Georgia
Provider Communications

Articles

Title Publication Category Date

Maximizing efficient, high quality COVID-19 screenings

COVID-19 Information Administrative Apr 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

Pharmacy information available on anthem.com

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

Anthem clinical criteria updates for specialty pharmacy are available

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

Updates for specialty pharmacy are available (April 2021)

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

Join Anthem in talking about racism and its impact on health

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

New billing requirements for provider data management system launching in April

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

Does your practice offer telehealth services? Let us know!

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

Interactive bilingual website taking action for our health

Exclusively developed for the Latino community
April 2021 Anthem Provider News - Georgia Administrative Apr 1, 2021

Payer Spaces: name change announcement (Availity)

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

Understanding Availity roles for electronic data interchange (EDI)

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

Keeping up with routine vaccination during COVID-19: well-child visits and vaccinations are essential services

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

Attention facilities: sending admission, discharge and transfer data to Anthem results in improved care management for patients

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

Make the change to digital authorization/referral and hospital admission notifications using EDI

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

Chat directly with a prior authorization specialist

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

Medical policy and clinical guideline updates 4/1/2021

April 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Apr 1, 2021

MCG care guidelines 25th edition

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

Georgia Anthem preapproval list change notification 3/1/2021

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

The heath of millennials: trends in behavioral health conditions

April 2021 Anthem Provider News - Georgia Behavioral Health Apr 1, 2021

HEDIS 2021 Federal Employee Program® medical record request requirements

Federal Employee Program® (FEP)
April 2021 Anthem Provider News - Georgia State & Federal Apr 1, 2021

Medical drug benefit clinical criteria updates

Medicare Advantage
April 2021 Anthem Provider News - Georgia Medicare Apr 1, 2021

Notify us of telehealth services

Medicare Advantage
April 2021 Anthem Provider News - Georgia Medicare Apr 1, 2021

In-office assessment program

Medicare Advantage
April 2021 Anthem Provider News - Georgia Medicare Apr 1, 2021

Oncology dose reduction program beginning July 1, 2021

Medicare Advantage
April 2021 Anthem Provider News - Georgia Medicare Apr 1, 2021

Medical drug benefit clinical criteria updates

Medicare Advantage
April 2021 Anthem Provider News - Georgia Medicare Apr 1, 2021

Some HIV medication combinations may require prior authorization

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

Updates for Specialty Pharmacy are available (March 2021)

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

Site of Care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021

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

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

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

Anthem to launch new provider data management system

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

Medical attachment capability now includes itemized bills and more!

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

New Reimbursement policy update: Place of Service Evaluation and Management Place of Service (Facility)

March 2021 Anthem Provider News - Georgia Reimbursement Policies Mar 1, 2021

Access to more claim denial information is now self-service

Medicare Advantage
March 2021 Anthem Provider News - Georgia Medicare Mar 1, 2021

Medical Policies and Clinical Utilization Management Guidelines update

Medicare Advantage
March 2021 Anthem Provider News - Georgia Medicare Mar 1, 2021

New provider directory indicator for telehealth services

Medicare Advantage
March 2021 Anthem Provider News - Georgia Medicare Mar 1, 2021

Keep up with Medicare news

Medicare Advantage
March 2021 Anthem Provider News - Georgia Medicare Mar 1, 2021

Important update: Prior authorization and other policy adjustments (updated February 1, 2021)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to other settings.
COVID-19 Information Administrative Feb 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit

February 2021 Anthem Provider News - Georgia Pharmacy Feb 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

February 2021 Anthem Provider News - Georgia Pharmacy Feb 1, 2021

Pharmacy information available on anthem.com

February 2021 Anthem Provider News - Georgia Pharmacy Feb 1, 2021

Prior authorization updates for specialty pharmacy are available (February 2021)

February 2021 Anthem Provider News - Georgia Pharmacy Feb 1, 2021

NECA/IBEW Family Medical Care Plan medical ID cards notice

February 2021 Anthem Provider News - Georgia Administrative Feb 1, 2021

New provider directory indicator for telehealth services

February 2021 Anthem Provider News - Georgia Administrative Feb 1, 2021

New Anthem utilization management tool now available on Availity Payer Spaces: Authorization Rules Lookup tool

February 2021 Anthem Provider News - Georgia Administrative Feb 1, 2021

Reimbursement policy update: Professional Anesthesia Services (Professional)

February 2021 Anthem Provider News - Georgia Reimbursement Policies Feb 1, 2021

Reimbursement policy update: Emergency Room Transfers (Facility)

February 2021 Anthem Provider News - Georgia Reimbursement Policies Feb 1, 2021

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

February 2021 Anthem Provider News - Georgia Reimbursement Policies Feb 1, 2021

Medical drug benefit Clinical Criteria updates

Medicare Advantage
February 2021 Anthem Provider News - Georgia Medicare Feb 1, 2021

Keep up with Medicare news

Medicare Advantage
February 2021 Anthem Provider News - Georgia Medicare Feb 1, 2021

Register today for the Racial Equity Forum hosted by Anthem and Motivo on February 3, 2021

The Road to Allyship: Playing Your Part in Racial Equity
Join us to hear from a diverse panel of experienced Motivo* and Anthem professionals about racial equity and the importance of allies.
Register today for the Racial Equity Forum hosted by Anthem and Motivo on February 3, 2021 - Georgia Administrative Jan 21, 2021

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated January 8, 2021)

We’ve updated information about coverage for telephonic-only care.
COVID-19 Information Administrative Jan 8, 2021

IngenioRx introduces new pharmacy network in 2021

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

Prior authorization updates for specialty pharmacy are available (January 2021)

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

Find out in minutes why your claim denied

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

Self-service, digital transactions are fast and easy

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

LabCorp is the exclusive laboratory for Anthem’s HMO, Open Access POS and Pathway members

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

Live webinar invitation: Availity attachment tools for Anthem and affiliate payers

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

Professional system updates for 2021

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

CAHPS survey

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

New features added to Interactive Care Reviewer

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

Procedure searches in Find Care: new sort option

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

Anthem Georgia preapproval list change notification 1/1/2021

January 2021 Anthem Provider News - Georgia Policy Updates Jan 1, 2021

Medical Policy and Clinical Guideline updates 1/1/2021

January 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jan 1, 2021

Reimbursement policy update: Multiple Diagnostic Imaging Procedures (Professional)

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Frequency Editing (Professional)

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation (Professional)

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Modifier Rules (Professional)

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Unit Frequency Maximum for Drugs and Biologicals (Professional)

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

Evaluation and Management changes 2021

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

Outpatient system updates for 2021 (Facility)

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Clinic Charges (Facility)

January 2021 Anthem Provider News - Georgia Reimbursement Policies Jan 1, 2021

MCG Care Guidelines 24th Edition customization

January 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Jan 1, 2021

2021 FEP® Benefit information available online

January 2021 Anthem Provider News - Georgia State & Federal Jan 1, 2021

2020 Medicare risk adjustment provider trainings

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

Updates to AIM Clinical Appropriateness Guidelines for Advanced Imaging

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

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines

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

Medical drug benefit Clinical Criteria updates

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

Keep up with Medicare news

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

2021 Anthem Individual Health Plans

December 2020 Anthem Provider News - Georgia Products & Programs Dec 1, 2020

Case Management Program

December 2020 Anthem Provider News - Georgia Products & Programs Dec 1, 2020

Anthem clinical criteria updates for specialty pharmacy are available

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

AIM IVR changes for non-oncology medical specialty drug reviews effective on January 1, 2021

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

Pharmacy information available on anthem.com

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

December 2020 prior authorization updates for specialty pharmacy are available

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

Designated specialty pharmacies in March 2021

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

Updated Provider Manual posted to anthem.com

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

Anthem Georgia contracted air ambulance providers

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

Clinical practice and preventive health guidelines available on anthem.com

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

Coordination of Care

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

Important information about utilization management

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

2-minute videos to engage patients about preventive care

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

Anthem makes going digital easy with the Provider Digital Engagement Supplement

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

Access to claim denial information is now self-service

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

Members’ rights and responsibilities

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

PCP after-hours access requirements

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

Access requirements for behavioral healthcare services

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

Reimbursement policy update: Bundled Services and Supplies (Professional)

December 2020 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2020

Reimbursement policy update: DRG Newborn Inpatient Stays (Facility)

December 2020 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2020

Anthem expands hospice policy

December 2020 Anthem Provider News - Georgia Policy Updates Dec 1, 2020

Updates to AIM Cardiology clinical appropriateness guidelines

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