Georgia
Provider Communications

Articles

Title Publication Category Date

“Rule of Eight” Reporting Guidelines for Physical Medicine and Rehabilitation Services (Professional)

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

Your recommendation is key to encouraging cancer screenings for your female patients

October 2021 Anthem Provider News - Georgia Administrative Oct 1, 2021

Your influence matters: Recommending cancer screenings to your patients

March 2022 Anthem Provider News - Georgia Administrative Mar 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

Why do patients stop taking their prescribed medications and what can you do to help them?

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

Why do patients stop taking their prescribed medications and what can you do to help them?

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

Why do patients stop taking their prescribed medications and what can you do to help them?

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

When and how to initiate Medicare Advantage reopenings

December 2018 BCBSGa Provider Newsletter Medicare Dec 1, 2018

What matters most: Improving the patient experience

October 2020 Anthem Provider News - Georgia Administrative Oct 1, 2020

We’re changing our trade name

July 9, 2018 BCBSGa Network eUPDATE Administrative Jul 9, 2018

We’re changing our trade name

August 2018 BCBSGa Provider Newsletter Administrative Jul 31, 2018

WellStar is out-of-network for Anthem Pathway members

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

Well-child visits: Know the numbers

January 2022 Anthem Provider News - Georgia Administrative Jan 1, 2022

Welcome to the Custom Learning Center in Availity

July 2020 Anthem Provider News - Georgia Administrative Jul 1, 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 – Publication RETIRED as of November 8, 2022 Administrative May 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 – Publication RETIRED as of November 8, 2022 Administrative Jun 25, 2020

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

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

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators Administrative Jun 25, 2021

Visit the Provider Learning Hub to view our latest learning opportunities

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

Verifying eligibility for expanded hospice benefits

June 2018 BCBSGa Provider Newsletter Administrative Jun 14, 2018

Verifying and updating your provider information

December 2019 Anthem Provider News - Georgia Administrative Dec 1, 2019

Vaginal birth after cesarean (VBAC) certified shared decision making aid available on the web

August 2018 BCBSGa Provider Newsletter Administrative Jul 31, 2018

Vaginal Birth after Cesarean (VBAC) certified shared decision making aid available on the web

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Utilization management authorization rule operations

Medicare Advantage
September 2021 Anthem Provider News - Georgia Medicare Sep 1, 2021

Use the Provider Maintenance Form to update your practice information

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Use the Provider Maintenance Form to update your practice information

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

Use the Provider Maintenance Form to update your practice information

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

Use the Provider Maintenance Form to update your practice information

October 2018 BCBSGa Provider Newsletter Administrative Oct 1, 2018

Use the Provider Maintenance Form to update your practice information

August 2018 BCBSGa Provider Newsletter Administrative Jul 31, 2018

Use the Provider Maintenance Form to update your practice information

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

Use the Provider Maintenance Form to update your practice information

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

Use grouped CPT codes for AIM Specialty Health authorizations

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

US Antibiotic Awareness Week

November 2020 Anthem Provider News - Georgia Administrative Nov 1, 2020

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

Updates to edits associated with implants

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

Updates to AIM Spine Surgery Clinical Appropriateness Guideline

November 2019 GA Provider News Policy Updates Nov 1, 2019

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

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2021

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 Cardiology Clinical Appropriateness Guidelines (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

Medicare Advantage
November 2021 Anthem Provider News - Georgia Medicare Nov 1, 2021

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines

January 2021 Anthem Provider News - Georgia Medicare Jan 1, 2021

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 Advanced Imaging Clinical Appropriateness Guidelines

Medicare Advantage
December 2021 Anthem Provider News - Georgia Medicare Dec 1, 2021

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Medicare Advantage

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

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

June 2020 Anthem Provider News - Georgia Medicare Jun 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 Sleep Disorder Management 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 Radiation Oncology: Proton Beam Therapy clinical appropriateness guideline

August 2019 Anthem Provider News - Georgia Products & Programs Aug 1, 2019

Updates to AIM Radiation Oncology clinical appropriateness guideline

December 2020 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2020

Updates to AIM musculoskeletal surgery clinical appropriateness guidelines

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

Updates to AIM Musculoskeletal Program Joint Surgery clinical appropriateness guidelines

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

Updates to AIM Musculoskeletal Program clinical appropriateness guidelines

February 2020 Anthem Provider News - Georgia Products & Programs Feb 1, 2020

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

June 2018 BCBSGa Provider Newsletter Policy Updates Jun 14, 2018

Updates to AIM musculoskeletal program clinical appropriateness guidelines

Material adverse change (MAC)
June 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jun 1, 2021

Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline

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

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

January 2021 Anthem Provider News - Georgia Medicare Jan 1, 2021

Updates to AIM Cardiology clinical appropriateness guidelines

December 2020 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2020

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

August 2019 Anthem Provider News - Georgia Products & Programs Aug 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 Advanced Imaging clinical appropriateness guidelines

February 2020 Anthem Provider News - Georgia Products & Programs Feb 1, 2020

Updates to AIM Advanced Imaging clinical appropriateness guidelines

August 2019 Anthem Provider News - Georgia Products & Programs Aug 1, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

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

Updates to AIM advanced imaging clinical appropriateness guidelines

August 2018 BCBSGa Provider Newsletter Policy Updates Jul 31, 2018

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline (MAC)

Material adverse change (MAC)
December 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2021

Updates to AIM Advanced Imaging clinical appropriateness guideline

December 2020 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2020

Updates to AIM Advanced Imaging clinical appropriateness guideline

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

Updates to AIM advanced imaging clinical appropriateness guideline

Material adverse change (MAC)
June 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jun 1, 2021

Updates for specialty pharmacy are available (September 2020)

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

Updates for specialty pharmacy are available (May 2021)

Material adverse change (MAC)
May 2021 Anthem Provider News - Georgia Pharmacy May 1, 2021

Updates for Specialty Pharmacy are available (March 2021)

March 2021 Anthem Provider News - Georgia Pharmacy Mar 1, 2021

Updates for specialty pharmacy are available (April 2021)

Material adverse change (MAC)
April 2021 Anthem Provider News - Georgia Pharmacy Apr 1, 2021

Updated provider manual posted to anthem.com

May 2021 Anthem Provider News - Georgia Administrative May 1, 2021

Updated Provider Manual posted to anthem.com

December 2020 Anthem Provider News - Georgia Administrative Dec 1, 2020

Updated Preventive Care Guidance regarding screening colonoscopies

March 2022 Anthem Provider News - Georgia Products & Programs Mar 1, 2022

Updated COVID-19 Medicare Information

For the latest COVID-19 Medicare information, please check Important Medicare Advantage Updates.
COVID-19 Information – Publication RETIRED as of November 8, 2022 Medicare Mar 25, 2020

Updated coverage for HIV PrEP medications

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

Updated Coverage for breast cancer prevention medications

October 2020 Anthem Provider News - Georgia Pharmacy Oct 1, 2020

Updated AIM Rehabilitative program effective August 1, 2021: initial evaluations and site of service reviews

Material adverse change (MAC)
May 2021 Anthem Provider News - Georgia Products & Programs May 1, 2021

Updated AIM musculoskeletal program site of care reviews delayed

December 2021 Anthem Provider News - Georgia Products & Programs Dec 1, 2021

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

Updated AIM musculoskeletal program effective November 1, 2021: site of care reviews

Material adverse change (MAC)
August 2021 Anthem Provider News - Georgia Products & Programs Aug 1, 2021

Update: site of care medical necessity reviews for long-acting colony-stimulating factors will no longer go into effect on August 1, 2021

Material adverse change (MAC)
July 2021 Anthem Provider News - Georgia Pharmacy Jul 1, 2021

Update: site of care medical necessity reviews for long-acting colony-stimulating factors begin August 1, 2021

April 2021 Anthem Provider News - Georgia Pharmacy Apr 1, 2021

Update: Sepsis coding

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

Update: Provider Town Hall dates

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

Update: outpatient prepay itemized bill review program

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

UPDATE: Notice of changes to the AIM small joint surgery guideline

March 2021 Anthem Provider News - Georgia Administrative Mar 1, 2021

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

Update: Notice of changes to the AIM musculoskeletal program

October 2020 Anthem Provider News - Georgia Medicare Oct 1, 2020

Update: Notice of changes to the AIM musculoskeletal program

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

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: new AIM Rehabilitative Program will begin November 1, 2019

October 2019 Provider News Products & Programs Oct 1, 2019

Update: 2019 risk adjustment provider training

October 2019 Provider News Medicare Oct 1, 2019

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

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

Update to formulary lists for Commercial health plan pharmacy benefit

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