluation and Management with Global Procedures

Policy update: G-06003
September 2022 Anthem Provider News and Updates - Colorado Medicare Sep 1, 2022

Reimbursement policy update: Modifiers 25 and 57 - Professional

March 2023 Anthem Provider News - Colorado Reimbursement Policies Mar 1, 2023
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