Missouri
Provider Communications

Articles

Title Publication Category Date

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

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

Update: 2019 risk adjustment provider trainings

October 2019 Anthem Provider News - Missouri Medicare Oct 1, 2019

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

July 2022 Anthem Provider News - Missouri Medicare Jul 1, 2022

Update to Provider UM reimbursement penalties and corresponding update to Provider Manual*

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

Update to formulary lists for Commercial health plan pharmacy benefit

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

Update to facility editing: HCPCS code G0463

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

Update to Durable Medical Equipment - effective October 14, 2018

October 2018 Anthem Missouri Provider Newsletter Administrative Oct 12, 2018

Update to AIM Specialty Health sleep disorder management clinical appropriateness guidelines

October 2018 Anthem Missouri Provider Newsletter Products & Programs Sep 28, 2018

Update to AIM Specialty Health radiation oncology clinical appropriateness guidelines

October 2018 Anthem Missouri Provider Newsletter Products & Programs Sep 28, 2018

Update to AIM Specialty Health oncologic imaging clinical appropriateness guidelines

May 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines May 1, 2021

Update to AIM Specialty Health clinical appropriateness guidelines

October 2018 Anthem Missouri Provider Newsletter Products & Programs Sep 28, 2018

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Missouri Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines*

February 2019 Anthem Missouri Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Missouri Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Clinical Appropriateness Guidelines

December 2018 Anthem Missouri Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline*

April 2019 Anthem Provider Newsletter - Missouri Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Missouri Medical Policy & Clinical Guidelines Apr 1, 2019

Update regarding evaluation and management with modifier 25

April 2019 Anthem Provider Newsletter - Missouri Medicare Apr 1, 2019

Update regarding E/M with modifier 25 - Professional*

February 2019 Anthem Missouri Provider Newsletter Reimbursement Policies Feb 1, 2019

Update regarding drugs not approved by the FDA

January 2019 Anthem Missouri Provider Newsletter Pharmacy Jan 1, 2019

Update regarding annual wellness visits for ACA-compliant health plans

November 2021 Anthem Provider News - Missouri Products & Programs Nov 1, 2021

Update on requirement to obtain certain specialty drugs from CVS Specialty Pharmacy effective October 1, 2021

July 2021 Anthem Provider News - Missouri Pharmacy Jul 1, 2021

Update on requirement to obtain certain specialty drugs from CVS Specialty Pharmacy effective January 1, 2022

October 2021 Anthem Provider News - Missouri Pharmacy Oct 1, 2021

Update on requirement to obtain certain specialty drugs from CVS Specialty Pharmacy

April 2022 Anthem Provider News - Missouri Pharmacy Apr 1, 2022

Update on requirement to obtain certain specialty drugs from CVS Specialty Pharmacy

June 2021 Anthem Provider News - Missouri Pharmacy Jun 1, 2021

Update for Commercial providers: AIM sleep program CPT code E1399, NOC: Durable medical equipment, miscellaneous

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

Understanding your patients’ differences is lifesaving

March 2022 Anthem Provider News - Missouri Administrative Mar 1, 2022

Understanding Availity roles for electronic data interchange (EDI)

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

Two great learning resources on one secure portal

June 2021 Anthem Provider News - Missouri Digital Tools Jun 1, 2021

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

Transition to AIM Specialty Health imaging of the heart clinical appropriateness guideline for computed tomography to detect coronary artery calcification

August 2021 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Aug 1, 2021

Transition to AIM Rehabilitative Services clinical appropriateness guidelines

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

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

June 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Jun 1, 2020

Transition to AIM rehabilitative service clinical appropriateness guidelines

October 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Oct 1, 2020

Tips for billing CPT modifier 33

October 2018 Anthem Missouri Provider Newsletter Reimbursement Policies Sep 28, 2018

Timely updates help keep our provider directories current

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

Timely receipt of primary payer’s EOB can help reduce timely filing denials for secondary claims

July 2021 Anthem Provider News - Missouri Administrative Jul 1, 2021

Time to prepare for HEDIS medical record review

November 2021 Anthem Provider News - Missouri Administrative Nov 1, 2021

The Provider Learning Hub is here

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

The New Year brings New ID Cards for many Anthem members

January 2020 Anthem Provider News - Missouri Administrative Jan 1, 2020

The impact of listening

April 2022 Anthem Provider News - Missouri Medicare Apr 1, 2022

The health of millennials: Trends in behavioral health conditions

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

The Anthem, Inc. name is changing

April 2022 Anthem Provider News - Missouri Medicare Apr 1, 2022

The Anthem, Inc. name is changing

Our parent company's name is changing Administrative Mar 14, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Provider News - Missouri Administrative Apr 1, 2022

The 2021 Provider Manual is now available

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

The 2020 Provider Manual is now available*

September 2020 Anthem Provider News - Missouri Administrative Sep 1, 2020

Telephonic-only care allowance extended through April 11, 2023

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

Telehealth visits can impact after-hospitalization follow-up care for mental illness

August 2022 Anthem Provider News - Missouri Behavioral Health Aug 1, 2022

Telehealth visits can impact after hospitalization follow-up care for mental illness

August 2021 Anthem Provider News - Missouri Administrative Aug 1, 2021

System updates for 2020 (Professional)

December 2019 Anthem Provider News - Missouri Reimbursement Policies Dec 1, 2019

Surprisingly easy ways to help patients quit smoking cigarettes

November 2021 Anthem Provider News - Missouri Administrative Nov 1, 2021

Support documentation for AIM prior authorization requests

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

Submitting prior authorizations is getting easier

Anthem is transitioning to the Availity Authorization app
January 2022 Anthem Provider News - Missouri Digital Tools Jan 1, 2022

Submitting prior authorizations digitally through Interactive Care Reviewer

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

Submit electronic SOAP notes today using ePASS® and receive $100 each

September 2018 Anthem Missouri eUpdate Administrative Aug 30, 2018

Submit EDI corrected claims via Availity or EDI

June 2021 Anthem Provider News - Missouri Digital Tools Jun 1, 2021

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

Submit a claim payment dispute electronically for Anthem commercial members

February 2022 Anthem Provider News - Missouri Administrative Feb 1, 2022

Statin therapy for patients with diabetes

September 2021 Anthem Provider News - Missouri Administrative Sep 1, 2021

Specialty pharmacy updates are available - September 2020

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

Specialty pharmacy updates are available - October 2021

October 2021 Anthem Provider News - Missouri Pharmacy Oct 1, 2021

Specialty pharmacy updates are available - November 2021

November 2021 Anthem Provider News - Missouri Pharmacy Nov 1, 2021

Specialty pharmacy updates - September 2022

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

Specialty pharmacy updates - October 2022

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

Specialty pharmacy updates - November 2022

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

Specialty pharmacy updates - May 2022

May 2022 Anthem Provider News - Missouri Pharmacy May 1, 2022

Specialty pharmacy updates - March 2022

March 2022 Anthem Provider News - Missouri Pharmacy Mar 1, 2022

Specialty pharmacy updates - June 2022

June 2022 Anthem Provider News - Missouri Pharmacy Jun 1, 2022

Specialty pharmacy updates - February 2023

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

Specialty pharmacy updates - February 2022

February 2022 Anthem Provider News - Missouri Pharmacy Feb 1, 2022

Specialty pharmacy updates - December 2022

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

Specialty pharmacy updates - December 2021

December 2021 Anthem Provider News - Missouri Pharmacy Dec 1, 2021

Specialty pharmacy updates - August 2022

August 2022 Anthem Provider News - Missouri Pharmacy Aug 1, 2022

Specialty pharmacy updates - April 2022

April 2022 Anthem Provider News - Missouri Pharmacy Apr 1, 2022

Specialty pharmacy updates

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

Specialty pharmacy prior authorization update - Certain drugs for treatment of ocular conditions continue to require prior authorization

May 2021 Anthem Provider News - Missouri Pharmacy May 1, 2021

Specialty dose rounding program for certain oncology medications

August 2021 Anthem Provider News - Missouri Pharmacy Aug 1, 2021

Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021

August 2021 Anthem Provider News - Missouri Pharmacy Aug 1, 2021

Special needs plans - provider training required

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

Special Investigations Unit (SUI) Updates: FDA Warnings

October 2018 Anthem Missouri Provider Newsletter Administrative Sep 28, 2018

Some of your patients will begin moving to IngenioRx in Q2 2019

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

Some HIV medication combinations may require prior authorization

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

Somatus is your resource for kidney care management

December 2021 Anthem Provider News - Missouri Medicare Dec 1, 2021

Social determinants of health support expanding with GroundGame Health

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

Six SIMPLE strategies to help increase medication adherence

September 2021 Anthem Provider News - Missouri Administrative Sep 1, 2021

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

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

Site of care medical necessity reviews expands to numerous surgical procedures beginning December 1, 2020

September 2020 Anthem Provider News - Missouri Products & Programs Sep 1, 2020

Simplifying requests for additional information

March 2022 Anthem Provider News - Missouri Digital Tools Mar 1, 2022

Simplifying medication prior authorization processes

January 2019 Anthem Missouri Provider Newsletter Pharmacy Jan 1, 2019

Signature requirements for laboratory orders or requisitions

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

Shine Light on Depression

February 2020 Anthem Provider News - Missouri Behavioral Health Feb 1, 2020

September 2019 Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Missouri Medicare Jan 1, 2020

Sepsis diagnosis coding and billing reminder

July 2019 Anthem Provider News - Missouri Medicare Jul 1, 2019

Sending larger digital attachments through Availity

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

Self-service, digital transactions are fast and easy

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

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO providers

April 2022 Anthem Provider News - Missouri Federal Employee Plan (FEP) Apr 1, 2022

Review of professional claims with emergency room level 5 E/M codes

May 2019 Anthem Provider Newsletter - Missouri Administrative May 1, 2019

Review of professional claims with emergency department level 5 E&M codes

June 2019 Anthem Provider Newsletter - Missouri Medicare Jun 1, 2019

Retrieve your Anthem Patient’s HEDIS® care gaps through Patient360 located on the Availity portal

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