Georgia
Provider Communications

Articles Recent

Title Publication Category Date

Controlling High Blood Pressure and Submitting Compliant Readings

February 2023 Anthem Provider News - Georgia Administrative Feb 1, 2023

Do you offer telehealth services? Let us know!

February 2023 Anthem Provider News - Georgia Administrative Feb 1, 2023

Enhancing Provider News website and email communications

February 2023 Anthem Provider News - Georgia Digital Tools Feb 1, 2023

Have you reviewed your online provider directory information lately?

February 2023 Anthem Provider News - Georgia Administrative Feb 1, 2023

Specialty pharmacy updates - February 2023 (MAC)

Material adverse change (MAC)

February 2023 Anthem Provider News - Georgia Pharmacy Feb 1, 2023

Helping to reduce delays when submitting attachments: Make sure your correspondence includes one of these elements

February 2023 Anthem Provider News - Georgia Digital Tools Feb 1, 2023

Keep up with Medicare news

Medicare Advantage
February 2023 Anthem Provider News - Georgia Medicare Feb 1, 2023

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update (MAC)

Material adverse change (MAC)

February 2023 Anthem Provider News - Georgia Medicare Feb 1, 2023

Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023

February 2023 Anthem Provider News - Georgia Medicare Feb 1, 2023

2023 FEP benefit information available online

February 2023 Anthem Provider News - Georgia Federal Employee Plan (FEP) Feb 1, 2023

Important reminder: New ID cards for many of our Anthem Blue Cross and Blue Shield members

New ID cards for Anthem Blue Cross and Blue Shield members - Georgia Administrative Jan 19, 2023

Telephonic-only care allowance extended through April 11, 2023

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

Notification regarding reimbursement changes to COVID-19 laboratory services codes (MAC)

Material adverse change (MAC)

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

Anthem Blue Cross and Blue Shield local precertification change in Georgia (MAC)

Material adverse change (MAC)

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

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)
January 2023 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 30, 2022

Georgia Medical Policy and Clinical Guideline updates

January 2023 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 30, 2022

Specialty pharmacy updates (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Georgia Pharmacy Dec 30, 2022

Keep up with Medicare news

Medicare Advantage
January 2023 Anthem Provider News - Georgia Medicare Dec 30, 2022

Federal Employee Program observation conversion for musculoskeletal cases (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Georgia Federal Employee Plan (FEP) Dec 30, 2022

Submitting prior authorizations digitally through Interactive Care Reviewer

January 2023 Anthem Provider News - Georgia Digital Tools Dec 30, 2022

Outpatient facility revenue code billing requirements

January 2023 Anthem Provider News - Georgia Reimbursement Policies Dec 30, 2022

Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List

January 2023 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 30, 2022

Professional system updates for 2023

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

Outpatient system updates for 2023

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

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

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

Engagement with your patient counts

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

Childhood Immunization Status and Lead Screening in Children for HEDIS

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

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines - Material adverse change (MAC)

Material adverse change (MAC)

January 2023 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 30, 2022

Attention lab providers: COVID-19 update regarding reimbursement (MAC)

Material adverse change (MAC)

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

Member assessment of PCP after-hours messaging in 2022

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

Member’s assessment of behavioral healthcare after-hours messaging in 2022

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

Members’ rights and responsibilities

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

Coordination of care

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

Case management program

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

CAA: Timely updates help keep our provider directories current

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

Important information about utilization management

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

Clinical practice and preventive health guidelines available on anthem.com

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

IngenioRx will become CarelonRx on January 1, 2023

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

Signature requirements for laboratory orders or requisitions

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

Specialty pharmacy updates - December 2022 (MAC)

Material adverse change (MAC)
December 2022 Anthem Provider News - Georgia Pharmacy Dec 1, 2022

Pharmacy information available on the provider website

December 2022 Anthem Provider News - Georgia Pharmacy Dec 1, 2022

Clinical Criteria updates for specialty pharmacy are available

December 2022 Anthem Provider News - Georgia Pharmacy Dec 1, 2022

Reimbursement policy update: Bundled Services and Supplies - Professional (MAC)

Material adverse change (MAC)
December 2022 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2022

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

Material adverse change (MAC)

December 2022 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

December 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2022

Reimbursement policy update: Multiple Surgery - Facility

December 2022 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2022

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update (MAC)

Material adverse change (MAC)
December 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2022

Personal home helper benefit ending

December 2022 Anthem Provider News - Georgia Medicare Dec 1, 2022

2023 Medicare Advantage service area and benefit updates

December 2022 Anthem Provider News - Georgia Medicare Dec 1, 2022

Keep up with Medicare news

Medicare Advantage
December 2022 Anthem Provider News - Georgia Medicare Dec 1, 2022

PCP searches in Find Care

PCP searches in Find Care - Georgia Administrative Nov 2, 2022

Preapproval list change notification (MAC)

Material adverse change (MAC)
November 2022 Anthem Provider News - Georgia Administrative Nov 1, 2022

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

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

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

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

Visit the Provider Learning Hub to view our latest learning opportunities

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

Claims status message enhancements: providing clear descriptions and actionable next steps

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

Remote EMR access service for HEDIS

This communication applies to the Commercial and Medicare Advantage programs from Anthem Blue Cross and Blue Shield (Anthem) in Georgia.
November 2022 Anthem Provider News - Georgia Digital Tools Nov 1, 2022

Clinical Criteria updates for specialty pharmacy are available

November 2022 Anthem Provider News - Georgia Pharmacy Nov 1, 2022

Correction to reimbursement policy: Place of Service (Facility)(MAC)

Material adverse change (MAC)
November 2022 Anthem Provider News - Georgia Reimbursement Policies Nov 1, 2022

Improve patient outcomes for colorectal cancer screening with Labcorp’s FIT test

November 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Nov 1, 2022

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

This communication applies to the Commercial and Medicare Advantage programs from Anthem Blue Cross and Blue Shield (Anthem) in Georgia.
November 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Nov 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

Medicare Advantage
November 2022 Anthem Provider News - Georgia Medicare Nov 1, 2022

Personalized Match

Medicare Advantage
November 2022 Anthem Provider News - Georgia Medicare Nov 1, 2022

Keep up with Medicare news

Medicare Advantage
November 2022 Anthem Provider News - Georgia Medicare Nov 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)

Medicare Advantage
Material adverse change (MAC)
November 2022 Anthem Provider News - Georgia Medicare Nov 1, 2022

Specialty pharmacy updates - November 2022

November 2022 Anthem Provider News - Georgia Pharmacy Nov 1, 2022

CAA: Keep your provider directory information up to date

November 2022 Anthem Provider News - Georgia Administrative Nov 1, 2022

Information from Anthem for Care Providers about COVID-19 – RETIRED as of November 8, 2022

As of November 8, 2022, THIS DOCUMENT WILL NO LONGER BE UPDATED.

Future updates regarding COVID-19 will appear in the monthly Provider News publication.

COVID-19 Information – Publication RETIRED as of November 8, 2022 Administrative Oct 13, 2022

Register for our upcoming CME webinar about low back pain management

CME webinar about low back pain management - Georgia Administrative Oct 7, 2022

Anthem Blue Cross and Blue Shield (Anthem) provider claims dispute process

October 2022 Anthem Provider News - Georgia Administrative Oct 1, 2022

Preapproval list change notification October 1, 2022 (MAC)

Material adverse change (MAC)

October 2022 Anthem Provider News - Georgia Administrative Oct 1, 2022

Guidance for coding evaluation and management services for new and established patients RETRACTION: Please refer to article published 9/1/22

October 2022 Anthem Provider News - Georgia Administrative Oct 1, 2022

National Accounts 2023 Pre-certification list

October 2022 Anthem Provider News - Georgia Administrative Oct 1, 2022

Review your online provider directory information

October 2022 Anthem Provider News - Georgia Administrative Oct 1, 2022

The Provider Learning Hub is here

October 2022 Anthem Provider News - Georgia Administrative Oct 1, 2022

Learn how Interactive Care Reviewer makes it easy to submit authorizations electronically

October 2022 Anthem Provider News - Georgia Digital Tools Oct 1, 2022

Clinical Criteria updates for specialty pharmacy are available

October 2022 Anthem Provider News - Georgia Pharmacy Oct 1, 2022

October 2022 Specialty pharmacy updates (MAC)

Material adverse change (MAC)
October 2022 Anthem Provider News - Georgia Pharmacy Oct 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

This communication applies to the Commercial and Medicare Advantage programs from Anthem Blue Cross and Blue Shield (Anthem) in Georgia.
October 2022 Anthem Provider News - Georgia Pharmacy Oct 1, 2022

Pharmacy information available on provider website

October 2022 Anthem Provider News - Georgia Pharmacy Oct 1, 2022

Monkeypox and smallpox vaccines: Product code on claims

October 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Oct 1, 2022

Georgia Medical Policy and Clinical Guideline updates October 1, 2022

October 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Oct 1, 2022

Reimbursement policy update: Multiple and Bilateral Surgery Processing (Professional)

October 2022 Anthem Provider News - Georgia Reimbursement Policies Oct 1, 2022

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

October 2022 Anthem Provider News - Georgia Reimbursement Policies Oct 1, 2022

Availity Essentials provider chat - a fast, easy way to get your UM questions answered for Federal Employee members

October 2022 Anthem Provider News - Georgia Federal Employee Plan (FEP) Oct 1, 2022

Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

October 2022 Anthem Provider News - Georgia Medicare Oct 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)

Medicare Advantage

Material adverse change (MAC)

October 2022 Anthem Provider News - Georgia Medicare Oct 1, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing (Professional)

Medicare Advantage

October 2022 Anthem Provider News - Georgia Medicare Oct 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)

Medicare Advantage

Material adverse change (MAC)

October 2022 Anthem Provider News - Georgia Medicare Oct 1, 2022

Consultation codes

Medicare Advantage

October 2022 Anthem Provider News - Georgia Medicare Oct 1, 2022

Keep up with Medicare news

Medicare Advantage
October 2022 Anthem Provider News - Georgia Medicare Oct 1, 2022

Anthem Blue Cross and Blue Shield (Anthem) provider claims dispute process

Anthem Blue Cross and Blue Shield (Anthem) provider claims dispute process Administrative Sep 20, 2022

Continuing to Explore the Intersection of Race and Disability

Continuing to Explore the Intersection of Race and Disability forum - Georgia Administrative Sep 9, 2022

Important information about women’s preventive care visits

September 2022 Anthem Provider News - Georgia Administrative Sep 1, 2022

CAA: Current provider directory information is key for members and providers to engage with you seamlessly

September 2022 Anthem Provider News - Georgia Administrative Sep 1, 2022
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