Georgia
Provider Communications

Articles

Title Publication Category Date

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility (MAC)

Material adverse change (MAC)

December 2022 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2022

Attention lab providers: COVID-19 update regarding reimbursement (MAC)

Material adverse change (MAC)

December 2022 Anthem Provider News - Georgia Administrative Dec 1, 2022

Personal home helper benefit ending

December 2022 Anthem Provider News - Georgia Medicare Dec 1, 2022

CAA: Timely updates help keep our provider directories current

December 2022 Anthem Provider News - Georgia Administrative Dec 1, 2022

Clinical practice and preventive health guidelines available on anthem.com

December 2022 Anthem Provider News - Georgia Administrative Dec 1, 2022

Member assessment of PCP after-hours messaging in 2022

December 2022 Anthem Provider News - Georgia Administrative Dec 1, 2022

Pharmacy information available on the provider website

December 2022 Anthem Provider News - Georgia Pharmacy Dec 1, 2022

Clinical Criteria updates for specialty pharmacy are available

December 2022 Anthem Provider News - Georgia Pharmacy Dec 1, 2022

Members’ rights and responsibilities

December 2022 Anthem Provider News - Georgia Administrative Dec 1, 2022

Member’s assessment of behavioral healthcare after-hours messaging in 2022

December 2022 Anthem Provider News - Georgia Administrative Dec 1, 2022

Reimbursement policy update: Multiple Surgery - Facility

December 2022 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2022

Reimbursement policy update: Bundled Services and Supplies - Professional (MAC)

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

Coordination of care

December 2022 Anthem Provider News - Georgia Administrative Dec 1, 2022

Case management program

December 2022 Anthem Provider News - Georgia Administrative Dec 1, 2022

Important information about utilization management

December 2022 Anthem Provider News - Georgia Administrative Dec 1, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

December 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2022

2023 Medicare Advantage service area and benefit updates

December 2022 Anthem Provider News - Georgia Medicare Dec 1, 2022

Signature requirements for laboratory orders or requisitions

December 2022 Anthem Provider News - Georgia Administrative Dec 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

December 2022 Anthem Provider News - Georgia Administrative Dec 1, 2022

Keep up with Medicare news

Medicare Advantage
December 2022 Anthem Provider News - Georgia Medicare Dec 1, 2022

AIM Specialty Health Genetic Testing Clinical Appropriateness Guidelines CPT Code List update (MAC)

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

Specialty pharmacy updates - December 2022 (MAC)

Material adverse change (MAC)
December 2022 Anthem Provider News - Georgia Pharmacy Dec 1, 2022

PCP searches in Find Care

PCP searches in Find Care - Georgia Administrative Nov 2, 2022

Clinical Criteria updates for specialty pharmacy are available

November 2022 Anthem Provider News - Georgia Pharmacy Nov 1, 2022

Correction to reimbursement policy: Place of Service (Facility)(MAC)

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

Improve patient outcomes for colorectal cancer screening with Labcorp’s FIT test

November 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Nov 1, 2022

Keep up with Medicare news

Medicare Advantage
November 2022 Anthem Provider News - Georgia Medicare Nov 1, 2022

Personalized Match

Medicare Advantage
November 2022 Anthem Provider News - Georgia Medicare Nov 1, 2022

Remote EMR access service for HEDIS

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

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

This communication applies to the Commercial and Medicare Advantage programs from Anthem Blue Cross and Blue Shield (Anthem) in Georgia.
November 2022 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Nov 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

Medicare Advantage
November 2022 Anthem Provider News - Georgia Medicare Nov 1, 2022

Preapproval list change notification (MAC)

Material adverse change (MAC)
November 2022 Anthem Provider News - Georgia Administrative Nov 1, 2022

Submit digital attachments within seven-calendar days for claims filed with a PWK segment indicator

November 2022 Anthem Provider News - Georgia Digital Tools Nov 1, 2022

You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, too

November 2022 Anthem Provider News - Georgia Digital Tools Nov 1, 2022

Visit the Provider Learning Hub to view our latest learning opportunities

November 2022 Anthem Provider News - Georgia Digital Tools Nov 1, 2022

Claims status message enhancements: providing clear descriptions and actionable next steps

November 2022 Anthem Provider News - Georgia Digital Tools Nov 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (MAC)

Medicare Advantage
Material adverse change (MAC)
November 2022 Anthem Provider News - Georgia Medicare Nov 1, 2022

Specialty pharmacy updates - November 2022

November 2022 Anthem Provider News - Georgia Pharmacy Nov 1, 2022

CAA: Keep your provider directory information up to date

November 2022 Anthem Provider News - Georgia Administrative Nov 1, 2022

Information from Anthem for Care Providers about COVID-19 – RETIRED as of November 8, 2022

As of November 8, 2022, THIS DOCUMENT WILL NO LONGER BE UPDATED.

Future updates regarding COVID-19 will appear in the monthly Provider News publication.

COVID-19 Information – Publication RETIRED as of November 8, 2022 Administrative Oct 13, 2022

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 RETRACTION: Please refer to article published 9/1/22

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

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

Drug code billing reminder

September 2022 Anthem Provider News - Georgia Pharmacy 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

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
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