Georgia
Provider Communications

Articles Recent

Title	Publication	Category	Date
Verifying and updating your provider information	December 2019 Anthem Provider News - Georgia	Administrative	Dec 1, 2019
Coding tip for psychological and neuropsychological testing	December 2019 Anthem Provider News - Georgia	Administrative	Dec 1, 2019
Coordination of benefits for an FEP® member	December 2019 Anthem Provider News - Georgia	Administrative	Dec 1, 2019
Anthem works to simplify payment recovery process for National Accounts membership	December 2019 Anthem Provider News - Georgia	Administrative	Dec 1, 2019
System updates for 2020 (Professional)	December 2019 Anthem Provider News - Georgia	Administrative	Dec 1, 2019
Coordination of care	December 2019 Anthem Provider News - Georgia	Administrative	Dec 1, 2019
Important Information about utilization management	December 2019 Anthem Provider News - Georgia	Administrative	Dec 1, 2019
Members’ Rights and Responsibilities	December 2019 Anthem Provider News - Georgia	Administrative	Dec 1, 2019
Clinical practice and preventive health guidelines available on anthem.com	December 2019 Anthem Provider News - Georgia	Administrative	Dec 1, 2019
New Digital Provider Enrollment tool added to Availity for Georgia	December 2019 Anthem Provider News - Georgia	Administrative	Dec 1, 2019
Retrieve your Anthem Patient’s HEDIS® care gaps through Patient360 located on the Availity Portal	December 2019 Anthem Provider News - Georgia	Administrative	Dec 1, 2019
REMINDER: New AIM Rehabilitative Program effective November 1, 2019	December 2019 Anthem Provider News - Georgia	Products & Programs	Dec 1, 2019
Case Management Program	December 2019 Anthem Provider News - Georgia	Products & Programs	Dec 1, 2019
Pharmacy information available on anthem.com	December 2019 Anthem Provider News - Georgia	Pharmacy	Dec 1, 2019
New Durable Medical Equipment reimbursement policies: Rent to Purchase and Modifiers (Professional)	December 2019 Anthem Provider News - Georgia	Policy Updates	Dec 1, 2019
Medical drug Clinical Criteria updates	December 2019 Anthem Provider News - Georgia	Medicare	Dec 1, 2019
Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement (APM ID 0037943)	December 2019 Anthem Provider News - Georgia	Medicare	Dec 1, 2019
Reminder to Medicare Advantage providers	December 2019 Anthem Provider News - Georgia	Medicare	Dec 1, 2019
Keep up with Medicare news	December 2019 Anthem Provider News - Georgia	Medicare	Dec 1, 2019
CORRECTION: New AIM Musculoskeletal Program will begin "December 2, 2019"	December 2019 Anthem Provider News - Georgia	Products & Programs	Dec 1, 2019
Georgia Anthem provider Town Hall dates in Atlanta and Savannah	November 2019 GA Provider News	Administrative	Nov 1, 2019
Additional improvements coming to anthem.com	November 2019 GA Provider News	Administrative	Nov 1, 2019
Anthem appropriate coding helps provide a comprehensive picture of patients’ health	November 2019 GA Provider News	Administrative	Nov 1, 2019
Reminder: new AIM Rehabilitative Program effective November 1, 2019	November 2019 GA Provider News	Products & Programs	Nov 1, 2019
CORRECTION: New AIM Musculoskeletal Program will begin "December 1, 2019"	November 2019 GA Provider News	Products & Programs	Nov 1, 2019
Anthem clinical criteria and prior authorization updates for specialty pharmacy are available	November 2019 GA Provider News	Pharmacy	Nov 1, 2019
Remaining members will transition to new PBM, IngenioRx, on January 1, 2020	November 2019 GA Provider News	Pharmacy	Nov 1, 2019
Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness Guideline	November 2019 GA Provider News	Policy Updates	Nov 1, 2019
Updates to AIM Radiation Therapy Clinical Appropriateness Guideline	November 2019 GA Provider News	Policy Updates	Nov 1, 2019
Updates to AIM Spine Surgery Clinical Appropriateness Guideline	November 2019 GA Provider News	Policy Updates	Nov 1, 2019
Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline	November 2019 GA Provider News	Policy Updates	Nov 1, 2019
Georgia preapproval list change notification 11/1/2019	November 2019 GA Provider News	Policy Updates	Nov 1, 2019
Georgia medical policy and clinical guideline updates 11/1/2019	November 2019 GA Provider News	Policy Updates	Nov 1, 2019
Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement	November 2019 GA Provider News	Medicare	Nov 1, 2019
CMS reminder: expedited/urgent requests	November 2019 GA Provider News	Medicare	Nov 1, 2019
Keep up with Medicare news	November 2019 GA Provider News	Medicare	Nov 1, 2019
Enhanced search and download options allow easy access to provider information from Anthem	Get the latest critical information from Anthem that impacts providers	Administrative	Oct 8, 2019
Anthem launches additional changes to anthem.com	October 2019 Provider News	Administrative	Oct 1, 2019
Article title: US Antibiotic Awareness Week is November 11-18, 2019	October 2019 Provider News	Administrative	Oct 1, 2019
Precertification request turnaround times for the Federal Employee Program	October 2019 Provider News	Administrative	Oct 1, 2019
National Accounts 2020 precertification list	October 2019 Provider News	Administrative	Oct 1, 2019
Anthem Commercial Risk Adjustment (CRA) reporting update: Retrospective Program continues	October 2019 Provider News	Administrative	Oct 1, 2019
Anthem engages Matrix to conduct mobile health clinics and in-home assessments for targeted members	October 2019 Provider News	Administrative	Oct 1, 2019
Update: new AIM Rehabilitative Program will begin November 1, 2019	October 2019 Provider News	Products & Programs	Oct 1, 2019
Anthem specialty pharmacy medical step therapy drug list clarification	October 2019 Provider News	Pharmacy	Oct 1, 2019
Federal Employee Program® Specialty Pharmacy Clinical Site-of-Care prior authorization review	October 2019 Provider News	Pharmacy	Oct 1, 2019
Important update to Anthem’s commercial drug lists	October 2019 Provider News	Pharmacy	Oct 1, 2019
Pharmacy information available on anthem.com	October 2019 Provider News	Pharmacy	Oct 1, 2019
Place of Service Reimbursement Policy update (Professional)	October 2019 Provider News	Reimbursement Policies	Oct 1, 2019
Observation Services or Hours Billing reimbursement policy update (Facility)	October 2019 Provider News	Reimbursement Policies	Oct 1, 2019
Aspire Telehealth Palliative Care program	October 2019 Provider News	Medicare	Oct 1, 2019
Medical Policies and Clinical Utilization Management Guidelines update	October 2019 Provider News	Medicare	Oct 1, 2019
Update: 2019 risk adjustment provider training	October 2019 Provider News	Medicare	Oct 1, 2019
Medicare preferred continuous glucose monitors	October 2019 Provider News	Medicare	Oct 1, 2019
Medical drug Clinical Criteria updates	October 2019 Provider News	Medicare	Oct 1, 2019
Prior authorization requirements changes effective November 1, 2019	October 2019 Provider News	Medicare	Oct 1, 2019
Keep up with Medicare news	October 2019 Provider News	Medicare	Oct 1, 2019
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

Page 1 of 4

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.