Georgia
Provider Communications

Articles Recent

Title Publication Category Date

Important information about utilization management

December 2021 Anthem Provider News - Georgia Administrative Dec 1, 2021

Member rights and responsibilities

December 2021 Anthem Provider News - Georgia Administrative Dec 1, 2021

Coordination of care

December 2021 Anthem Provider News - Georgia Administrative Dec 1, 2021

Professional system updates for 2022

December 2021 Anthem Provider News - Georgia Administrative Dec 1, 2021

Clinical practice and preventive health guidelines available on anthem.com

December 2021 Anthem Provider News - Georgia Administrative Dec 1, 2021

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

December 2021 Anthem Provider News - Georgia Administrative Dec 1, 2021

Outpatient system updates for 2022

December 2021 Anthem Provider News - Georgia Administrative Dec 1, 2021

Chlamydia is asymptomatic. Only through screening will we know for sure.

December 2021 Anthem Provider News - Georgia Administrative Dec 1, 2021

Behavioral healthcare appointment access requirements

December 2021 Anthem Provider News - Georgia Administrative Dec 1, 2021

Importance of PCP after-hours messaging

December 2021 Anthem Provider News - Georgia Administrative Dec 1, 2021

Reminder: EnrollSafe is available: electronic funds transfer enrollment portal for Anthem Blue Cross and Blue Shield providers

EnrollSafe replaced CAQH Enrollhub effective November 1, 2021
December 2021 Anthem Provider News - Georgia Digital Tools Dec 1, 2021

Updated AIM musculoskeletal program site of care reviews delayed

December 2021 Anthem Provider News - Georgia Products & Programs Dec 1, 2021

Case Management Program

December 2021 Anthem Provider News - Georgia Products & Programs Dec 1, 2021

Anthem Blue Cross and Blue Shield clinical criteria updates for specialty pharmacy are available

December 2021 Anthem Provider News - Georgia Pharmacy Dec 1, 2021

December 2021 specialty pharmacy updates (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Georgia Pharmacy Dec 1, 2021

Pharmacy information available on anthem.com

December 2021 Anthem Provider News - Georgia Pharmacy Dec 1, 2021

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

Material adverse change (MAC)
December 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2021

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

Material adverse change (MAC)
December 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2021

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

Material adverse change (MAC)
December 2021 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2021

Reimbursement policy update: Virtual Visits (professional and facility)

December 2021 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2021

RETRACTION: Inpatient Facility Transfers reimbursement policy (facility)

December 2021 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2021

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

December 2021 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2021

Non-payment remittance advice enhancements

Medicare Advantage
December 2021 Anthem Provider News - Georgia Medicare Dec 1, 2021

Policy Update: Drug Screen Testing

Medicare Advantage
December 2021 Anthem Provider News - Georgia Medicare Dec 1, 2021

2022 Medicare Advantage service area and benefit updates

Medicare Advantage
December 2021 Anthem Provider News - Georgia Medicare Dec 1, 2021

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

Medicare Advantage
December 2021 Anthem Provider News - Georgia Medicare Dec 1, 2021

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Medicare Advantage
December 2021 Anthem Provider News - Georgia Medicare Dec 1, 2021

Somatus is your resource for kidney care management

Medicare Advantage
December 2021 Anthem Provider News - Georgia Medicare Dec 1, 2021

Keep up with Medicare news

Medicare Advantage
December 2021 Anthem Provider News - Georgia Medicare Dec 1, 2021

Register today for a forum on Grief and Loss: The disproportionate impact of the pandemic on communities of color

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about the disproportionate impact of the pandemic on communities of color.

Grief & Loss Forum - Georgia Administrative Nov 29, 2021

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

November 2021 Anthem Provider News - Georgia Administrative Nov 1, 2021

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

November 2021 Anthem Provider News - Georgia Administrative Nov 1, 2021

Claims editing update for ICD-10-CM Excludes 1 notes

November 2021 Anthem Provider News - Georgia Administrative Nov 1, 2021

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

November 2021 Anthem Provider News - Georgia Administrative Nov 1, 2021

Time to prepare for HEDIS® medical record review

November 2021 Anthem Provider News - Georgia Administrative Nov 1, 2021

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

November 2021 Anthem Provider News - Georgia Administrative Nov 1, 2021

Be Antibiotics Aware: Protect your patient

November 2021 Anthem Provider News - Georgia Administrative Nov 1, 2021

Surprisingly easy ways to help patients quit smoking cigarettes

November 2021 Anthem Provider News - Georgia Administrative Nov 1, 2021

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

November 2021 Anthem Provider News - Georgia Administrative Nov 1, 2021

Against medical advice (AMA) discharge physician tracking tool

November 2021 Anthem Provider News - Georgia Digital Tools 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 Provider News - Georgia Digital Tools Nov 1, 2021

Update regarding annual wellness visits for ACA-compliant health plans

November 2021 Anthem Provider News - Georgia Products & Programs Nov 1, 2021

Blue High Performance Network name changing for 2022

November 2021 Anthem Provider News - Georgia Products & Programs Nov 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

November 2021 Anthem Provider News - Georgia Pharmacy Nov 1, 2021

Important update on Botox® for Anthem members

November 2021 Anthem Provider News - Georgia Pharmacy Nov 1, 2021

November 2021 specialty pharmacy updates are available (MAC)

Material adverse change (MAC)
November 2021 Anthem Provider News - Georgia Pharmacy 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 Provider News - Georgia Reimbursement Policies Nov 1, 2021

Clinical Criteria updates

Medicare Advantage
November 2021 Anthem Provider News - Georgia Medicare Nov 1, 2021

Anthem Blue Cross and Blue Shield offering Advance Medical Directives program for 2022

Medicare Advantage
November 2021 Anthem Provider News - Georgia Medicare Nov 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

Medicare Advantage
November 2021 Anthem Provider News - Georgia Medicare Nov 1, 2021

Electronic data interchange process

Medicare Advantage
November 2021 Anthem Provider News - Georgia Medicare Nov 1, 2021

New York City Medicare Advantage announcement

Medicare Advantage
November 2021 Anthem Provider News - Georgia Medicare Nov 1, 2021

Keep up with Medicare news

Medicare Advantage
November 2021 Anthem Provider News - Georgia 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 - Georgia 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 Medicare Oct 19, 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 - Georgia Administrative Oct 5, 2021

Looking to earn continuing medical education credits? Register for these on-demand webinars.

October 2021 Anthem Provider News - Georgia Administrative Oct 1, 2021

Clinical appeals

October 2021 Anthem Provider News - Georgia Administrative Oct 1, 2021

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

African American and Hispanic women have higher risk of death from breast cancer than their White counterparts.1
October 2021 Anthem Provider News - Georgia Administrative Oct 1, 2021

Georgia Anthem preapproval list change notification 10/1/2021 (MAC)

Material adverse change (MAC)
October 2021 Anthem Provider News - Georgia Administrative Oct 1, 2021

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

October 2021 Anthem Provider News - Georgia Administrative Oct 1, 2021

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

October 2021 Anthem Provider News - Georgia Administrative Oct 1, 2021

Good news! Non-payment remittance advice enhancements coming soon

October 2021 Anthem Provider News - Georgia Administrative Oct 1, 2021

Procedure searches in Find Care

October 2021 Anthem Provider News - Georgia Digital Tools Oct 1, 2021

REMINDER: EnrollSafe, the new electronic funds transfer enrollment portal for Anthem providers is replacing CAQH Enrollhub effective November 1, 2021

October 2021 Anthem Provider News - Georgia Digital Tools Oct 1, 2021

Incorrect provider data could be costing you more than new patients

$2.1 billion is spent each year for provider data maintenance.1
October 2021 Anthem Provider News - Georgia Digital Tools Oct 1, 2021

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

October 2021 Anthem Provider News - Georgia Products & Programs Oct 1, 2021

Pharmacy information available on anthem.com

October 2021 Anthem Provider News - Georgia Pharmacy Oct 1, 2021

October 2021 specialty pharmacy updates are available (MAC)

Material adverse change (MAC)
October 2021 Anthem Provider News - Georgia Pharmacy Oct 1, 2021

Designated specialty pharmacy network updates effective January 1, 2022 (MAC)

Material adverse change (MAC)
October 2021 Anthem Provider News - Georgia Pharmacy Oct 1, 2021

Georgia medical policy and clinical guideline updates 10/1/2021

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

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

October 2021 Anthem Provider News - Georgia Reimbursement Policies Oct 1, 2021

Reimbursement policy clarification: Claims Requiring Additional Documentation (facility)

October 2021 Anthem Provider News - Georgia Reimbursement Policies Oct 1, 2021

Sexually Transmitted Infections Testing (Professional)

Medicare Advantage
October 2021 Anthem Provider News - Georgia Medicare Oct 1, 2021

Information about 2021 Special Needs Plans

Medicare Advantage
October 2021 Anthem Provider News - Georgia Medicare Oct 1, 2021

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

Medicare Advantage
October 2021 Anthem Provider News - Georgia Medicare Oct 1, 2021

New Medical Step Therapy requirements

Medicare Advantage
October 2021 Anthem Provider News - Georgia Medicare Oct 1, 2021

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

Medicare Advantage
October 2021 Anthem Provider News - Georgia Medicare Oct 1, 2021

Keep up with Medicare news

View these Medicare articles: 
October 2021 Anthem Provider News - Georgia Medicare Oct 1, 2021

Important COVID-19 update: Prior authorization and other policy adjustments (updated September 23, 2021)

We recently updated prior authorization requirements for acute in-patient (IP) admission, urgent or emergency acute IP surgeries or services, and patient transfers from acute IP hospitals to additional sites of services.
COVID-19 Information Administrative Sep 23, 2021

Register today for the Exploring the Impact of Racial Trauma on the Health & Wellbeing of Children forum on September 29, 2021

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 - Georgia Administrative Sep 15, 2021

Register now for our September CME webinars!

September 2021 Anthem Provider News - Georgia Administrative Sep 1, 2021

National Accounts 2022 pre-certification list

September 2021 Anthem Provider News - Georgia Administrative Sep 1, 2021

Georgia Anthem preapproval list change notification 9/1/2021 (MAC)

Material adverse change (MAC)
September 2021 Anthem Provider News - Georgia Administrative Sep 1, 2021

Statin therapy for patients with diabetes

Achieve 90% patient statin therapy adherence with a personalized approach
September 2021 Anthem Provider News - Georgia Administrative Sep 1, 2021

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

September 2021 Anthem Provider News - Georgia Administrative Sep 1, 2021

6 SIMPLE strategies to help increase medication adherence

September 2021 Anthem Provider News - Georgia 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 Anthem Provider News - Georgia Administrative Sep 1, 2021

September 2021 updates for specialty pharmacy are available (MAC)

Material adverse change (MAC)
September 2021 Anthem Provider News - Georgia Pharmacy 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 Anthem Provider News - Georgia Digital Tools Sep 1, 2021

Reimbursement policy update: Sexually Transmitted Infections Testing (Professional) (MAC)

Material adverse change (MAC)
September 2021 Anthem Provider News - Georgia Reimbursement Policies Sep 1, 2021

Reimbursement policy update: Drug Screen Testing (Professional) (MAC)

Material adverse change (MAC)
September 2021 Anthem Provider News - Georgia Reimbursement Policies Sep 1, 2021

New reimbursement policy update: Inpatient Facility Transfers (Facility) (MAC)

Material adverse change (MAC)
September 2021 Anthem Provider News - Georgia Reimbursement Policies Sep 1, 2021

Reimbursement Policy Update: DRG Inpatient Facility Transfers

Medicare Advantage
September 2021 Anthem Provider News - Georgia Medicare Sep 1, 2021

Prior authorization/precertification form notification

Medicare Advantage
September 2021 Anthem Provider News - Georgia Medicare Sep 1, 2021

Utilization management authorization rule operations

Medicare Advantage
September 2021 Anthem Provider News - Georgia Medicare Sep 1, 2021

Keep up with Medicare news

Medicare Advantage

Clinical criteria updates notification May 2021
September 2021 Anthem Provider News - Georgia Medicare Sep 1, 2021

Information from Anthem for Care Providers about COVID-19 (updated August 2, 2021)

We recently updated information about coverage dates for telephonic-only care.
COVID-19 Information Administrative Aug 2, 2021
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