Connecticut
Provider Communications

Articles Category: Policy Updates

Title Publication Category Date

Reimbursement policy clarification: Claims Requiring Additional Documentation - facility

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

Reimbursement policy update: Consultations - professional

July 2021 Connecticut Provider News Reimbursement Policies Jul 1, 2021

New reimbursement policy: Non-patient Laboratory Services - facility

July 2021 Connecticut Provider News Reimbursement Policies Jul 1, 2021

Reimbursement policy update: Modifier Rules - Professional

September 2022 Anthem Connecticut Provider News Reimbursement Policies Sep 1, 2022

Reimbursement policy update: Modifier 66: Surgical Teams - Professional

September 2022 Anthem Connecticut Provider News Reimbursement Policies Sep 1, 2022

Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) - Professional

September 2022 Anthem Connecticut Provider News Reimbursement Policies Sep 1, 2022

Reimbursement policy update: Professional Anesthesia Services

January 2022 Anthem Connecticut Provider News Reimbursement Policies Jan 1, 2022

New reimbursement policy: Place of Service - Facility

October 2022 Provider Newsletter - Connecticut Reimbursement Policies Oct 1, 2022

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

October 2022 Provider Newsletter - Connecticut Reimbursement Policies Oct 1, 2022

Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional

October 2022 Provider Newsletter - Connecticut Reimbursement Policies Oct 1, 2022

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

December 2022 Provider Newsletter - Connecticut Reimbursement Policies Dec 1, 2022

New reimbursement policy: Transitional Care Management - Professional

July 2022 Anthem Connecticut Provider News Reimbursement Policies Jul 1, 2022

New reimbursement policy: Modifier FB - Professional and Facility

July 2022 Anthem Connecticut Provider News Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services (facility)

June 2022 Anthem Connecticut Provider News Reimbursement Policies Jun 1, 2022

Reimbursement policy update: Laboratory and Venipuncture Services - Professional and Facility

July 2022 Anthem Connecticut Provider News Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Modifier Rules - Professional

July 2022 Anthem Connecticut Provider News Reimbursement Policies Jul 1, 2022

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

July 2022 Anthem Connecticut Provider News Reimbursement Policies Jul 1, 2022

Retraction for reimbursement policy - Sexually Transmitted Infections – Professional

July 2022 Anthem Connecticut Provider News Reimbursement Policies Jul 1, 2022

Outpatient facility revenue code billing requirements

January 2023 Provider Newsletter - Connecticut Reimbursement Policies Dec 30, 2022

Durable Medical Equipment professional reimbursement policy reminders

June 2018 Connecticut newsletter Reimbursement Policies Jun 22, 2018

Diagnosis-Related Group Newborn Inpatient Stays facility reimbursement policy update

June 2018 Connecticut newsletter Reimbursement Policies Jun 19, 2018

Cervical Cancer Screening using Cytology and Human Papillomavirus Testing (CG-MED-43) not implemented

June 2018 Connecticut newsletter Reimbursement Policies Jun 19, 2018

Injectable Substances with Related Injection Services reimbursement policy update: professional

February 2019 Anthem Connecticut Provider Newsletter Reimbursement Policies Feb 1, 2019

Review of reimbursement policies – professional

June 2018 Connecticut newsletter Reimbursement Policies Jun 19, 2018

Reimbursement policy update: Bundled Services and Supplies - professional

December 2020 Anthem Connecticut Provider News Reimbursement Policies Dec 1, 2020

Update to Use of a Non-Participating Provider Advance Patient Notice Policy

June 2018 Connecticut newsletter Reimbursement Policies Jun 22, 2018

Body Mass Index reimbursement policy: facility

February 2019 Anthem Connecticut Provider Newsletter Reimbursement Policies Feb 1, 2019

Assistant Surgeon Coding update: professional

October 2018 Anthem Connecticut Provider Newsletter Reimbursement Policies Oct 1, 2018

Significant Edits: professional

February 2019 Anthem Connecticut Provider Newsletter Reimbursement Policies Feb 1, 2019

Documentation and Reporting Guidelines for E/M Services update: professional

October 2018 Anthem Connecticut Provider Newsletter Reimbursement Policies Oct 1, 2018

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

Routine Obstetrical Services update: professional

October 2018 Anthem Connecticut Provider Newsletter Reimbursement Policies Oct 1, 2018

Reimbursement policy update:  Virtual Visits - professional and facility

August 2021 Connecticut Provider News Reimbursement Policies Aug 1, 2021

Benefits to be available for chronic care management and advance care planning services effective February 23, 2019

January 2019 Anthem Connecticut Provider Newsletter Reimbursement Policies Jan 1, 2019

New Reimbursement Policy - Nurse Practitioner and Physician Assistant Services - professional

June 2020 Anthem Connecticut Provider News Reimbursement Policies Jun 1, 2020

Bundled Services and Supplies - Professional

April 2023 Provider News - Connecticut Reimbursement Policies Mar 31, 2023

Reimbursement policy update: Multiple Surgery - Facility

December 2022 Provider Newsletter - Connecticut Reimbursement Policies Dec 1, 2022

Readmissions Reimbursement Policy update: facility

October 2018 Anthem Connecticut Provider Newsletter Reimbursement Policies Oct 1, 2018

Reimbursement policy retirement: Acupuncture Billed with Evaluation and Management - Professional

December 2022 Provider Newsletter - Connecticut Reimbursement Policies Dec 1, 2022

New Reimbursement Policy - Ambulance Transportation - professional

June 2019 Anthem Connecticut Provider Newsletter Reimbursement Policies Jun 1, 2019

Reimbursement policy update: Bundled Services and Supplies - Professional

December 2022 Provider Newsletter - Connecticut Reimbursement Policies Dec 1, 2022

New Facility Revenue Code Billing Reimbursement Policy

October 2018 Anthem Connecticut Provider Newsletter Reimbursement Policies Oct 1, 2018

New Partial Hospitalization Program and Intensive Outpatient Program Services Facility Reimbursement Policy

April 2019 Anthem Connecticut Provider Newsletter Reimbursement Policies Apr 1, 2019

Claims requiring additional documentation facility reimbursement policy update

September 2018 Anthem Connecticut Network eUpdate Reimbursement Policies Aug 30, 2018

Reimbursement policy update: Newborn Inpatient Stays - facility

April 2021 Anthem Connecticut Provider News Reimbursement Policies Apr 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

Bundled Services and Supplies: professional

December 2018 Anthem Connecticut Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement for convenience surgical supply kits: professional

December 2018 Anthem Connecticut Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement policy reminder: observation services

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

Scope of License reimbursement policy update: professional

December 2018 Anthem Connecticut Provider Newsletter Reimbursement Policies Dec 1, 2018

“Rule of Eight” Reporting Guidelines for Physical Medicine and Rehabilitation Services: professional

December 2018 Anthem Connecticut Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement policy update: Sexually Transmitted Infections Testing - professional

September 2021 Connecticut Provider News Reimbursement Policies Sep 1, 2021

Reimbursement policy update: Assistant at Surgery (modifiers 80, 81, 82, AS) - professional

December 2021 Anthem Connecticut Provider News Reimbursement Policies Dec 1, 2021

System updates for 2019: professional

December 2018 Anthem Connecticut Provider Newsletter Reimbursement Policies Dec 1, 2018

New reimbursement policy: Inpatient Facility Transfers - facility - RETRACTION

September 2021 Connecticut Provider News Reimbursement Policies Sep 1, 2021

Reimbursement policy update: Virtual Visits - professional and facility

December 2021 Anthem Connecticut Provider News Reimbursement Policies Dec 1, 2021

Modifier 79: Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional during the Postoperative Period: professional

December 2018 Anthem Connecticut Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement policy update: Drug Screen Testing - professional

September 2021 Connecticut Provider News Reimbursement Policies Sep 1, 2021

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

December 2021 Anthem Connecticut Provider News Reimbursement Policies Dec 1, 2021

RETRACTION: Inpatient Facility Transfers - facility reimbursement policy

December 2021 Anthem Connecticut Provider News Reimbursement Policies Dec 1, 2021

Clarification to reimbursement policy update: Virtual Visits - Professional and Facility

February 2022 Anthem Connecticut Provider News Reimbursement Policies Feb 1, 2022

Reimbursement policy update: Modifiers 25 and 57 - Professional

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

Bundled Services and Supplies - professional

August 2018 Anthem Connecticut Provider Newsletter Reimbursement Policies Aug 1, 2018

Once per Lifetime Procedures - professional

August 2018 Anthem Connecticut Provider Newsletter Reimbursement Policies Aug 1, 2018

Reimbursement policy update - Clinic Charges - Facility

January 2021 Anthem Connecticut Provider News Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Multiple Diagnostic Imaging Procedures - professional

January 2021 Anthem Connecticut Provider News Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Frequency Editing - professional

January 2021 Anthem Connecticut Provider News Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Documentation and Reporting Guidelines for Evaluation and Management Services - Professional

April 2023 Provider News - Connecticut Reimbursement Policies Mar 31, 2023

Reimbursement policy update: Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation - professional

January 2021 Anthem Connecticut Provider News Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Laboratory and Venipuncture - professional

October 2020 Anthem Connecticut Provider News Reimbursement Policies Oct 1, 2020

Reimbursement policy update: Modifier Rules - professional

January 2021 Anthem Connecticut Provider News Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Unit Frequency Maximum for Drugs and Biologicals - professional

January 2021 Anthem Connecticut Provider News Reimbursement Policies Jan 1, 2021

Reimbursement policy reminder: Readmission - facility

May 2021 Anthem Connecticut Provider News Reimbursement Policies May 1, 2021

Reimbursement policy update: Frequency Editing - professional

May 2021 Anthem Connecticut Provider News Reimbursement Policies May 1, 2021

Reimbursement policy update: Claims Requiring Additional Documentation - facility

May 2021 Anthem Connecticut Provider News Reimbursement Policies May 1, 2021

Bundled Services Reimbursement Policy update - professional

August 2019 Anthem Connecticut Provider News Reimbursement Policies Aug 1, 2019

Frequency Editing Reimbursement Policy update - professional

August 2019 Anthem Connecticut Provider News Reimbursement Policies Aug 1, 2019

Reimbursement policy update: Emergency Room Transfers - Facility

February 2021 Anthem Connecticut Provider News Reimbursement Policies Feb 1, 2021

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

February 2021 Anthem Connecticut Provider News Reimbursement Policies Feb 1, 2021

New reimbursement policy: Multiple and Bilateral Surgery Processing - facility

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

Reimbursement policy update: Distinct Procedural Services - Modifiers 59, XE, XP, XS, XU - professional

September 2020 Anthem Connecticut Provider News Reimbursement Policies Sep 1, 2020

Reimbursement policy update: Frequency Editing - professional

September 2020 Anthem Connecticut Provider News Reimbursement Policies Sep 1, 2020

Reminder - updated AIM Musculoskeletal program effective January 1, 2023 - site of care reviews

December 2022 Provider Newsletter - Connecticut Policy Updates Dec 1, 2022

Genetic Testing claim edits

April 2023 Provider News - Connecticut Policy Updates Mar 31, 2023

Medical policy and clinical guideline updates available on anthem.com

November 2022 Provider Newsletter - Connecticut Medical Policy & Clinical Guidelines Nov 1, 2022

Medical policy updates are available on anthem.com

July 2021 Connecticut Provider News Medical Policy & Clinical Guidelines Jul 1, 2021

Medical policy and clinical guideline updates

January 2022 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Jan 1, 2022

Medical policy and clinical guideline updates available on anthem.com

May 2022 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines May 1, 2022

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

November 2022 Provider Newsletter - Connecticut Medical Policy & Clinical Guidelines Nov 1, 2022

Medical Policy and Clinical Guideline updates are available on our provider website

February 2023 Provider Newsletter - Connecticut Medical Policy & Clinical Guidelines Feb 1, 2023

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

February 2023 Provider Newsletter - Connecticut Medical Policy & Clinical Guidelines Feb 1, 2023

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

February 2023 Provider Newsletter - Connecticut Medical Policy & Clinical Guidelines Feb 1, 2023

Updates to AIM Specialty Health Musculoskeletal Clinical Appropriateness Guidelines

June 2022 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

June 2022 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Jun 1, 2022

Updates to AIM Specialty Health Sleep Disorder Management Clinical Appropriateness Guidelines

Notice of material change/amendment to contract
June 2022 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Jun 1, 2022

Un-adopted clinical guidelines effective June 1, 2019

July 2019 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Jul 1, 2019

AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates

March 2022 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Mar 1, 2022

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline

December 2021 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

December 2021 Anthem Connecticut Provider News Medical Policy & Clinical Guidelines Dec 1, 2021
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