Ohio
Provider Communications

Articles Recent

Title Publication Category Date

Attention lab providers: COVID-19 update regarding reimbursement*

*Notice of Material Amendment/Change to Contract (MAC)
December 2022 Anthem Provider News - Ohio Administrative Dec 1, 2022

Coordination of care

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

Case management program

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

Important information about utilization management

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

IngenioRx will become CarelonRx on January 1, 2023

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

Specialty pharmacy updates - December 2022*

*Notice of Material Amendment/Change to contract (MAC)
December 2022 Anthem Provider News - Ohio Pharmacy Dec 1, 2022

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

*Notice of Material Amendment/Change to contract (MAC)
December 2022 Anthem Provider News - Ohio Medical Policy & Clinical Guidelines Dec 1, 2022

Medical Policies and Clinical Guidelines updates - December 2022*

*Notice of Material Amendment/Change to contract (MAC)
December 2022 Anthem Provider News - Ohio Medical Policy & Clinical Guidelines Dec 1, 2022

Reimbursement policy update: Multiple Surgery - Facility

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

Reimbursement policy update: Bundled Services and Supplies - Professional*

*Notice of Material Amendment/Change to contract (MAC)

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

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

*Notice of Material Amendment/Change to contract (MAC)

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

Wound Care Connect program for Medicare Advantage and Group Retiree members

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

2023 Medicare Advantage service area and benefit updates

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

Member assessment of PCP after-hours messaging in 2022

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

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

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

Members’ rights and responsibilities

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

CAA: Timely updates help keep our provider directories current

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

Clinical practice and preventive health guidelines available on anthem.com

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

Signature requirements for laboratory orders or requisitions

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

Pharmacy information available on the provider website

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

Personal home helper benefit ending

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

PCP searches in Find Care

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

Blue High Performance Network expanded to include Dayton, Ohio region

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

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

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

Authorization application enhancements: faster, easier, and more efficient

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

Visit the Provider Learning Hub to view our latest learning opportunities

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

Specialty pharmacy updates - November 2022

Notice of Material Amendment/Change to Contract (MAC)

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

Medical policy and clinical guideline updates - November 2022

Notice of Material Amendment/Change to Contract (MAC)
November 2022 Anthem Provider News - Ohio 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 - Ohio Medical Policy & Clinical Guidelines Nov 1, 2022

Correction to reimbursement policy: Place of Service - Facility

Notice of Material Amendment/Change to Contract (MAC)

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

Anthem Blue Cross and Blue Shield provider orientations

November 2022 Anthem Provider News - Ohio Medicaid Nov 1, 2022

Access instant health plan information via Availity Essentials on December 1, 2022

November 2022 Anthem Provider News - Ohio Medicaid Nov 1, 2022

Custom Learning Center located on Availity Essentials Payer Spaces

November 2022 Anthem Provider News - Ohio Medicaid 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 - Ohio Medicare Nov 1, 2022

Personalized Match

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

CAA: Keep your provider directory information up to date

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

Remote EMR access service for HEDIS

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

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list

November 2022 Anthem Provider News - Ohio 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 - Ohio – 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 - Ohio Administrative Oct 7, 2022

Authorizations for post-acute care services

October 2022 Anthem Provider News - Ohio Medicare Oct 4, 2022

Ohio Medicaid Provider Orientation Invitation

Join us for an Ohio Medicaid provider orientation by Anthem Blue Cross and Blue Shield.

Register today!

October 2022 Anthem Provider News - Ohio Medicaid Oct 3, 2022

National Accounts 2023 Precertification list

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

The Provider Learning Hub is here

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

CAA: Review your online provider directory information

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

New Strategic Provider System implementation in August 2022

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

Pharmacy information available on provider website

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

Courtesy notification of specialty pharmacy medical step therapy updates

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

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing - Professional

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

IngenioRx will become CarelonRx on January 1, 2023

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

Specialty pharmacy updates - October 2022

Notice of Material Amendment/Change to Contract (MAC)
October 2022 Anthem Provider News - Ohio Pharmacy Oct 1, 2022

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

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

Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional

Notice of Material Amendment/Change to Contract (MAC)
October 2022 Anthem Provider News - Ohio Reimbursement Policies Oct 1, 2022

Monkeypox and smallpox vaccines: Product code on claims

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

Continuing to Explore the Intersection of Race and Disability

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

Specialty pharmacy updates - September 2022*

*Notice of Material Amendment/Change to Contract (MAC)
September 2022 Anthem Provider News - Ohio Pharmacy Sep 1, 2022

Medical policy and clinical guideline updates – September 2022*

*Notice of Material Amendment/Change to Contract (MAC)
September 2022 Anthem Provider News - Ohio Medical Policy & Clinical Guidelines Sep 1, 2022

Reimbursement policy update: Modifier Rules - Professional*

*Notice of Material Amendment/Change to Contract (MAC)
September 2022 Anthem Provider News - Ohio Reimbursement Policies Sep 1, 2022

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

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

Reimbursement policy update: Modifier 66: Surgical Teams - Professional

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

OBRA 93 claim filing for Federal Employee Program

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

Enhancing claims attachment processes through digital applications

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

Continuing to Explore the Intersection of Race and Disability

September 2022 Anthem Provider News - Ohio Administrative Sep 1, 2022

Monkeypox resources and recommendations for our care providers

September 2022 Anthem Provider News - Ohio Administrative Sep 1, 2022

Important information about women’s preventive care visits

September 2022 Anthem Provider News - Ohio Administrative 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 - Ohio Administrative Sep 1, 2022

Reminder to submit claims with complete and correct data to avoid claim denial

September 2022 Anthem Provider News - Ohio Administrative Sep 1, 2022

Drug code billing reminder

September 2022 Anthem Provider News - Ohio 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 - Ohio Administrative Sep 1, 2022

Anthem to accept Hospital in Home services

September 2022 Anthem Provider News - Ohio Administrative Sep 1, 2022

Updates to the Claim Attachment workflow

September 2022 Anthem Provider News - Ohio Digital Tools Sep 1, 2022

Update to formulary lists for Commercial health plan pharmacy benefit

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

Reminder: AIM prior authorization phone number change for Medicare

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

Prior authorization requirement changes effective December 1, 2022

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

Anthem expands specialty pharmacy precertification list

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

Reimbursement policy update: Modifiers 25 and 57 - Evaluation and Management with Global Procedures

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

Ohio Medicaid Provider Orientation Invitation

You are invited to Anthem Blue Cross and Blue Shield provider orientations for Ohio Medicaid
September 2022 Anthem Provider News - Ohio Medicaid Aug 23, 2022

New Digital Provider Enrollment tool added to Availity

September 2022 Anthem Provider News - Ohio Digital Tools Aug 4, 2022

Update: outpatient prepay itemized bill review program*

*Notice of Material Amendment/Change to Contract (MAC)
August 2022 Anthem Provider News - Ohio Administrative Aug 1, 2022

Specialty pharmacy updates - August 2022*

*Notice of Material Amendment/Change to Contract (MAC)
August 2022 Anthem Provider News - Ohio Pharmacy Aug 1, 2022

Upgraded data management system launches August 2022

August 2022 Anthem Provider News - Ohio Medicare Aug 1, 2022

AIM Specialty Health phone number update

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

Timely updates help keep our provider directories current

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

Add supporting documents directly to your claims with the new Claims Status Send Attachments feature

August 2022 Anthem Provider News - Ohio Digital Tools Aug 1, 2022

Performance enhancements to the authorization application on Availity Essentials

August 2022 Anthem Provider News - Ohio Digital Tools Aug 1, 2022

Introducing the Provider Learning Hub

August 2022 Anthem Provider News - Ohio Digital Tools Aug 1, 2022

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

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

Pharmacy information available at anthem.com

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

Keep up with Medicare News - August 2022

- MCG care guidelines 26th edition
August 2022 Anthem Provider News - Ohio Medicare Aug 1, 2022

Join us for our next clinical quality in practice webinar

Join us for our next clinical quality in practice webinar - Ohio Administrative Jul 20, 2022

Enroll through EnrollSafe to be paid via EFT

Enroll through EnrollSafe to be paid via EFT - Ohio Digital Tools Jul 14, 2022

Update to facility editing: HCPCS code G0463

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

Coding tips for reporting administration of Spravato®

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