Georgia
Provider Communications

Articles

Title Publication Category Date

2018 BCBSGa Provider Town Hall meeting schedule update

June 2018 BCBSGa Provider Newsletter Administrative Jun 14, 2018

2018 BCBSGa provider Town Hall meeting schedule update

August 2018 BCBSGa Provider Newsletter Administrative Jul 31, 2018

2019 BCBSGa provider Town Hall meeting schedule

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

2019 BCBSGa provider Town Hall meeting schedule update

February 2019 Anthem Provider Newsletter - Georgia Administrative Feb 1, 2019

2019 FEP Benefit information available online

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

6/01/18 Notification of Preapproval List Changes (Including Non-AIM and moving to AIM)

June 2018 BCBSGa Provider Newsletter Policy Updates Jun 14, 2018

About our Network eUPDATE email tool

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Access patient-specific drug benefit information through EMR

October 2018 BCBSGa Provider Newsletter Pharmacy Oct 1, 2018

Access requirements for Behavioral Healthcare services

September 2019 Anthem Provider News - Georgia Administrative Sep 2, 2019

Additional improvements coming to anthem.com

November 2019 GA Provider News Administrative Nov 1, 2019

Additional support available for members with rare conditions

August 2018 BCBSGa Provider Newsletter Products & Programs Jul 31, 2018

AIM programs may require additional prior authorization documentation

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

AIM Specialty Health programs may require documentation

August 2019 Anthem Provider News - Georgia Medicare Aug 1, 2019

Ambulatory Surgery Center Services and Publix Members

June 2018 BCBSGa Provider Newsletter Administrative Jun 14, 2018

Anthem announces changes in medical non-oncology specialty drug reviews effective June 15, 2019

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

Anthem announces early launch of IngenioRx

N/A Pharmacy Jan 30, 2019

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

November 2019 GA Provider News Administrative Nov 1, 2019

Anthem Blue Cross and Blue Shield Georgia Medical Policy and Clinical Guideline Updates 1/1/2019

January 2019 Anthem Provider Newsletter - Georgia Medical Policy & Clinical Guidelines Jan 1, 2019

Anthem Blue Cross and Blue Shield Georgia Medical Policy and Clinical Guideline Updates 12/1/2018

December 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Anthem Blue Cross and Blue Shield Medicare Advantage plan available to City of Atlanta retirees

February 2019 Anthem Provider Newsletter - Georgia Medicare Feb 1, 2019

Anthem clinical criteria and prior authorization updates for specialty pharmacy are available

November 2019 GA Provider News Pharmacy Nov 1, 2019

Anthem Commercial Risk Adjustment (CRA) Program update: Medical chart collection for ACA members due March 31, 2019 at the latest

March 2019 Anthem Provider Newsletter - Georgia Products & Programs Mar 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 Commercial Risk Adjustment (CRA) Reporting Update: Accurate coding helps provide a comprehensive picture of patients’ health and services provided

April 2019 Anthem Provider Newsletter - Georgia Administrative Apr 1, 2019

Anthem Commercial Risk Adjustment (CRA) reporting update: Health Assessment requests for 2019 and alternative reporting engagement

Anthem May 2019 Provider News - Georgia Administrative May 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program begins; benefits of direct connection access to your EMR

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

Anthem Commercial Risk Adjustment (CRA) reporting update: Retrospective Program continues

October 2019 Provider News Administrative Oct 1, 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 contracted ambulance providers

Anthem May 2019 Provider News - Georgia Administrative May 1, 2019

Anthem customizations to MCG care guidelines 23rd edition

August 2019 Anthem Provider News - Georgia Administrative Aug 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

Anthem expands specialty pharmacy medical step therapy drug list

February 2019 Anthem Provider Newsletter - Georgia Pharmacy Feb 1, 2019

Anthem expands specialty pharmacy medical step therapy drug list for agents for hereditary angioedema

Anthem May 2019 Provider News - Georgia Pharmacy May 1, 2019

Anthem expands specialty pharmacy prior authorization list

February 2019 Anthem Provider Newsletter - Georgia Pharmacy Feb 1, 2019

Anthem expands specialty pharmacy prior authorization list

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

Anthem expands specialty pharmacy prior authorization list

April 2019 Anthem Provider Newsletter - Georgia Pharmacy Apr 1, 2019

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Provider Newsletter - Georgia Medicare Feb 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

Anthem launches additional changes to anthem.com

October 2019 Provider News Administrative Oct 1, 2019

Anthem launches additional changes to anthem.com for Q2

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

Anthem launches additional changes to anthem.com in March

March 2019 Anthem Provider Newsletter - Georgia Administrative Mar 1, 2019

Anthem offers risk adjustment and documentation training

January 2019 Anthem Provider Newsletter - Georgia Medicare Jan 1, 2019

Anthem specialty pharmacy medical step therapy drug list clarification

October 2019 Provider News Pharmacy Oct 1, 2019

Anthem specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents

Anthem May 2019 Provider News - Georgia Pharmacy May 1, 2019

Anthem taps Paul Marchetti to lead company’s overall care transformation strategy

November 1, 2018 BCBSGa Network eUPDATE Administrative Nov 1, 2018

Anthem to enhance claim edits for outpatient facility claims

February 2019 Anthem Provider Newsletter - Georgia Administrative Feb 1, 2019

Anthem works to simplify payment recovery process for National Accounts membership

July 2019 Anthem Provider News - Georgia Administrative Jul 1, 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

Anthem’s Georgia preapproval list change notification 9/1/2019

September 2019 Anthem Provider News - Georgia Policy Updates Sep 2, 2019

Archived medical policy

August 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Jul 31, 2018

Are you looking for innovative ways to improve your patients’ experiences and earn CME credits?

August 2018 BCBSGa Provider Newsletter Administrative Jul 31, 2018

Article title: US Antibiotic Awareness Week is November 11-18, 2019

October 2019 Provider News Administrative Oct 1, 2019

Aspire Telehealth Palliative Care program

October 2019 Provider News Medicare Oct 1, 2019

Assistant Surgeon Coding update (professional)

October 2018 BCBSGa Provider Newsletter Reimbursement Policies Oct 1, 2018

Availity EDI Gateway webinars scheduled

October 2018 BCBSGa Provider Newsletter Administrative Oct 1, 2018

Availity is BCBSGa’s designated EDI Gateway

August 2018 BCBSGa Provider Newsletter Administrative Jul 31, 2018

Availity is now our designated EDI Gateway

June 2018 BCBSGa Provider Newsletter Administrative Jun 14, 2018

Availity launches changes to our Medical Attachment submission tool

Anthem May 2019 Provider News - Georgia Administrative May 1, 2019

Availity to serve as EDI entry point for electronic submissions

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Availity Webinar Schedule

June 2018 BCBSGa Provider Newsletter Administrative Jun 14, 2018

BCBSGa accepts electronic prior authorization requests for prescription medications online

December 2018 BCBSGa Provider Newsletter Pharmacy Dec 1, 2018

BCBSGa accepts prior authorization requests for prescription medications online

August 2018 BCBSGa Provider Newsletter Pharmacy Jul 31, 2018

BCBSGa Adopts MCG Care Guidelines for Behavioral Health Services

June 2018 BCBSGa Provider Newsletter Policy Updates Jun 14, 2018

BCBSGa adopts Milliman Care Guidelines for inpatient rehabilitation, subacute rehabilitation and skilled nursing facility clinical reviews

August 2018 BCBSGa Provider Newsletter Medicare Jul 31, 2018

BCBSGa and Availity have partnered to operate the EDI Gateway

October 2018 BCBSGa Provider Newsletter Administrative Oct 1, 2018

BCBSGa applies daily morphine equivalent dosing limit

August 2018 BCBSGa Provider Newsletter Pharmacy Jul 31, 2018

BCBSGa Community Care Coordination expands relationship with Preferred Community Health Partners to support commercial members with complex needs

October 2018 BCBSGa Provider Newsletter Products & Programs Oct 1, 2018

BCBSGa engages with Alliant Health Solutions

August 2018 BCBSGa Provider Newsletter Administrative Jul 31, 2018

BCBSGa expands Specialty Pharmacy Clinical Site of Care (Level of Care) drug list

June 2018 BCBSGa Provider Newsletter Products & Programs Jun 14, 2018

BCBSGa expands specialty pharmacy clinical site of care (level of care) drug list

August 2018 BCBSGa Provider Newsletter Pharmacy Jul 31, 2018

BCBSGa expands specialty pharmacy clinically equivalent drug list

October 2018 BCBSGa Provider Newsletter Pharmacy Oct 1, 2018

BCBSGa expands specialty pharmacy level of care (clinical site of care) drug list

October 2018 BCBSGa Provider Newsletter Pharmacy Oct 1, 2018

BCBSGa expands specialty pharmacy prior authorization list

June 2018 BCBSGa Provider Newsletter Pharmacy Jun 14, 2018

BCBSGa expands specialty pharmacy prior authorization list

October 2018 BCBSGa Provider Newsletter Pharmacy Oct 1, 2018

BCBSGa expands specialty pharmacy prior authorization list

August 2018 BCBSGa Provider Newsletter Pharmacy Jul 31, 2018

BCBSGa fights opioid addiction: Extension for Community Healthcare Outcomes and Quality Medication-Assisted Therapy

October 2018 BCBSGa Provider Newsletter Products & Programs Oct 1, 2018

BCBSGa is now Anthem

January 2019 Anthem Provider Newsletter - Georgia Administrative Jan 1, 2019

BCBSGa launches additional changes to bcbsga.com in September

September 1, 2018 BCBSGa Network eUPDATE Administrative Sep 1, 2018

BCBSGa to enhance automated claim edits for professional claims

August 2018 BCBSGa Provider Newsletter Administrative Jul 31, 2018

BCBSGa to update drug lists supporting commercial health plans

August 2018 BCBSGa Provider Newsletter Pharmacy Jul 31, 2018

BCBSGa transitions MA back pain management and cardiology UM programs from OrthoNet to AIM

October 2018 BCBSGa Provider Newsletter Medicare Oct 1, 2018

BCBSGa’s Individualized Care Program to support palliative care for commercial members

June 2018 BCBSGa Provider Newsletter Products & Programs Jun 14, 2018

Beacon Health Options

N/A Behavioral Health Jun 6, 2019

Benefit change for Infliximab for Federal Employee Program

December 2018 BCBSGa Provider Newsletter Pharmacy Dec 1, 2018

Benefits to be available for chronic care management and advance care planning services effective February 23, 2019

January 2019 Anthem Provider Newsletter - Georgia Reimbursement Policies Jan 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

Body Mass Index (BMI) Reimbursement Policy (Facility)

February 2019 Anthem Provider Newsletter - Georgia Reimbursement Policies Feb 1, 2019

Bundled services and supplies (Professional)

December 2018 BCBSGa Provider Newsletter Reimbursement Policies Dec 1, 2018

Bundled Services reimbursement policy update (Professional)

August 2019 Anthem Provider News - Georgia Policy Updates Aug 1, 2019

Care and Cost Finder – new sort option

August 2018 BCBSGa Provider Newsletter Administrative Jul 31, 2018

Case Management Program

December 2018 BCBSGa Provider Newsletter Products & Programs Dec 1, 2018

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Anthem Provider Newsletter - Georgia Medicare Mar 1, 2019

Changes to prior authorization requirements

September 2019 Anthem Provider News - Georgia Medicare Sep 2, 2019

Claim editing update for Excludes1 notes

September 2019 Anthem Provider News - Georgia Administrative Sep 2, 2019

Claims Requiring Additional Documentation reimbursement policy update (Facility)

October 2018 BCBSGa Provider Newsletter Reimbursement Policies Oct 1, 2018

Clinical Criteria and prior authorization updates for specialty pharmacy are available

August 2019 Anthem Provider News - Georgia Pharmacy Aug 1, 2019

Clinical criteria and prior authorization updates for specialty pharmacy are available

September 2019 Anthem Provider News - Georgia Pharmacy Sep 2, 2019

Clinical Criteria coding updates for specialty pharmacy are available

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

Clinical criteria updates

September 2019 Anthem Provider News - Georgia Medicare Sep 2, 2019
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