Georgia
Provider Communications

Articles Recent

Title	Publication	Category	Date
Reminder: Changes to timely filing requirements coming in October	September 2019 Anthem Provider News - Georgia	Administrative	Sep 2, 2019
Anthem Commercial Risk Adjustment (CRA) Reporting Update: Risk Adjustment Data Validation (RADV) audit happening now	September 2019 Anthem Provider News - Georgia	Administrative	Sep 2, 2019
Anthem’s contract with Northeast Georgia Health System set to expire September 30, 2019 if no agreement is reached	September 2019 Anthem Provider News - Georgia	Administrative	Sep 2, 2019
Access requirements for Behavioral Healthcare services	September 2019 Anthem Provider News - Georgia	Administrative	Sep 2, 2019
Primary care provider after-hours access requirements	September 2019 Anthem Provider News - Georgia	Administrative	Sep 2, 2019
Provider transparency update	September 2019 Anthem Provider News - Georgia	Administrative	Sep 2, 2019
New app offers better digital health care support to members on September 1st	September 2019 Anthem Provider News - Georgia	Administrative	Sep 2, 2019
Claim editing update for Excludes1 notes	September 2019 Anthem Provider News - Georgia	Administrative	Sep 2, 2019
WellStar is out-of-network for Anthem Pathway members	September 2019 Anthem Provider News - Georgia	Administrative	Sep 2, 2019
Clinical criteria and prior authorization updates for specialty pharmacy are available	September 2019 Anthem Provider News - Georgia	Pharmacy	Sep 2, 2019
New reimbursement policy: Maternity Services and Multiple Delivery (Professional)	September 2019 Anthem Provider News - Georgia	Reimbursement Policies	Sep 2, 2019
New reimbursement policy: Intensity Modulated Radiation Therapy Planning and Delivery (Professional)	September 2019 Anthem Provider News - Georgia	Reimbursement Policies	Sep 2, 2019
Reimbursement policy update: claims requiring additional documentation (Facility)	September 2019 Anthem Provider News - Georgia	Reimbursement Policies	Sep 2, 2019
Anthem’s Georgia preapproval list change notification 9/1/2019	September 2019 Anthem Provider News - Georgia	Policy Updates	Sep 2, 2019
Coming soon: electronic attachments	September 2019 Anthem Provider News - Georgia	Medicare	Sep 2, 2019
Clinical criteria updates	September 2019 Anthem Provider News - Georgia	Medicare	Sep 2, 2019
Customizations to the 23rd edition of the MCG care guidelines	September 2019 Anthem Provider News - Georgia	Medicare	Sep 2, 2019
Changes to prior authorization requirements	September 2019 Anthem Provider News - Georgia	Medicare	Sep 2, 2019
Pharmacy benefit manager change to IngenioRx	September 2019 Anthem Provider News - Georgia	Medicare	Sep 2, 2019
Keep up with Medicare news	September 2019 Anthem Provider News - Georgia	Medicare	Sep 2, 2019
Provider Manuals on anthem.com	August 2019 Anthem Provider News - Georgia	Administrative	Aug 1, 2019
Anthem customizations to MCG care guidelines 23rd edition	August 2019 Anthem Provider News - Georgia	Administrative	Aug 1, 2019
Updates to AIM Advanced Imaging clinical appropriateness guidelines	August 2019 Anthem Provider News - Georgia	Products & Programs	Aug 1, 2019
Updates to AIM Radiation Oncology: Proton Beam Therapy clinical appropriateness guideline	August 2019 Anthem Provider News - Georgia	Products & Programs	Aug 1, 2019
Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline	August 2019 Anthem Provider News - Georgia	Products & Programs	Aug 1, 2019
National Drug Code requirement on outpatient claims	August 2019 Anthem Provider News - Georgia	Pharmacy	Aug 1, 2019
Clinical Criteria and prior authorization updates for specialty pharmacy are available	August 2019 Anthem Provider News - Georgia	Pharmacy	Aug 1, 2019
Reminder: changes to the process for medical non-oncology specialty drug reviews effective June 15, 2019	August 2019 Anthem Provider News - Georgia	Pharmacy	Aug 1, 2019
Pharmacy information available on the web	August 2019 Anthem Provider News - Georgia	Pharmacy	Aug 1, 2019
Bundled Services reimbursement policy update (Professional)	August 2019 Anthem Provider News - Georgia	Policy Updates	Aug 1, 2019
Frequency Editing reimbursement policy update (Professional)	August 2019 Anthem Provider News - Georgia	Reimbursement Policies	Aug 1, 2019
Georgia medical policy and clinical guideline updates 8/1/2019	August 2019 Anthem Provider News - Georgia	Medical Policy & Clinical Guidelines	Aug 1, 2019
Update to Emergency Department Level of E&M Services reimbursement policy	August 2019 Anthem Provider News - Georgia	Medicare	Aug 1, 2019
New service types added to Availity	August 2019 Anthem Provider News - Georgia	Medicare	Aug 1, 2019
Prepayment clinical validation review process	August 2019 Anthem Provider News - Georgia	Medicare	Aug 1, 2019
New Drug Screen Testing reimbursement policy	August 2019 Anthem Provider News - Georgia	Medicare	Aug 1, 2019
Unspecified diagnosis code update	August 2019 Anthem Provider News - Georgia	Medicare	Aug 1, 2019
AIM Specialty Health programs may require documentation	August 2019 Anthem Provider News - Georgia	Medicare	Aug 1, 2019
Provider training required for special needs plans	August 2019 Anthem Provider News - Georgia	Medicare	Aug 1, 2019
Keep up with Medicare news	August 2019 Anthem Provider News - Georgia	Medicare	Aug 1, 2019
UPDATE: new Rehabilitative Program remains temporarily delayed	UPDATE: new Rehabilitative Program remains temporarily delayed	Products & Programs	Jul 16, 2019
UPDATE: new Rehabilitative Program now effective August 1, 2019	UPDATE: new Rehabilitative Program now effective August 1, 2019	Products & Programs	Jul 3, 2019
Update: Provider Town Hall dates	July 2019 Anthem Provider News - Georgia	Administrative	Jul 1, 2019
Make the move to the Availity EDI Gateway today	July 2019 Anthem Provider News - Georgia	Administrative	Jul 1, 2019
Anthem Commercial Risk Adjustment (CRA) reporting update: 2019 Program Year Progression – What’s in it for you and your patients?	July 2019 Anthem Provider News - Georgia	Administrative	Jul 1, 2019
Anthem works to simplify payment recovery process for National Accounts membership	July 2019 Anthem Provider News - Georgia	Administrative	Jul 1, 2019
Clinical Practice and Preventive Health guidelines available on the web	July 2019 Anthem Provider News - Georgia	Administrative	Jul 1, 2019
CORRECTION: Reminder and update: new Rehabilitative Program effective July 1, 2019	July 2019 Anthem Provider News - Georgia	Products & Programs	Jul 1, 2019
Clinical criteria updates for specialty pharmacy	July 2019 Anthem Provider News - Georgia	Pharmacy	Jul 1, 2019
Anthem Federal Employee Health Benefit Program® (FEP) PPO members will now require prior approval for specific specialty drugs and site of care	July 2019 Anthem Provider News - Georgia	Pharmacy	Jul 1, 2019
Clinical Criteria coding updates for specialty pharmacy are available	July 2019 Anthem Provider News - Georgia	Pharmacy	Jul 1, 2019
Modifier 79 reminder (Professional)	July 2019 Anthem Provider News - Georgia	Policy Updates	Jul 1, 2019
Modifier 63 reminder (Professional)	July 2019 Anthem Provider News - Georgia	Policy Updates	Jul 1, 2019
ICD-10-CM Coding Guidelines and Laterality (Professional)	July 2019 Anthem Provider News - Georgia	Policy Updates	Jul 1, 2019
Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines	July 2019 Anthem Provider News - Georgia	Policy Updates	Jul 1, 2019
Clinical Validation (Professional)	July 2019 Anthem Provider News - Georgia	Policy Updates	Jul 1, 2019
Outpatient Rehabilitation Program transitioning to AIM	July 2019 Anthem Provider News - Georgia	Medicare	Jul 1, 2019
Home health billing guidelines for contracted providers	July 2019 Anthem Provider News - Georgia	Medicare	Jul 1, 2019
Electronic claim payment reconsideration	July 2019 Anthem Provider News - Georgia	Medicare	Jul 1, 2019
Medical Policies and Clinical Utilization Management Guidelines update	July 2019 Anthem Provider News - Georgia	Medicare	Jul 1, 2019
Keep up with Medicare news	July 2019 Anthem Provider News - Georgia	Medicare	Jul 1, 2019
Beacon Health Options	N/A	Behavioral Health	Jun 6, 2019
Update: Sepsis coding	Anthem June 2019 Provider News - Georgia	Administrative	Jun 1, 2019
Anthem Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program begins; benefits of direct connection access to your EMR	Anthem June 2019 Provider News - Georgia	Administrative	Jun 1, 2019
Coming Soon! Anthem electronic attachments	Anthem June 2019 Provider News - Georgia	Administrative	Jun 1, 2019
Anthem launches additional changes to anthem.com for Q2	Anthem June 2019 Provider News - Georgia	Administrative	Jun 1, 2019
AIM programs may require additional prior authorization documentation	Anthem June 2019 Provider News - Georgia	Administrative	Jun 1, 2019
New “Find A Doctor” tool sort option	Anthem June 2019 Provider News - Georgia	Administrative	Jun 1, 2019
New ICR Immediate Decision List posted on Availity Payer Spaces	Anthem June 2019 Provider News - Georgia	Administrative	Jun 1, 2019
Reminder and update: new Rehabilitative Program effective September 1, 2019	Anthem June 2019 Provider News - Georgia	Products & Programs	Jun 1, 2019
Anthem expands specialty pharmacy prior authorization list	Anthem June 2019 Provider News - Georgia	Pharmacy	Jun 1, 2019
Anthem announces changes in medical non-oncology specialty drug reviews effective June 15, 2019	Anthem June 2019 Provider News - Georgia	Pharmacy	Jun 1, 2019
Pharmacy information available on anthem.com	Anthem June 2019 Provider News - Georgia	Pharmacy	Jun 1, 2019
Frequency Editing (Professional)	Anthem June 2019 Provider News - Georgia	Reimbursement Policies	Jun 1, 2019
New Reimbursement Policy – Ambulance Transportation (Professional)	Anthem June 2019 Provider News - Georgia	Reimbursement Policies	Jun 1, 2019
GA preapproval list change notification 5/1/2019	Anthem June 2019 Provider News - Georgia	Policy Updates	Jun 1, 2019
Georgia medical policy and clinical guideline updates 5/1/2019	Anthem June 2019 Provider News - Georgia	Policy Updates	Jun 1, 2019
Clinical guideline (CG-ANC-07) effective July 1, 2019	Anthem June 2019 Provider News - Georgia	Policy Updates	Jun 1, 2019
Review of professional claims with emergency department level 5 E&M codes	Anthem June 2019 Provider News - Georgia	Medicare	Jun 1, 2019
Why do patients stop taking their prescribed medications and what can you do to help them?	Anthem June 2019 Provider News - Georgia	Medicare	Jun 1, 2019
Keep up with Medicare news	Anthem June 2019 Provider News - Georgia	Medicare	Jun 1, 2019
Electronic member ID cards: Easy online access on the Availity Portal	Anthem May 2019 Provider News - Georgia	Administrative	May 1, 2019
Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred (Professional)	Anthem May 2019 Provider News - Georgia	Administrative	May 1, 2019
Anthem contracted ambulance providers	Anthem May 2019 Provider News - Georgia	Administrative	May 1, 2019
Anthem Commercial Risk Adjustment (CRA) reporting update: Health Assessment requests for 2019 and alternative reporting engagement	Anthem May 2019 Provider News - Georgia	Administrative	May 1, 2019
MCG care guidelines 23rd edition	Anthem May 2019 Provider News - Georgia	Administrative	May 1, 2019
New Service Types added in Eligibility and Benefits on Availity	Anthem May 2019 Provider News - Georgia	Administrative	May 1, 2019
Availity launches changes to our Medical Attachment submission tool	Anthem May 2019 Provider News - Georgia	Administrative	May 1, 2019
Anthem expands specialty pharmacy medical step therapy drug list for agents for hereditary angioedema	Anthem May 2019 Provider News - Georgia	Pharmacy	May 1, 2019
Anthem specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents	Anthem May 2019 Provider News - Georgia	Pharmacy	May 1, 2019
Medical Policy informational notice	Anthem May 2019 Provider News - Georgia	Policy Updates	May 1, 2019
Reimbursement policy update: Drug Screen Testing (Professional)	Anthem May 2019 Provider News - Georgia	Reimbursement Policies	May 1, 2019
Modifier 63: Procedure performed on infants less than 4 kg: Policy 06-015	Anthem May 2019 Provider News - Georgia	Medicare	May 1, 2019
Medical records request for risk adjustment	Anthem May 2019 Provider News - Georgia	Medicare	May 1, 2019
Fall prevention tips	Anthem May 2019 Provider News - Georgia	Medicare	May 1, 2019
Partial hospitalization services	Anthem May 2019 Provider News - Georgia	Medicare	May 1, 2019
Keep up with Medicare news	Anthem May 2019 Provider News - Georgia	Medicare	May 1, 2019
Exact Sciences Laboratories (Cologuard) is out-of-network for HMO and Blue Open Access POS	April 2019 Anthem Provider Newsletter - Georgia	Administrative	Apr 1, 2019
New for Publix members: Applied Behavioral Analysis Therapy benefits effective January 1, 2019	April 2019 Anthem Provider Newsletter - Georgia	Administrative	Apr 1, 2019
Anthem Commercial Risk Adjustment (CRA) Reporting Update: Accurate coding helps provide a comprehensive picture of patients’ health and services provided	April 2019 Anthem Provider Newsletter - Georgia	Administrative	Apr 1, 2019

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Anthem Blue Cross and Blue Shield is the trade name of Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Independent licensee of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.