Georgia
Provider Communications

Articles Recent

Title Publication Category Date

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

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

Monkeypox resources and recommendations for our care providers

This communication applies to the Commercial and Medicare Advantage programs from

Anthem Blue Cross and Blue Shield (Anthem).

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

Anthem Blue Cross and Blue Shield to accept Hospital in Home services

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

Updates to the Claim Attachment workflow

Three things to do when you do not find your claim in Claim Status
September 2022 Anthem Provider News - Georgia Digital Tools Sep 1, 2022

Prior authorization requirement changes effective December 1, 2022

Medicare Advantage
September 2022 Anthem Provider News - Georgia Medicare Sep 1, 2022

Anthem Blue Cross and Blue Shield Expands Specialty Pharmacy Precertification List

Medicare Advantage
September 2022 Anthem Provider News - Georgia Medicare Sep 1, 2022

Correction: New patient evaluation and management services when reported for the same patient within the last three years

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

Continuing to Explore the Intersection of Race and Disability

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

Anthem clinical criteria updates for specialty pharmacy are available

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

Update to formulary lists for Commercial health plan pharmacy benefit

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

September 2022 Specialty pharmacy updates (MAC)

Material Adverse Change (MAC)
September 2022 Anthem Provider News - Georgia Pharmacy Sep 1, 2022

Drug code billing reminder

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

Commercial reimbursement policy update to Modifier 66: Surgical Teams (Professional)

September 2022 Anthem Provider News - Georgia Reimbursement Policies Sep 1, 2022

Policy Update: Modifier Rules (Professional) (MAC)

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

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

September 2022 Anthem Provider News - Georgia Reimbursement Policies Sep 1, 2022

OBRA 93 claim filing for Federal Employee Program

September 2022 Anthem Provider News - Georgia Federal Employee Plan (FEP) Sep 1, 2022

Reminder: AIM prior authorization phone number change for Medicare

Medicare Advantage
September 2022 Anthem Provider News - Georgia Medicare Sep 1, 2022

Enhancing claims attachment processes through digital applications

Medicare Advantage
September 2022 Anthem Provider News - Georgia Medicare Sep 1, 2022

Keep up with Medicare news

Medicare Advantage

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

Policy Update — Modifiers 25 and 57: Evaluation and Management with Global Procedures

Medicare Advantage
September 2022 Anthem Provider News - Georgia Medicare Aug 31, 2022

Information from Anthem for Care Providers about COVID-19 (updated August 8, 2022)

We recently updated information about coverage dates for telephonic-only care.
COVID-19 Information Administrative Aug 8, 2022

CORRECTION: Georgia Medical Policy and Clinical Guideline updates July 1, 2022

CORRECTION: Georgia Medical Policy and Clinical Guideline updates July 1, 2022 Medical Policy & Clinical Guidelines Aug 4, 2022

New patient evaluation and management services when reported for the same patient within the last three years

August 2022 Anthem Provider News - Georgia Administrative Aug 1, 2022

Preapproval list change notification August 1, 2022 (MAC)

Material adverse change (MAC)
August 2022 Anthem Provider News - Georgia Administrative Aug 1, 2022

Timely updates help keep our provider directories current

August 2022 Anthem Provider News - Georgia Administrative Aug 1, 2022

Reminder: inpatient/outpatient commercial claim denials

August 2022 Anthem Provider News - Georgia Administrative Aug 1, 2022

Update: outpatient prepay itemized bill review program

August 2022 Anthem Provider News - Georgia Administrative Aug 1, 2022

Introducing the Provider Learning Hub

August 2022 Anthem Provider News - Georgia Digital Tools Aug 1, 2022

Add supporting documents directly to your claims with the new Claims Status Send Attachments feature

August 2022 Anthem Provider News - Georgia Digital Tools Aug 1, 2022

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

August 2022 Anthem Provider News - Georgia Behavioral Health Aug 1, 2022

Clinical Criteria updates for specialty pharmacy are available

August 2022 Anthem Provider News - Georgia Pharmacy Aug 1, 2022

Pharmacy information available on the provider website

August 2022 Anthem Provider News - Georgia Pharmacy Aug 1, 2022

Specialty pharmacy updates (MAC)

Material adverse change (MAC)
August 2022 Anthem Provider News - Georgia Pharmacy Aug 1, 2022

Georgia Medical Policy and Clinical Guideline updates July 1, 2022

August 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Aug 1, 2022

Keep up with Medicare news

Medicare Advantage

MCG care guidelines 26th edition

August 2022 Anthem Provider News - Georgia Medicare Aug 1, 2022

Join us for our next clinical quality in practice webinar

Join us for our next clinical quality in practice webinar - Georgia Administrative Jul 20, 2022

Keep up with Medicare news

Medicare Advantage 

New specialty pharmacy medical step therapy requirements
July 2022 Anthem Provider News - Georgia Medicare Jul 1, 2022

Introducing Elevance Health — Focusing on whole health and its most powerful drivers

July 2022 Anthem Provider News - Georgia Administrative Jul 1, 2022

Provider manual updated effective October 1, 2022

July 2022 Anthem Provider News - Georgia Administrative Jul 1, 2022

More potato chips, sugary drinks, and less physical activity are key contributors to childhood obesity

July 2022 Anthem Provider News - Georgia Administrative Jul 1, 2022

Clearing up coding confusion for diabetic retinal screenings

July 2022 Anthem Provider News - Georgia Administrative Jul 1, 2022

Update to facility editing: HCPCS code G0463

July 2022 Anthem Provider News - Georgia Administrative Jul 1, 2022

Updates to edits associated with implants

July 2022 Anthem Provider News - Georgia Administrative Jul 1, 2022

CAA: Keep your provider directory information current

July 2022 Anthem Provider News - Georgia Administrative Jul 1, 2022

Coming soon: The Anthem Blue Cross and Blue Shield Provider Learning Hub makes Availity learning easier

July 2022 Anthem Provider News - Georgia Digital Tools Jul 1, 2022

Enhancing claims attachment processes through digital applications

Add attachments through Claims Status Inquiry
July 2022 Anthem Provider News - Georgia Digital Tools Jul 1, 2022

Clinical criteria updates are available for specialty pharmacy

July 2022 Anthem Provider News - Georgia Pharmacy Jul 1, 2022

Pharmacy information available online

July 2022 Anthem Provider News - Georgia Pharmacy Jul 1, 2022

Enhanced reimbursement for voluntary Cancer Care Quality program to be discontinued effective December 31, 2022

July 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jul 1, 2022

Help patients heal from the comfort of home with Hospital in Home care

July 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jul 1, 2022

Reimbursement policy update: Place of Service (Facility)(MAC)

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

New reimbursement policy: Transitional Care Management (Professional)

July 2022 Anthem Provider News - Georgia Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, and XU (Professional)(MAC)

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

Retraction for reimbursement policy: Sexually Transmitted Infections (Professional)

July 2022 Anthem Provider News - Georgia Reimbursement Policies Jul 1, 2022

New reimbursement policy: Modifier FB (Professional & Facility)(MAC)

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

Reimbursement policy update: Laboratory and Venipuncture Services (Professional & Facility)(MAC)

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

Reimbursement policy update: Modifier Rules (Professional)(MAC)

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

New! Concierge Cancer Care program for Georgia Federal Employee Program members

July 2022 Anthem Provider News - Georgia Federal Employee Plan (FEP) Jul 1, 2022

Cancer Care Navigator

Medicare Advantage
July 2022 Anthem Provider News - Georgia Medicare Jul 1, 2022

Help patients heal from the comfort of home with Hospital in Home care

Medicare Advantage
July 2022 Anthem Provider News - Georgia Medicare Jul 1, 2022

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

Medicare Advantage
July 2022 Anthem Provider News - Georgia Medicare Jul 1, 2022

Introducing Elevance Health - Focusing on whole health and its most powerful drivers

Elevance Health Administrative Jun 17, 2022

Exploring the Intersection of Race and Disability

Register today for a forum on Exploring the Intersection of Race and Disability hosted by Anthem Blue Cross and Blue Shield (“Anthem”) and Motivo* for Anthem providers on June 22, 2022.
Exploring the Intersection of Race and Disability forum - Georgia Administrative Jun 1, 2022

Provider outreach to validate your provider data

June 2022 Anthem Provider News - Georgia Administrative Jun 1, 2022

CAA: Provider directories accuracy is important

June 2022 Anthem Provider News - Georgia Administrative Jun 1, 2022

Once-a-year testing is critically important to providing quality diabetes care

June 2022 Anthem Provider News - Georgia Administrative Jun 1, 2022

Update use of modifier 25 when billing for visits that include preventive services and problem-oriented evaluation and management services

June 2022 Anthem Provider News - Georgia Administrative Jun 1, 2022

Updated AIM Musculoskeletal Program effective October 1, 2022: Monitored Anesthesia Care Reviews (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Georgia Products & Programs Jun 1, 2022

Anthem clinical criteria updates for specialty pharmacy are available

June 2022 Anthem Provider News - Georgia Pharmacy Jun 1, 2022

Opioid overdose deaths: What can we do?

June 2022 Anthem Provider News - Georgia Behavioral Health Jun 1, 2022

June 2022 specialty pharmacy updates (MAC)

Material adverse change (MAC)
June 2022 Anthem Provider News - Georgia Pharmacy Jun 1, 2022

Updates to AIM Specialty Health musculoskeletal clinical appropriateness guidelines (MAC)

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

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines (MAC)

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

Updates to AIM Specialty Health sleep disorder management clinical appropriateness guidelines (MAC)

Material adverse change (MAC)

June 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jun 1, 2022
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