Georgia
Provider Communications

Provider Spotlight

May 1, 2019

Electronic member ID cards: Easy online access on the Availity Portal

Articles Recent

Title	Publication	Category	Date
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
Why do patients stop taking their prescribed medications and what can you do to help them?	April 2019 Anthem Provider Newsletter - Georgia	Administrative	Apr 1, 2019
New on Interactive Care Reviewer: Request Clinical Appeals	April 2019 Anthem Provider Newsletter - Georgia	Administrative	Apr 1, 2019
Use the Provider Maintenance Form to update your practice information	April 2019 Anthem Provider Newsletter - Georgia	Administrative	Apr 1, 2019
Clinical Practice and Preventive Health guidelines available on the web	April 2019 Anthem Provider Newsletter - Georgia	Administrative	Apr 1, 2019
New AIM Rehabilitative program effective July 1, 2019	April 2019 Anthem Provider Newsletter - Georgia	Products & Programs	Apr 1, 2019
Anthem expands specialty pharmacy prior authorization list	April 2019 Anthem Provider Newsletter - Georgia	Pharmacy	Apr 1, 2019
Pharmacy information available on the web	April 2019 Anthem Provider Newsletter - Georgia	Pharmacy	Apr 1, 2019
Notification of preapproval list changes (April 2019)	April 2019 Anthem Provider Newsletter - Georgia	Policy Updates	Apr 1, 2019
Medical Policy and Clinical Guideline updates 4/1/2019	April 2019 Anthem Provider Newsletter - Georgia	Policy Updates	Apr 1, 2019
Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines	April 2019 Anthem Provider Newsletter - Georgia	Policy Updates	Apr 1, 2019
Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline	April 2019 Anthem Provider Newsletter - Georgia	Policy Updates	Apr 1, 2019
Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines	April 2019 Anthem Provider Newsletter - Georgia	Policy Updates	Apr 1, 2019
Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines	April 2019 Anthem Provider Newsletter - Georgia	Policy Updates	Apr 1, 2019
New reimbursement policy: Partial Hospitalization Program and Intensive Outpatient Program Services (Facility)	April 2019 Anthem Provider Newsletter - Georgia	Policy Updates	Apr 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	April 2019 Anthem Provider Newsletter - Georgia	Medicare	Apr 1, 2019
Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members	April 2019 Anthem Provider Newsletter - Georgia	Medicare	Apr 1, 2019
Keep up with Medicare news	April 2019 Anthem Provider Newsletter - Georgia	Medicare	Apr 1, 2019
Provider Town Hall schedule 2019	April 2019 Anthem Provider Newsletter - Georgia	Administrative	Apr 1, 2019
Provider manual update	April 2019 Anthem Provider Newsletter - Georgia	Administrative	Apr 1, 2019
Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit	March 2019 Anthem Provider Newsletter - Georgia	Pharmacy	Mar 1, 2019
Some of your patients will begin moving to IngenioRx in Q2 2019	March 2019 Anthem Provider Newsletter - Georgia	Pharmacy	Mar 1, 2019
Why do patients stop taking their prescribed medications and what can you do to help them?	March 2019 Anthem Provider Newsletter - Georgia	Pharmacy	Mar 1, 2019
Pharmacy information available on the web	March 2019 Anthem Provider Newsletter - Georgia	Pharmacy	Mar 1, 2019
Dual Eligible Special Needs Plans – provider training required	March 2019 Anthem Provider Newsletter - Georgia	Medicare	Mar 1, 2019
Change to 835 ERA for all D-SNP MA members for 2019	March 2019 Anthem Provider Newsletter - Georgia	Medicare	Mar 1, 2019
Clinical criteria updates for specialty pharmacy	March 2019 Anthem Provider Newsletter - Georgia	Medicare	Mar 1, 2019
Keep up with Medicare news	March 2019 Anthem Provider Newsletter - Georgia	Medicare	Mar 1, 2019
Anthem launches additional changes to anthem.com in March	March 2019 Anthem Provider Newsletter - Georgia	Administrative	Mar 1, 2019
Reminder to use in-network laboratory	March 2019 Anthem Provider Newsletter - Georgia	Administrative	Mar 1, 2019
Latest updates to EDI Gateway migration	March 2019 Anthem Provider Newsletter - Georgia	Administrative	Mar 1, 2019
Provider transparency update	March 2019 Anthem Provider Newsletter - Georgia	Administrative	Mar 1, 2019
Explore the updates to the Medical Attachment tool	March 2019 Anthem Provider Newsletter - Georgia	Administrative	Mar 1, 2019
New look to Claim Status and Secure Messaging on the Availity Portal	March 2019 Anthem Provider Newsletter - Georgia	Administrative	Mar 1, 2019
Use the Provider Maintenance Form to update your practice information	March 2019 Anthem Provider Newsletter - Georgia	Administrative	Mar 1, 2019
Clinical Practice and Preventive Health guidelines available on the web	March 2019 Anthem Provider Newsletter - Georgia	Administrative	Mar 1, 2019
Anthem Commercial Risk Adjustment (CRA) Program update: Medical chart collection for ACA members due March 31, 2019 at the latest	March 2019 Anthem Provider Newsletter - Georgia	Products & Programs	Mar 1, 2019
Clinical criteria updates for specialty pharmacy	March 2019 Anthem Provider Newsletter - Georgia	Pharmacy	Mar 1, 2019
Update regarding specialty pharmacy clinical site of care claim processing	March 2019 Anthem Provider Newsletter - Georgia	Pharmacy	Mar 1, 2019
Important update to Anthem’s commercial drug lists	March 2019 Anthem Provider Newsletter - Georgia	Pharmacy	Mar 1, 2019
2019 BCBSGa provider Town Hall meeting schedule update	February 2019 Anthem Provider Newsletter - Georgia	Administrative	Feb 1, 2019
Anthem to enhance claim edits for outpatient facility claims	February 2019 Anthem Provider Newsletter - Georgia	Administrative	Feb 1, 2019
Reminder to use in-network laboratory	February 2019 Anthem Provider Newsletter - Georgia	Administrative	Feb 1, 2019
HEDIS 2019 Federal Employee Program® medical record request requirements	February 2019 Anthem Provider Newsletter - Georgia	Administrative	Feb 1, 2019
HEDIS® 2019: Controlling High Blood Pressure (CBP)	February 2019 Anthem Provider Newsletter - Georgia	Administrative	Feb 1, 2019
Member satisfaction with behavioral health outpatient services	February 2019 Anthem Provider Newsletter - Georgia	Administrative	Feb 1, 2019
Use the Provider Maintenance Form to update your practice information	February 2019 Anthem Provider Newsletter - Georgia	Administrative	Feb 1, 2019
Clinical Practice and Preventive Health guidelines available on the web	February 2019 Anthem Provider Newsletter - Georgia	Administrative	Feb 1, 2019
Anthem expands specialty pharmacy prior authorization list	February 2019 Anthem Provider Newsletter - Georgia	Pharmacy	Feb 1, 2019
Anthem expands specialty pharmacy medical step therapy drug list	February 2019 Anthem Provider Newsletter - Georgia	Pharmacy	Feb 1, 2019
Clinical criteria updates for specialty pharmacy	February 2019 Anthem Provider Newsletter - Georgia	Pharmacy	Feb 1, 2019
Pharmacy information available on the web	February 2019 Anthem Provider Newsletter - Georgia	Pharmacy	Feb 1, 2019
Body Mass Index (BMI) Reimbursement Policy (Facility)	February 2019 Anthem Provider Newsletter - Georgia	Reimbursement Policies	Feb 1, 2019
Reminder to review ICD-10-CM coding guidelines (Professional)	February 2019 Anthem Provider Newsletter - Georgia	Reimbursement Policies	Feb 1, 2019
Injectable Substances with Related Injection Services Reimbursement Policy Update (Professional)	February 2019 Anthem Provider Newsletter - Georgia	Reimbursement Policies	Feb 1, 2019
Reminder: Anthem follows Original Medicare policies	February 2019 Anthem Provider Newsletter - Georgia	Medicare	Feb 1, 2019
Notification of preapproval list changes (February 2019)	February 2019 Anthem Provider Newsletter - Georgia	Policy Updates	Feb 1, 2019
Use grouped CPT codes for AIM Specialty Health authorizations	February 2019 Anthem Provider Newsletter - Georgia	Medicare	Feb 1, 2019
Anthem eye refraction and routine eye exam billing information	February 2019 Anthem Provider Newsletter - Georgia	Medicare	Feb 1, 2019
New specialty Medicare Part B device preferred product program	February 2019 Anthem Provider Newsletter - Georgia	Medicare	Feb 1, 2019
Anthem Blue Cross and Blue Shield Medicare Advantage plan available to City of Atlanta retirees	February 2019 Anthem Provider Newsletter - Georgia	Medicare	Feb 1, 2019
Keep up with Medicare news	February 2019 Anthem Provider Newsletter - Georgia	Medicare	Feb 1, 2019
Anthem announces early launch of IngenioRx	N/A	Pharmacy	Jan 30, 2019
New Year brings new ID cards and new ID numbers for many Anthem members	January 24, 2019 Anthem Network eUPDATE	Administrative	Jan 24, 2019
BCBSGa is now Anthem	January 2019 Anthem Provider Newsletter - Georgia	Administrative	Jan 1, 2019
HCPCS code A0998 Ambulance response and treatment with no transport is active and available for use	January 2019 Anthem Provider Newsletter - Georgia	Administrative	Jan 1, 2019
Provider itemized bill submission criteria	January 2019 Anthem Provider Newsletter - Georgia	Administrative	Jan 1, 2019
HEDIS® 2019 starts early February	January 2019 Anthem Provider Newsletter - Georgia	Administrative	Jan 1, 2019
Use the Provider Maintenance Form to update your practice information	January 2019 Anthem Provider Newsletter - Georgia	Administrative	Jan 1, 2019
Clinical Practice and Preventive Health guidelines available on the web	January 2019 Anthem Provider Newsletter - Georgia	Administrative	Jan 1, 2019
Simplifying medication prior authorization processes	January 2019 Anthem Provider Newsletter - Georgia	Pharmacy	Jan 1, 2019
Update regarding drugs not approved by the FDA	January 2019 Anthem Provider Newsletter - Georgia	Pharmacy	Jan 1, 2019
Pharmacy information available on the web	January 2019 Anthem Provider Newsletter - Georgia	Pharmacy	Jan 1, 2019
New Autism codes effective January 1, 2019	January 2019 Anthem Provider Newsletter - Georgia	Policy Updates	Jan 1, 2019
Benefits to be available for chronic care management and advance care planning services effective February 23, 2019	January 2019 Anthem Provider Newsletter - Georgia	Reimbursement Policies	Jan 1, 2019
Medical policy and clinical guideline updates	January 2019 Anthem Provider Newsletter - Georgia	Medical Policy & Clinical Guidelines	Jan 1, 2019
Anthem offers risk adjustment and documentation training	January 2019 Anthem Provider Newsletter - Georgia	Medicare	Jan 1, 2019
Medicare Advantage member Explanation of Benefits redesigned	January 2019 Anthem Provider Newsletter - Georgia	Medicare	Jan 1, 2019
Keep up with Medicare news	January 2019 Anthem Provider Newsletter - Georgia	Medicaid	Jan 1, 2019
Anthem Blue Cross and Blue Shield Georgia Medical Policy and Clinical Guideline Updates 1/1/2019	January 2019 Anthem Provider Newsletter - Georgia	Medical Policy & Clinical Guidelines	Jan 1, 2019
Notification of preapproval list changes (January 2019)	January 2019 Anthem Provider Newsletter - Georgia	Policy Updates	Jan 1, 2019
HEDIS® 2018 commercial results are in	December 2018 BCBSGa Provider Newsletter	Administrative	Dec 1, 2018

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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.