Connecticut
Provider Communications

Provider Spotlight

Nov 1, 2021

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

EnrollSafe replaces CAQH Enrollhub effective November 1, 2021


Articles Recent

Title Publication Category Date

Time to prepare for HEDIS® medical record review

November 2021 Anthem Connecticut Provider News Administrative 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 Connecticut Provider News Reimbursement Policies Nov 1, 2021

Surprisingly easy ways to help patients quit smoking cigarettes

November 2021 Anthem Connecticut Provider News Administrative Nov 1, 2021

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

November 2021 Anthem Connecticut Provider News Administrative Nov 1, 2021

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

November 2021 Anthem Connecticut Provider News Administrative Nov 1, 2021

Be Antibiotics Aware: Protect your patient

November 2021 Anthem Connecticut Provider News Administrative Nov 1, 2021

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

November 2021 Anthem Connecticut Provider News Administrative Nov 1, 2021

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

November 2021 Anthem Connecticut Provider News Administrative 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 Connecticut Provider News Digital Tools Nov 1, 2021

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

November 2021 Anthem Connecticut Provider News Digital Tools Nov 1, 2021

Against medical advice (AMA) discharge physician tracking tool

November 2021 Anthem Connecticut Provider News Digital Tools Nov 1, 2021

Update regarding annual wellness visits for ACA-compliant health plans

November 2021 Anthem Connecticut Provider News Products & Programs Nov 1, 2021

Important update on Botox® for Anthem members

November 2021 Anthem Connecticut Provider News Pharmacy Nov 1, 2021

Specialty pharmacy updates - November 2021

November 2021 Anthem Connecticut Provider News Pharmacy Nov 1, 2021

New York City Medicare Advantage announcement

November 2021 Anthem Connecticut Provider News Medicare Nov 1, 2021

Anthem offering advance medical directives program for 2022

November 2021 Anthem Connecticut Provider News Medicare Nov 1, 2021

Electronic data interchange process

November 2021 Anthem Connecticut Provider News Medicare Nov 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

November 2021 Anthem Connecticut Provider News Medicare Nov 1, 2021

Clinical criteria updates

November 2021 Anthem Connecticut Provider News Medicare Nov 1, 2021

Keep up with Medicare news

November 2021 Anthem Connecticut Provider News Medicare Nov 1, 2021

Join The Fenway Institute for a CME webinar about improving your LGBTQIA+ patient interactions

Join a live webinar, “LGBTQIA+ Care: Delivering Trust and Belonging with Every Interaction", presented by the National LGBTQIA+ Health Education Center at The Fenway Institute. 

Gain LGBTQIA+ Patient Interaction Knowledge - Connecticut Administrative Oct 21, 2021

New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing providers nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

New 240k member Medicare Advantage Group Retiree PPO plan - Connecticut Medicare Oct 19, 2021

Submit claims with complete and correct data to avoid claim denials

Submit claims with complete data to avoid claim denials - Connecticut Administrative Oct 8, 2021

Join the American Heart Association for a CME webinar on hypertension and diabetes disease management


Chronic disease management strategies for your patients with hypertension and diabetes

Date: Friday, October 8, 2021

Time: 12:00 p.m. ET

Clinical Quality CME Webinar Series Continues - Connecticut Administrative Oct 5, 2021

Submit provider claim payment disputes for Anthem’s Commercial lines of business via Availity beginning October 19, 2021

October 2021 Anthem Connecticut Provider News Digital Tools Oct 1, 2021

Reimbursement policy clarification: Claims Requiring Additional Documentation - facility

October 2021 Anthem Connecticut Provider News Reimbursement Policies Oct 1, 2021

Medical policy and clinical guideline updates are available on anthem.com

October 2021 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Oct 1, 2021

Updated AIM Musculoskeletal Program site of care reviews delayed

October 2021 Anthem Connecticut Provider News Products & Programs Oct 1, 2021

Update on requirement to obtain certain specialty drugs from CVS Specialty Pharmacy effective January 1, 2022

October 2021 Anthem Connecticut Provider News Pharmacy Oct 1, 2021

Town of Manchester and Manchester BOE, CT moves to Anthem Medicare Advantage Plan

October 2021 Anthem Connecticut Provider News Medicare Oct 1, 2021

Information about 2021 Special Needs Plans

October 2021 Anthem Connecticut Provider News Medicare Oct 1, 2021

HEDIS® medical record submission made easier with our Remote EMR Access Service

October 2021 Anthem Connecticut Provider News Medicare Oct 1, 2021

New medical step therapy requirements

October 2021 Anthem Connecticut Provider News Medicare Oct 1, 2021

New reimbursement policy effective January 1, 2022 - Sexually Transmitted Infections Testing - professional

October 2021 Anthem Connecticut Provider News Medicare Oct 1, 2021

Get your payments faster when you sign up for electronic funds transfer

October 2021 Anthem Connecticut Provider News Medicare Oct 1, 2021

Keep up with Medicare news

October 2021 Anthem Connecticut Provider News Medicare Oct 1, 2021

Federal Price Transparency and Consolidated Appropriations Act phase in new mandates beginning January 1, 2022

October 2021 Anthem Connecticut Provider News Administrative Oct 1, 2021

Looking to earn CME credits? Register for on-demand webinars

October 2021 Anthem Connecticut Provider News Administrative Oct 1, 2021

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

October 2021 Anthem Connecticut Provider News Administrative Oct 1, 2021

Are you talking to ALL of your patients about breast cancer screenings?

October 2021 Anthem Connecticut Provider News Administrative Oct 1, 2021

Clinical appeals

October 2021 Anthem Connecticut Provider News Administrative Oct 1, 2021

Your recommendation is key to encouraging cancer screenings for your female patients

October 2021 Anthem Connecticut Provider News Administrative Oct 1, 2021

Reminder: EnrollSafe replacing CAQH Enrollhub effective November 1, 2021

October 2021 Anthem Connecticut Provider News Digital Tools Oct 1, 2021

Procedure searches in Find Care

October 2021 Anthem Connecticut Provider News Digital Tools Oct 1, 2021

Good news! Non-payment remittance advice enhancements coming soon

October 2021 Anthem Connecticut Provider News Digital Tools Oct 1, 2021

New reimbursement policy: Multiple and Bilateral Surgery Processing - facility

October 2021 Anthem Connecticut Provider News Reimbursement Policies Oct 1, 2021

Clinical criteria updates for specialty pharmacy

October 2021 Anthem Connecticut Provider News Pharmacy Oct 1, 2021

Specialty pharmacy updates - October 2021

October 2021 Anthem Connecticut Provider News Pharmacy Oct 1, 2021

Pharmacy information available on anthem.com

October 2021 Anthem Connecticut Provider News Pharmacy Oct 1, 2021

Exploring the Impact of Racial Trauma on the Health & Wellbeing of Children Forum

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about the impact of racial trauma on the health and wellbeing on children and adolescents.

Racial Trauma & Children - Connecticut Administrative Sep 15, 2021

Register now for our September CME webinars!

September 2021 Connecticut Provider News Administrative Sep 1, 2021

National Accounts 2022 Pre-certification list

September 2021 Connecticut Provider News Administrative Sep 1, 2021

Cure for the common cold: rest, fluids and this free prescription pad

Be Antibiotic Aware campaign offers a prescription solution to antibiotics
September 2021 Connecticut Provider News Administrative Sep 1, 2021

6 SIMPLE strategies to help increase medication adherence

September 2021 Connecticut Provider News Administrative Sep 1, 2021

Statin therapy for patients with diabetes

September 2021 Connecticut Provider News Administrative Sep 1, 2021

Get your payments faster when you sign up for electronic funds transfer

Introducing EnrollSafe, the new electronic funds transfer enrollment portal for Anthem providers – replacing CAQH Enrollhub effective November 1, 2021
September 2021 Connecticut Provider News Digital Tools Sep 1, 2021

HEDIS® medical record submission made easier with our Remote EMR Access Service

September 2021 Connecticut Provider News Digital Tools Sep 1, 2021

Reimbursement policy update: Sexually Transmitted Infections Testing - professional

September 2021 Connecticut Provider News Reimbursement Policies Sep 1, 2021

New reimbursement policy: Inpatient Facility Transfers - facility

September 2021 Connecticut Provider News Reimbursement Policies Sep 1, 2021

Reimbursement policy update: Drug Screen Testing - professional

September 2021 Connecticut Provider News Reimbursement Policies Sep 1, 2021

Correction to July 2021 Provider News medical policy update SURG.00017

September 2021 Connecticut Provider News Medical Policy & Clinical Guidelines Sep 1, 2021

Prior authorization updates for specialty pharmacy effective December 1, 2021

September 2021 Connecticut Provider News Pharmacy Sep 1, 2021

Clinical criteria updates for specialty pharmacy

September 2021 Connecticut Provider News Pharmacy Sep 1, 2021

Utilization management authorization rule operations

September 2021 Connecticut Provider News Medicare Sep 1, 2021

Prior authorization/Precertification form notification

September 2021 Connecticut Provider News Medicare Sep 1, 2021

Reimbursement policy update - DRG Inpatient Facility Transfers effective November 30, 2021

September 2021 Connecticut Provider News Medicare Sep 1, 2021

Keep up with Medicare news

September 2021 Connecticut Provider News Medicare Sep 1, 2021

Oral surgery claim submissions for State of Connecticut and Connecticut Partnership Plan members  

N/A State Health Benefit Plan Aug 25, 2021

Information from Anthem for Care Providers about COVID-19 (updated August 3, 2021)

We recently updated information about coverage dates for telehealth visits.
COVID-19 Information - Connecticut Administrative Aug 3, 2021

Strategic Provider System to be implemented in August 2021

August 2021 Connecticut Provider News Administrative Aug 1, 2021

Register now for our August CME webinars

August 2021 Connecticut Provider News Administrative Aug 1, 2021

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

August 2021 Connecticut Provider News Administrative Aug 1, 2021

Some requests to AIM require documentation to support prior authorization

August 2021 Connecticut Provider News Administrative Aug 1, 2021

Clearing up coding confusion for retinal eye exams (DRE)

August 2021 Connecticut Provider News Administrative Aug 1, 2021

Reminder: Covered Connecticut Program began July 1, 2021

August 2021 Connecticut Provider News Administrative Aug 1, 2021

New! Schedule appointments online through Availity

August 2021 Connecticut Provider News Digital Tools Aug 1, 2021

Reimbursement policy update: Claims requiring additional documentation (facility)

August 2021 Connecticut Provider News Reimbursement Policies Aug 1, 2021

Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, & XU

August 2021 Connecticut Provider News Reimbursement Policies Aug 1, 2021

Reimbursement policy update:  Virtual Visits - professional and facility

August 2021 Connecticut Provider News Reimbursement Policies Aug 1, 2021

Transition to AIM Specialty Health Imaging of the Heart Clinical Appropriateness Guideline for computed tomography to detect coronary artery calcification

August 2021 Connecticut Provider News Products & Programs Aug 1, 2021

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

August 2021 Connecticut Provider News Products & Programs Aug 1, 2021

Specialty dose rounding program for certain oncology medications

August 2021 Connecticut Provider News Pharmacy Aug 1, 2021

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

August 2021 Connecticut Provider News Pharmacy Aug 1, 2021

Immune globulin adjusted body weight dosing program begins August 1, 2021

August 2021 Connecticut Provider News Pharmacy Aug 1, 2021

Reminder: New requirement to obtain certain specialty drugs from CVS Specialty Pharmacy

August 2021 Connecticut Provider News Pharmacy Aug 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit

August 2021 Connecticut Provider News Pharmacy Aug 1, 2021

Specialty pharmacy updates effective November 1, 2021

August 2021 Connecticut Provider News Pharmacy Aug 1, 2021

Pharmacy information available on anthem.com

August 2021 Connecticut Provider News Pharmacy Aug 1, 2021

Change in email submission of service requests for Federal Employee Program® members

August 2021 Connecticut Provider News Federal Employee Plan (FEP) Aug 1, 2021

Preventing claim denials: Shingles vaccine

August 2021 Connecticut Provider News Medicare Aug 1, 2021

Keep up with Medicare news

August 2021 Connecticut Provider News Medicare Aug 1, 2021

Register for upcoming August CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

Motivating Patients to Adhere to Cervical Cancer Prevention and Screening Recommendations
Tuesday, August 3, 2021, 12:00 p.m. ET

10 Best Practices for Improving Pharmacy Quality Measures
Thursday, August 12, 2021, 1:00 p.m. or 3:00 p.m. ET

6 Ways to Improve Risk Adjustment Documentation Accuracy
Tuesday, August 17, 2021, 12:00 p.m. or 3:00 p.m. ET

Register Now!


Clinical Quality CME Webinar Series Continues - Connecticut Administrative Jul 29, 2021

Update to provider UM reimbursement penalties and corresponding language in Provider Manual

July 2021 Connecticut Provider News Administrative Jul 1, 2021

Reminder: Back Pain Guide Program effective July 19, 2021

July 2021 Connecticut Provider News Products & Programs Jul 1, 2021

Reminder: Updated AIM Rehabilitative Program site of service reviews effective August 1, 2021

July 2021 Connecticut Provider News Products & Programs Jul 1, 2021

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

July 2021 Connecticut Provider News Pharmacy Jul 1, 2021

Blue Precision program to be retired at end of 2021

July 2021 Connecticut Provider News Administrative Jul 1, 2021

New Strategic Provider System launch delayed

July 2021 Connecticut Provider News Administrative Jul 1, 2021

Register now to learn strategies to help your practice improve clinical quality

July 2021 Connecticut Provider News Administrative Jul 1, 2021

Another mark of the pandemic: an increase in childhood obesity

July 2021 Connecticut Provider News Administrative Jul 1, 2021
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