Georgia
Provider Communications

Provider Spotlight

Oct 19, 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.

Oct 1, 2021

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


Articles Recent

Title Publication Category Date

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

Telehealth visits can impact after hospitalization follow-up care for mental illness

August 2021 Anthem Provider News - Georgia Administrative Aug 1, 2021

Clearing up coding confusion for retinal eye exams (DRE)

3072F: new language about two-year compliance.
August 2021 Anthem Provider News - Georgia Administrative Aug 1, 2021

Some physician requests to AIM may require the submission of documentation to support attestations for prior authorization

August 2021 Anthem Provider News - Georgia Administrative Aug 1, 2021

Register now for our August CME webinars!

August 2021 Anthem Provider News - Georgia Administrative Aug 1, 2021

Digital scheduling feature in the Availity portal: the Appointment Scheduler application

August 2021 Anthem Provider News - Georgia Digital Tools Aug 1, 2021

Updated AIM musculoskeletal program effective November 1, 2021: site of care reviews

Material adverse change (MAC)
August 2021 Anthem Provider News - Georgia Products & Programs Aug 1, 2021

Specialty dose rounding program for certain oncology medications

August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

Pharmacy information available on anthem.com

August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit

August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

August 2021 updates for specialty pharmacy are available

Material adverse change (MAC): prior authorization updates
August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021

August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

Immune globulin adjusted body weight dosing program beginning August 1, 2021

August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

New clinical guideline: Home Parenteral Nutrition, effective November 1, 2021

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

Transition to AIM Specialty Health Imaging of the heart clinical appropriateness guideline for Computed Tomography to Detect Coronary Artery Calcification

August 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Aug 1, 2021

Reimbursement policy update: claims requiring additional documentation (facility)

August 2021 Anthem Provider News - Georgia Reimbursement Policies Aug 1, 2021

Reimbursement policy update: Distinct Procedural Service, modifiers 59 and XE, XP, XS, & XU

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

Reimbursement policy update: Virtual Visits (professional and facility)

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

Change in email submission of service requests for Federal Employee Program® members

Material adverse change (MAC)
August 2021 Anthem Provider News - Georgia Federal Employee Plan (FEP) Aug 1, 2021

Preventing claims denials: shingles vaccine

Medicare Advantage
August 2021 Anthem Provider News - Georgia Medicare Aug 1, 2021

Keep up with Medicare news

Medicare Advantage
August 2021 Anthem Provider News - Georgia Medicare Aug 1, 2021

Register for upcoming August CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

Motivating Patients to Adhere to Cervical Cancer Prevention and Screening Recommendations
Tuesday, August 3, 2021, 12:00 p.m. ET

10 Best Practices for Improving Pharmacy Quality Measures
Thursday, August 12, 2021, 1:00 p.m. or 3:00 p.m. ET

6 Ways to Improve Risk Adjustment Documentation Accuracy
Tuesday, August 17, 2021, 12:00 p.m. or 3:00 p.m. ET

Register Now!

Clinical Quality CME Webinar Series Continues - Georgia Administrative Jul 29, 2021

Continuing Medical Education (CME) webinar series

July 2021 Anthem Provider News - Georgia Administrative Jul 1, 2021

Proper coding for in-home monitoring can make a measurable difference for international normalized ratio

July 2021 Anthem Provider News - Georgia Administrative Jul 1, 2021

Another mark of the pandemic: an increase in childhood obesity

More potato chips, sugary drinks and less physical activity are key contributors.
July 2021 Anthem Provider News - Georgia Administrative Jul 1, 2021

Timely receipt of primary payer’s EOB can help reduce timely filing denials for secondary claims

We want to help.
July 2021 Anthem Provider News - Georgia Administrative Jul 1, 2021

Company to retire Blue Precision program at the end of the year

July 2021 Anthem Provider News - Georgia Products & Programs Jul 1, 2021

REMINDER: Updated AIM rehabilitative program effective August 1, 2021 for site of service reviews

July 2021 Anthem Provider News - Georgia Products & Programs Jul 1, 2021

Back pain guide program effective July 19, 2021

July 2021 Anthem Provider News - Georgia Products & Programs Jul 1, 2021

Electronic claim response files

July 2021 Anthem Provider News - Georgia Digital Tools Jul 1, 2021

Interactive Care Reviewer (ICR): New search option for cases submitted through ICR

July 2021 Anthem Provider News - Georgia Digital Tools Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Provider News - Georgia Pharmacy Jul 1, 2021

Update: site of care medical necessity reviews for long-acting colony-stimulating factors will no longer go into effect on August 1, 2021

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Pharmacy Jul 1, 2021

June 2021 updates for specialty pharmacy are available

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Pharmacy Jul 1, 2021

Designated specialty pharmacy network updates

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Pharmacy Jul 1, 2021

Georgia Anthem preapproval list change notification 7/1/2021

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Policy Updates Jul 1, 2021

Medical policy and clinical guideline updates 7/1/2021

July 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jul 1, 2021

New reimbursement policy: Non-Patient Laboratory Services (facility)

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

Reimbursement policy update: Consultations (professional)

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

New reimbursement policy: modifier 90: reference (outside) laboratory and pass-through billing

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

Let’s Vaccinate

Medicare Advantage: Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

March 2021 medical drug benefit clinical criteria updates

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross and Blue Shield results in improved care management for patients

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross and Blue Shield results in improved care management for patients

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

Keep up with Medicare news

Medicare Advantage
July 2021 Anthem Provider News - Georgia Medicare Jul 1, 2021

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators Administrative Jun 25, 2021

Interactive Care Reviewer’s new copy feature decreases time to submit authorization request

June 2021 Anthem Provider News - Georgia Digital Tools Jun 1, 2021

Essential information you need to submit EDI corrected claims

June 2021 Anthem Provider News - Georgia Digital Tools Jun 1, 2021

Digital solution options with Availity

June 2021 Anthem Provider News - Georgia Digital Tools Jun 1, 2021

Two great learning resources on one secure portal

June 2021 Anthem Provider News - Georgia Digital Tools Jun 1, 2021

Designated specialty pharmacy network updates

June 2021 Anthem Provider News - Georgia Pharmacy Jun 1, 2021

Pharmacy information available on anthem.com

June 2021 Anthem Provider News - Georgia Pharmacy Jun 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

June 2021 Anthem Provider News - Georgia Pharmacy Jun 1, 2021

June 2021 updates for specialty pharmacy are available

Material adverse change (MAC)
June 2021 Anthem Provider News - Georgia Pharmacy Jun 1, 2021
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