Missouri
Provider Communications

Articles Recent

Title Publication Category Date

Controlling High Blood Pressure and Submitting Compliant Readings

February 2023 Anthem Provider News - Missouri Administrative Feb 1, 2023

AIM Specialty Health will transition to Carelon Medical Benefits Management Inc.

February 2023 Anthem Provider News - Missouri Administrative Feb 1, 2023

Do you offer telehealth services? Let us know!

February 2023 Anthem Provider News - Missouri Administrative Feb 1, 2023

Have you reviewed your online provider directory information lately?

February 2023 Anthem Provider News - Missouri Administrative Feb 1, 2023

Enhancing Provider News website and email communications

February 2023 Anthem Provider News - Missouri Digital Tools Feb 1, 2023

Medical Policies and Clinical Guidelines updates - February 2023

February 2023 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Feb 1, 2023

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

February 2023 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Feb 1, 2023

Helping to reduce delays when submitting attachments: Make sure your correspondence includes one of these elements

February 2023 Anthem Provider News - Missouri Digital Tools Feb 1, 2023

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

February 2023 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Feb 1, 2023

Specialty pharmacy updates - February 2023

February 2023 Anthem Provider News - Missouri Pharmacy Feb 1, 2023

Keep up with Medicare News - February 2023

- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Fylnetra)
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Spevigo, Xenpozyme)
- Specialty pharmacy precertification list expansion (Rolvedon, Stimufend)
- New specialty pharmacy medical step therapy requirements
- Prior authorization requirement changes effective April 1, 2023
- Medical Policies and Clinical Utilization Management Guidelines update
February 2023 Anthem Provider News - Missouri Medicare Feb 1, 2023

Name change announcement: myNEXUS will transition to Carelon Post Acute Solutions on March 1, 2023

February 2023 Anthem Provider News - Missouri Medicare Feb 1, 2023

2023 FEP benefit information available online

February 2023 Anthem Provider News - Missouri Federal Employee Plan (FEP) Feb 1, 2023

Important reminder: New ID cards for many of our Anthem Blue Cross and Blue Shield members

New ID cards for Anthem Blue Cross and Blue Shield members - Missouri Administrative Jan 19, 2023

Telephonic-only care allowance extended through April 11, 2023

Telephonic-only care allowance extended through April 11, 2023 - Missouri Administrative Jan 11, 2023

Engagement with your patient counts

January 2023 Anthem Provider News - Missouri Administrative Dec 30, 2022

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines

January 2023 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Dec 30, 2022

Specialty pharmacy updates

January 2023 Anthem Provider News - Missouri Pharmacy Dec 30, 2022

Keep up with Medicare news - January 2023

- Prior authorization requirement changes
- New specialty pharmacy medical step therapy requirements (Inflectra & Renflexis)
- Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list (Cimerli)
- Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines
January 2023 Anthem Provider News - Missouri Medicare Dec 30, 2022

Notification regarding reimbursement changes to COVID-19 laboratory services codes

January 2023 Anthem Provider News - Missouri Administrative Dec 30, 2022

Cleveland-Cliffs offers Medicare Advantage option

January 2023 Anthem Provider News - Missouri Medicare Dec 30, 2022

Submitting prior authorizations digitally through Interactive Care Reviewer

January 2023 Anthem Provider News - Missouri Digital Tools Dec 30, 2022

Outpatient facility revenue code billing requirements

January 2023 Anthem Provider News - Missouri Reimbursement Policies Dec 30, 2022

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update

January 2023 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Dec 30, 2022

Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List

January 2023 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines

January 2023 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines

January 2023 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Dec 30, 2022

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines - Material adverse change

January 2023 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Dec 30, 2022

Federal Employee Program observation conversion for musculoskeletal cases

January 2023 Anthem Provider News - Missouri Federal Employee Plan (FEP) Dec 30, 2022

Professional system updates for 2023

January 2023 Anthem Provider News - Missouri Administrative Dec 30, 2022

Outpatient system updates for 2023

January 2023 Anthem Provider News - Missouri Administrative Dec 30, 2022

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

January 2023 Anthem Provider News - Missouri Administrative Dec 30, 2022

Childhood Immunization Status and Lead Screening in Children for HEDIS

January 2023 Anthem Provider News - Missouri Administrative Dec 30, 2022

Attention lab providers: COVID-19 update regarding reimbursement

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

Important information about utilization management

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

Coordination of care

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

Case management program

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

IngenioRx will become CarelonRx on January 1, 2023

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

Medical Policies and Clinical Guidelines updates - December 2022

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

Reimbursement policy update: Multiple Surgery - Facility

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

Reimbursement policy update: Bundled Services and Supplies - Professional

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

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

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

Keep up with Medicare News - December 2022

- Medical drug benefit Clinical Criteria updates
- Medical Policies and Clinical Utilization Management Guidelines update
- Signature requirements for laboratory orders or requisitions
December 2022 Anthem Provider News - Missouri Medicare Dec 1, 2022

2023 Medicare Advantage service area and benefit updates

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

Reminder - updated AIM Musculoskeletal program effective January 1, 2023 - site of care reviews

December 2022 Anthem Provider News - Missouri Policy Updates Dec 1, 2022

Specialty pharmacy updates - December 2022

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

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

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

Member assessment of PCP after-hours messaging in 2022

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

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

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

Members’ rights and responsibilities

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

CAA: Timely updates help keep our provider directories current

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

Clinical practice and preventive health guidelines available on anthem.com

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

Pharmacy information available on the provider website

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

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List update

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

Personal home helper benefit ending

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

PCP searches in Find Care

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

Support documentation for AIM prior authorization requests

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

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

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

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

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

Visit the Provider Learning Hub to view our latest learning opportunities

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

Medical policy and clinical guideline updates - November 2022

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

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

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

Outpatient Prepay Itemized Bill Review Program update - Facility

November 2022 Anthem Provider News - Missouri Reimbursement Policies Nov 1, 2022

New reimbursement policy: Place of Service - Facility

November 2022 Anthem Provider News - Missouri Reimbursement Policies Nov 1, 2022

Keep up with Medicare News - November 2022

- Medical drug benefit Clinical Criteria updates
- New specialty pharmacy medical step therapy requirements (Avastin, Mvasi)
- New specialty pharmacy medical step therapy requirements (Zarxio)
November 2022 Anthem Provider News - Missouri Medicare Nov 1, 2022

Personalized Match

November 2022 Anthem Provider News - Missouri Medicare Nov 1, 2022

Specialty pharmacy updates - November 2022

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

CAA: Keep your provider directory information up to date

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

Remote EMR access service for HEDIS

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

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list

November 2022 Anthem Provider News - Missouri Medicare 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 - Missouri – 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 - Missouri Administrative Oct 7, 2022

National Accounts 2023 Precertification list

October 2022 Anthem Provider News - Missouri Administrative Oct 1, 2022

Monkeypox and smallpox vaccines: Product code on claims

October 2022 Anthem Provider News - Missouri Administrative Oct 1, 2022

The Provider Learning Hub is here

October 2022 Anthem Provider News - Missouri 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 - Missouri Administrative Oct 1, 2022

CAA: Review your online provider directory information

October 2022 Anthem Provider News - Missouri Administrative Oct 1, 2022

Signature requirements for laboratory orders or requisitions

October 2022 Anthem Provider News - Missouri Administrative Oct 1, 2022

New Strategic Provider System implementation in August 2022

October 2022 Anthem Provider News - Missouri Digital Tools Oct 1, 2022

Learn how Interactive Care Reviewer makes it easy to submit authorizations electronically

October 2022 Anthem Provider News - Missouri Digital Tools Oct 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

October 2022 Anthem Provider News - Missouri Pharmacy Oct 1, 2022

Specialty pharmacy updates - October 2022

October 2022 Anthem Provider News - Missouri Pharmacy Oct 1, 2022

Pharmacy information available on provider website

October 2022 Anthem Provider News - Missouri Pharmacy Oct 1, 2022

Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional

October 2022 Anthem Provider News - Missouri 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 - Missouri Federal Employee Plan (FEP) Oct 1, 2022

Reimbursement policy update: Three-Dimensional (3D) Radiology Services - Professional and Facility

October 2022 Anthem Provider News - Missouri Reimbursement Policies Oct 1, 2022

Keep up with Medicare News - October 2022

  • Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ
  • Anthem expands specialty pharmacy precertification list-1
  • Anthem expands specialty pharmacy precertification list-2
  • Consultation codes
October 2022 Anthem Provider News - Missouri Medicare Oct 1, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing - Professional

October 2022 Anthem Provider News - Missouri Medicare Oct 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

October 2022 Anthem Provider News - Missouri Medicare Oct 1, 2022

Continuing to Explore the Intersection of Race and Disability

Continuing to Explore the Intersection of Race and Disability forum - Missouri Administrative Sep 9, 2022

New Back Pain Management Program

September 2022 Anthem Provider News - Missouri Products & Programs Sep 1, 2022

Reimbursement policy update: Modifier Rules - Professional

September 2022 Anthem Provider News - Missouri Reimbursement Policies Sep 1, 2022

Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) - Professional

September 2022 Anthem Provider News - Missouri Reimbursement Policies Sep 1, 2022

Reimbursement policy update: Modifier 66: Surgical Teams - Professional

September 2022 Anthem Provider News - Missouri Reimbursement Policies Sep 1, 2022

OBRA 93 claim filing for Federal Employee Program

September 2022 Anthem Provider News - Missouri Federal Employee Plan (FEP) Sep 1, 2022

Keep up with Medicare News - September 2022

- Anthem expands specialty pharmacy precertification list
- Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

 

September 2022 Anthem Provider News - Missouri Medicare Sep 1, 2022

Enhancing claims attachment processes through digital applications

September 2022 Anthem Provider News - Missouri Medicare Sep 1, 2022

Specialty pharmacy updates - September 2022

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

Medical policy and clinical guideline updates – September 2022

September 2022 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Sep 1, 2022
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