Georgia
Provider Communications

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Title Publication Category Date

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

Make the move to the Availity EDI Gateway today

July 2019 Anthem Provider News - Georgia Administrative Jul 1, 2019

Anthem Commercial Risk Adjustment (CRA) reporting update: 2019 Program Year Progression – What’s in it for you and your patients?

July 2019 Anthem Provider News - Georgia Administrative Jul 1, 2019

Anthem works to simplify payment recovery process for National Accounts membership

July 2019 Anthem Provider News - Georgia Administrative Jul 1, 2019

Clinical Practice and Preventive Health guidelines available on the web

July 2019 Anthem Provider News - Georgia Administrative Jul 1, 2019

CORRECTION: Reminder and update: new Rehabilitative Program effective July 1, 2019

July 2019 Anthem Provider News - Georgia Products & Programs Jul 1, 2019

Clinical criteria updates for specialty pharmacy

July 2019 Anthem Provider News - Georgia Pharmacy Jul 1, 2019

Anthem Federal Employee Health Benefit Program® (FEP) PPO members will now require prior approval for specific specialty drugs and site of care

July 2019 Anthem Provider News - Georgia Pharmacy Jul 1, 2019

Clinical Criteria coding updates for specialty pharmacy are available

July 2019 Anthem Provider News - Georgia Pharmacy Jul 1, 2019

Modifier 79 reminder (Professional)

July 2019 Anthem Provider News - Georgia Policy Updates Jul 1, 2019

Modifier 63 reminder (Professional)

July 2019 Anthem Provider News - Georgia Policy Updates Jul 1, 2019

ICD-10-CM Coding Guidelines and Laterality (Professional)

July 2019 Anthem Provider News - Georgia Policy Updates Jul 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

July 2019 Anthem Provider News - Georgia Policy Updates Jul 1, 2019

Clinical Validation (Professional)

July 2019 Anthem Provider News - Georgia Policy Updates Jul 1, 2019

Outpatient Rehabilitation Program transitioning to AIM

July 2019 Anthem Provider News - Georgia Medicare Jul 1, 2019

Home health billing guidelines for contracted providers

July 2019 Anthem Provider News - Georgia Medicare Jul 1, 2019

Electronic claim payment reconsideration

July 2019 Anthem Provider News - Georgia Medicare Jul 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

July 2019 Anthem Provider News - Georgia Medicare Jul 1, 2019

Keep up with Medicare news

July 2019 Anthem Provider News - Georgia Medicare Jul 1, 2019

Beacon Health Options

N/A Behavioral Health Jun 6, 2019

Update: Sepsis coding

Anthem June 2019 Provider News - Georgia Administrative Jun 1, 2019
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