Georgia
Provider Communications

Provider Spotlight

Sep 29, 2020

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated September 29, 2020)

We are extending cost share waivers for telehealth and telephonic-only care.

Sep 18, 2020

Information from Anthem for Care Providers about COVID-19 (Updated September 18, 2020)

We recently updated FAQs about cost share waivers for telehealth and telephonic-only care.


Articles Recent

Title Publication Category Date

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated September 29, 2020)

We are extending cost share waivers for telehealth and telephonic-only care.
COVID-19 Information Administrative Sep 29, 2020

Information from Anthem for Care Providers about COVID-19 (Updated September 18, 2020)

We recently updated FAQs about cost share waivers for telehealth and telephonic-only care.
COVID-19 Information Administrative Sep 18, 2020

Site of care* medical necessity reviews expands to numerous surgical procedures beginning December 1, 2020

September 2020 Anthem Provider News - Georgia Products & Programs Sep 1, 2020

Predictive Analytics guide proactive support to patients undergoing chemo, resulting in lowered admissions

September 2020 Anthem Provider News - Georgia Products & Programs Sep 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

September 2020 Anthem Provider News - Georgia Pharmacy Sep 1, 2020

Updates for specialty pharmacy are available (September 2020)

September 2020 Anthem Provider News - Georgia Pharmacy Sep 1, 2020

Providers can now receive and respond to medical record requests for postpay audit via Change Healthcare’s Assurance Attach Assist Module

September 2020 Anthem Provider News - Georgia Administrative Sep 1, 2020

Anthem Commercial Risk Adjustment (CRA) Reporting Update: 2020 Prospective Program Continues

September 2020 Anthem Provider News - Georgia Administrative Sep 1, 2020

New provider directory indicators for medication assisted treatment (MAT) providers

September 2020 Anthem Provider News - Georgia Administrative Sep 1, 2020

EDI Gateway migration deadline is September 15, 2020

September 2020 Anthem Provider News - Georgia Administrative Sep 1, 2020

Enhanced medical records submission process to support claims processing

September 2020 Anthem Provider News - Georgia Administrative Sep 1, 2020

Patient360 adds Care Gap Alert Feedback for medical providers

September 2020 Anthem Provider News - Georgia Administrative Sep 1, 2020

Anthem Georgia preapproval list change notification 9/1/2020

September 2020 Anthem Provider News - Georgia Policy Updates Sep 1, 2020

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

September 2020 Anthem Provider News - Georgia Reimbursement Policies Sep 1, 2020

Reimbursement policy update: Frequency Editing (Professional)

September 2020 Anthem Provider News - Georgia Reimbursement Policies Sep 1, 2020

Medical drug benefit Clinical Criteria updates

September 2020 Anthem Provider News - Georgia Medicare Sep 1, 2020

Update: Notice of changes to the AIM musculoskeletal program

September 2020 Anthem Provider News - Georgia Medicare Sep 1, 2020

Keep up with Medicare news

September 2020 Anthem Provider News - Georgia Medicare Sep 1, 2020

Expansion of AIM Musculoskeletal Program effective November 1, 2020

August 2020 Anthem Provider News - Georgia Products & Programs Aug 1, 2020

Resources to support diverse patients and communities

August 2020 Anthem Provider News - Georgia Products & Programs Aug 1, 2020

Anthem clinical criteria updates for specialty pharmacy are available

August 2020 Anthem Provider News - Georgia Pharmacy Aug 1, 2020

Pharmacy information available on anthem.com

August 2020 Anthem Provider News - Georgia Pharmacy Aug 1, 2020

Voluntary Site of Care outreach for Oncology Checkpoint Inhibitors beginning August 1, 2020

August 2020 Anthem Provider News - Georgia Pharmacy Aug 1, 2020

Anthem prior authorization updates for specialty pharmacy are available - August 2020

August 2020 Anthem Provider News - Georgia Pharmacy Aug 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit appropriate coding helps provide a comprehensive picture of patients’ health

August 2020 Anthem Provider News - Georgia Pharmacy Aug 1, 2020

Anthem appropriate coding helps provide a comprehensive picture of patients’ health

August 2020 Anthem Provider News - Georgia Administrative Aug 1, 2020

Provider Contract and Fee Schedule Notifications coming soon!

August 2020 Anthem Provider News - Georgia Administrative Aug 1, 2020

Medical record standards

August 2020 Anthem Provider News - Georgia Administrative Aug 1, 2020

Migrate your EDI transactions to Availity today

August 2020 Anthem Provider News - Georgia Administrative Aug 1, 2020

Anthem Electronic Attachments - X12 275 5010

August 2020 Anthem Provider News - Georgia Administrative Aug 1, 2020

Coming soon: Prior authorization, inpatient admission, and discharge notification via electronic and digital self-service for 2020

August 2020 Anthem Provider News - Georgia Administrative Aug 1, 2020

Reimbursement Policy Update: Claims requiring additional documentation (Facility)

August 2020 Anthem Provider News - Georgia Policy Updates Aug 1, 2020

Reimbursement Policy Update: Multiple Diagnostic Imaging (Facility)

August 2020 Anthem Provider News - Georgia Policy Updates Aug 1, 2020

Electronic Claims Submission: Clinical Laboratory Improvement Amendments (CLIA)

August 2020 Anthem Provider News - Georgia Medicare Aug 1, 2020

AIM Musculoskeletal program expansion

August 2020 Anthem Provider News - Georgia Medicare Aug 1, 2020

Medical drug benefit Clinical Criteria updates

August 2020 Anthem Provider News - Georgia Medicare Aug 1, 2020

2020 Medicare risk adjustment provider training

August 2020 Anthem Provider News - Georgia Medicare Aug 1, 2020

New MCG Care Guidelines 24th edition

August 2020 Anthem Provider News - Georgia Medicare Aug 1, 2020

Keep up with Medicare news

August 2020 Anthem Provider News - Georgia Medicare Aug 1, 2020

UPDATE: Notice of changes to the AIM Musculoskeletal Program prior authorization requirements and setting determinations

July 2020 Anthem Provider News - Georgia Products & Programs Jul 1, 2020

Updated coverage for HIV PrEP medications

July 2020 Anthem Provider News - Georgia Pharmacy Jul 1, 2020

Anthem’s prior authorization updates for specialty pharmacy are available - July 2020

July 2020 Anthem Provider News - Georgia Pharmacy Jul 1, 2020

Anthem Commercial Risk Adjustment (CRA) Reporting Update: 2020 Program Year Progression - What’s in it for you and your patients?

July 2020 Anthem Provider News - Georgia Administrative Jul 1, 2020

Welcome to the Custom Learning Center in Availity

July 2020 Anthem Provider News - Georgia Administrative Jul 1, 2020

Level of Care medical necessity reviews for upper and lower endoscopy procedures begin October 1, 2020

July 2020 Anthem Provider News - Georgia Policy Updates Jul 1, 2020

New MCG 24th Edition Guidelines

July 2020 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jul 1, 2020

Georgia Medical Policy and Clinical Guideline updates 7/1/2020

July 2020 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jul 1, 2020

Admission review process for Anthem Blue Cross and Blue Shield Federal Employee Program® (FEP) members

July 2020 Anthem Provider News - Georgia State & Federal Jul 1, 2020

Prior authorization codes moving from AIM Specialty Health to Anthem Blue Cross and Blue Shield

July 2020 Anthem Provider News - Georgia Medicare Jul 1, 2020

Medical drug benefit Clinical Criteria updates

July 2020 Anthem Provider News - Georgia Medicare Jul 1, 2020

In-office assessment program

July 2020 Anthem Provider News - Georgia Medicare Jul 1, 2020

2020 Special Needs Plans

July 2020 Anthem Provider News - Georgia Medicare Jul 1, 2020

Keep up with Medicare news

July 2020 Anthem Provider News - Georgia Medicare Jul 1, 2020

Webinar recording now available for network providers on how to leverage telehealth to care for Behavioral Health patients during COVID-19 and beyond

Anthem hosted a provider webinar to share information and resources with Behavioral Health providers to assist with maximizing the telehealth experience.  Access the webinar recording to learn more about leveraging telehealth for behavioral health services.
COVID-19 Information Administrative Jun 25, 2020

A special thank you to Care Providers

Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.
COVID-19 Information Administrative Jun 1, 2020

Anthem introduces lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

COVID-19 Information Administrative Jun 1, 2020

Availity Portal Notification Center

June 2020 Anthem Provider News - Georgia Administrative Jun 1, 2020

Quality Corner: CPT® Category II codes - Collaborating for enhanced patient care

June 2020 Anthem Provider News - Georgia Administrative Jun 1, 2020

Anthem Commercial Risk Adjustment (CRA) program update: retrospective program begins; prospective program continues

June 2020 Anthem Provider News - Georgia Products & Programs Jun 1, 2020

Anthem prior authorization updates for specialty pharmacy are available - June 2020

June 2020 Anthem Provider News - Georgia Pharmacy Jun 1, 2020

Pharmacy information available on anthem.com

June 2020 Anthem Provider News - Georgia Pharmacy Jun 1, 2020

Follow-up after hospitalization for mental illness

June 2020 Anthem Provider News - Georgia Behavioral Health Jun 1, 2020

Anthem enhances process for submitting Behavioral Health authorizations - now available

June 2020 Anthem Provider News - Georgia Behavioral Health Jun 1, 2020

Anthem Georgia preapproval list change notification 6/1/2020

June 2020 Anthem Provider News - Georgia Policy Updates Jun 1, 2020

Georgia Medical Policy and Clinical Guideline Updates 6/1/2020

June 2020 Anthem Provider News - Georgia Policy Updates Jun 1, 2020

Transition to AIM Rehabilitative Services clinical appropriateness guidelines

June 2020 Anthem Provider News - Georgia Policy Updates Jun 1, 2020

New Reimbursement Policies: Nurse Practitioner and Physician Assistant Services (Professional)

June 2020 Anthem Provider News - Georgia Reimbursement Policies Jun 1, 2020

Modifier use reminders

June 2020 Anthem Provider News - Georgia Medicare Jun 1, 2020

Diabetes HbA1c < 8 HEDIS guidance

June 2020 Anthem Provider News - Georgia Medicare Jun 1, 2020

2020 Medicare risk adjustment provider trainings

June 2020 Anthem Provider News - Georgia Medicare Jun 1, 2020

Anthem Blue Cross and Blue Shield (Anthem) working with Optum to collect medical records for risk adjustment

June 2020 Anthem Provider News - Georgia Medicare Jun 1, 2020

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

June 2020 Anthem Provider News - Georgia Medicare Jun 1, 2020

Keep up with Medicare news

June 2020 Anthem Provider News - Georgia Medicare Jun 1, 2020

Anthem Waives Cost Share for COVID-19 Treatment (Updated May 29, 2020)

Effective April 1, we expanded coverage for our members undergoing treatment related to a COVID-19 diagnosis, which covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020.
COVID-19 Information Administrative May 29, 2020

Important COVID-19 update: Prior authorization and other policy adjustments (Updated May 29, 2020)

We’ve updated guidance about prior authorization requirements and other policy adjustments in response to unprecedented demands on health care providers.
COVID-19 Information Administrative May 29, 2020

Introducing lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

Beginning June 1, 2020, Anthem is introducing our Anthem Health Access Plans for certain large group employers currently enrolled in our commercial lines of business only.
COVID-19 Information Administrative May 26, 2020

Webinar recording now available for network providers on SBA loans and other federal relief programs in response to COVID-19 (Updated May 1, 2020)

Anthem hosted a provider webinar to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19. Access the webinar recording using the password “health” to learn more about federal financial relief for providers.
COVID-19 Information Administrative May 1, 2020

COVID-19 Information repository for Anthem care providers

May 2020 Anthem Provider News - Georgia Administrative May 1, 2020

Diabetes HbA1c<8 coding tips

May 2020 Anthem Provider News - Georgia Administrative May 1, 2020

Reminder about system updates

May 2020 Anthem Provider News - Georgia Administrative May 1, 2020

Anthem provider service location address standardization helpful hint

May 2020 Anthem Provider News - Georgia Administrative May 1, 2020

2020 Provider Manual

May 2020 Anthem Provider News - Georgia Administrative May 1, 2020

Anthem Commercial Risk Adjustment (CRA) prospective program update: Assessing your patients for risk adjustable conditions

May 2020 Anthem Provider News - Georgia Products & Programs May 1, 2020

Updates to AIM Advanced Imaging clinical appropriateness guideline

May 2020 Anthem Provider News - Georgia Products & Programs May 1, 2020

Updates to AIM Sleep Disorder Management clinical appropriateness guideline

May 2020 Anthem Provider News - Georgia Products & Programs May 1, 2020

Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline

May 2020 Anthem Provider News - Georgia Products & Programs May 1, 2020

Updates to AIM Musculoskeletal Program Joint Surgery clinical appropriateness guidelines

May 2020 Anthem Provider News - Georgia Products & Programs May 1, 2020

Anthem prior authorization updates for specialty pharmacy are available

May 2020 Anthem Provider News - Georgia Pharmacy May 1, 2020

Anthem Blue Cross and Blue Shield Georgia preapproval list change notification 5/1/2020

May 2020 Anthem Provider News - Georgia Policy Updates May 1, 2020

Reimbursement policy update: Claims requiring additional documentation (Facility)

May 2020 Anthem Provider News - Georgia Policy Updates May 1, 2020

Anthem Blue Cross and Blue Shield Georgia Medical Policy and Clinical Guideline Updates 04/1/2020

May 2020 Anthem Provider News - Georgia Policy Updates May 1, 2020

Reimbursement policy: policy update-unlisted, unspecified or miscellaneous codes

May 2020 Anthem Provider News - Georgia Medicare May 1, 2020

Multi-dose packaging

May 2020 Anthem Provider News - Georgia Medicare May 1, 2020

Keep up with Medicare news

May 2020 Anthem Provider News - Georgia Medicare May 1, 2020

Federal Resources Available for Care Providers and Employers in the Federal CARES Act

During the COVID-19 crisis, care providers are working to keep the country running while navigating the financial impact it is having on them. To help care providers navigate the resources available to them. Anthem has compiled information on programs we have learned about that could provide additional financial relief during the crisis. 
COVID-19 Information Administrative Apr 10, 2020

Anthem Blue Cross Blue Shield Suspends Additional Authorization Requirements to Aid GA COVID-19 Response

In addition to the proactive steps Anthem has already taken to support care providers and protect our members, associates and communities against COVID-19, Anthem in Georgia is taking additional measures outlined by Georgia Department of Insurance in Directive 20-EX-7.

COVID-19 Information Administrative Apr 7, 2020

Information from Anthem for Care Providers about COVID-19

Bookmark Provider News Home for the latest information for Care Providers about COVID-19.

April 2020 Anthem Provider News - Georgia Administrative Apr 1, 2020

Provider transparency update

April 2020 Anthem Provider News - Georgia Administrative Apr 1, 2020

HEDIS 2020 Federal Employee Program® medical record request requirements

April 2020 Anthem Provider News - Georgia Administrative Apr 1, 2020

Anthem acquires Beacon Health Options

April 2020 Anthem Provider News - Georgia Administrative Apr 1, 2020
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