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CME credits available in 2021 for a variety of clinical quality webinars - register now!

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

Join Anthem in talking about racism and its impact on health, and earn continuing education credits!

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

Blue High Performance Network name changing for 2022

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

Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claims

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

Change in coverage for continuous glucose monitors for some fully insured groups

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

Time to prepare for HEDIS medical record review

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

Reducing the burden of medical record review and improving health outcomes with ECDS reporting

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

Be Antibiotics Aware: Protect your patient

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

Surprisingly easy ways to help patients quit smoking cigarettes

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

Against medical advice (AMA) discharge physician tracking tool

November 2021 Anthem Provider News - Ohio Digital Tools Nov 1, 2021

EnrollSafe is available: Our new electronic funds transfer enrollment portal for Anthem providers

EnrollSafe replaces CAQH Enrollhub effective November 1, 2021
November 2021 Anthem Provider News - Ohio Digital Tools Nov 1, 2021

Update regarding annual wellness visits for ACA-compliant health plans

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

Specialty pharmacy updates are available - November 2021*

*Notice of Material Amendment/Change to Contract (MAC)
November 2021 Anthem Provider News - Ohio Pharmacy Nov 1, 2021

Important update on Botox for Anthem members

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

Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation - professional

November 2021 Anthem Provider News - Ohio Reimbursement Policies Nov 1, 2021

Keep up with Medicare News - November 2021

View these Medicare articles:
- Anthem expands specialty pharmacy prior authorization list
November 2021 Anthem Provider News - Ohio Medicare Nov 1, 2021

Anthem offering Advance Medical Directives program for 2022

November 2021 Anthem Provider News - Ohio Medicare Nov 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

November 2021 Anthem Provider News - Ohio Medicare Nov 1, 2021

New York City Medicare Advantage announcement

November 2021 Anthem Provider News - Ohio Medicare Nov 1, 2021

Clinical criteria updates

November 2021 Anthem Provider News - Ohio Medicare Nov 1, 2021

Electronic data interchange process

November 2021 Anthem Provider News - Ohio Medicare Nov 1, 2021

Important COVID-19 update: Prior authorization and other policy adjustments (Updated October 26, 2021)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing facilities.
COVID-19 Information - Ohio Administrative Oct 26, 2021

Join The Fenway Institute for a CME webinar about improving your LGBTQIA+ patient interactions

Join a live webinar, “LGBTQIA+ Care: Delivering Trust and Belonging with Every Interaction,” presented by the National LGBTQIA+ Health Education Center at The Fenway Institute. 

Gain LGBTQIA+ Patient Interaction Knowledge - Ohio Administrative Oct 21, 2021

New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing providers nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

New 240k member Medicare Advantage Group Retiree PPO plan Medicare Oct 19, 2021

Join the American Heart Association for a CME webinar on hypertension and diabetes disease management


Chronic disease management strategies for your patients with hypertension and diabetes

Date: Friday, October 8, 2021

Time: 12:00 p.m. ET

Clinical Quality CME Webinar Series Continues - Ohio Administrative Oct 5, 2021

Clarification: Anthem’s enhanced claim edits for outpatient facility claims

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

Specialty pharmacy updates are available - October 2021*

*Notice of Material Amendment/Change to Contract (MAC)
October 2021 Anthem Provider News - Ohio Pharmacy Oct 1, 2021

Designated specialty pharmacy network updates effective January 1, 2022*

*Notice of Material Amendment/Change to Contract (MAC)
October 2021 Anthem Provider News - Ohio Pharmacy Oct 1, 2021

Medical policy and clinical guideline updates - October 2021*

*Notice of Material Amendment/Change to Contract (MAC)
October 2021 Anthem Provider News - Ohio Medical Policy & Clinical Guidelines Oct 1, 2021

New reimbursement policy: Multiple and Bilateral Surgery Processing - Facility*

*Notice of Material Amendment/Change to Contract (MAC)
October 2021 Anthem Provider News - Ohio Reimbursement Policies Oct 1, 2021

Reimbursement policy clarification: Claims requiring additional documentation - Facility

October 2021 Anthem Provider News - Ohio Reimbursement Policies Oct 1, 2021

Get your payments faster when you sign up for electronic funds transfer

October 2021 Anthem Provider News - Ohio Medicare Oct 1, 2021

Keep up with Medicare news - October 2021

View these Medicare articles:
- 2021 affirmative statement concerning utilization management decisions
- May 2021 Medical Policies and Utilization Management Guidelines update
October 2021 Anthem Provider News - Ohio Medicare Oct 1, 2021

Looking to earn CME credits? Register for these on-demand webinars!

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

Federal Price Transparency and Consolidated Appropriations Act phase in new mandates beginning January 1, 2022

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

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

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

Are you talking to ALL of your patients about breast cancer screenings?

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

Good news! Non-payment remittance advice enhancements coming soon

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

Clinical appeals

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

Reminder: EnrollSafe, the new EFT enrollment portal for Anthem providers replacing CAQH Enrollhub effective November 1, 2021

October 2021 Anthem Provider News - Ohio Digital Tools Oct 1, 2021

Procedure searches in Find Care

October 2021 Anthem Provider News - Ohio Digital Tools Oct 1, 2021

Reminder: Updated AIM Musculoskeletal Program site of care reviews effective November 1, 2021

October 2021 Anthem Provider News - Ohio Products & Programs Oct 1, 2021

Pharmacy information available at anthem.com

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

New reimbursement policy: Sexually transmitted infections testing (Professional)

October 2021 Anthem Provider News - Ohio Medicare Oct 1, 2021

Information about 2021 Special Needs Plans

October 2021 Anthem Provider News - Ohio Medicare Oct 1, 2021

HEDIS medical record submission made easier with our Remote EMR Access Service

October 2021 Anthem Provider News - Ohio Medicare Oct 1, 2021

New medical step therapy requirements

October 2021 Anthem Provider News - Ohio Medicare Oct 1, 2021

Register today for the Exploring the Impact of Racial Trauma on the Health & Wellbeing of Children forum on September 29, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about the impact of racial trauma on the health and wellbeing on children and adolescents
Racial Trauma & Children - Ohio Administrative Sep 15, 2021

Nurse practitioners eligible to be listed as primary care provider

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

Updates for specialty pharmacy are available - September 2021*

*Notice of Material Amendment/Change to Contract (MAC)
September 2021 Anthem Provider News - Ohio Pharmacy Sep 1, 2021

Reimbursement policy update: Sexually transmitted infections testing - Professional*

*Notice of Material Amendment/Change to Contract (MAC)
September 2021 Anthem Provider News - Ohio Reimbursement Policies Sep 1, 2021

New reimbursement policy update: Inpatient Facility Transfers - Facility*

*Notice of Material Amendment/Change to Contract (MAC)
September 2021 Anthem Provider News - Ohio Reimbursement Policies Sep 1, 2021

Reimbursement policy update: Drug Screen Testing - Professional*

*Notice of Material Amendment/Change to Contract (MAC)
September 2021 Anthem Provider News - Ohio Reimbursement Policies Sep 1, 2021

National Accounts 2022 Pre-certification list

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

Register now for our September CME webinars

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

Statin therapy for patients with diabetes

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

Six SIMPLE strategies to help increase medication adherence

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

Cure for the common cold: Rest, fluids and this free prescription pad

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

HEDIS® medical record submission made easier with our Remote EMR Access Service

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

Get your payments faster when you sign up for electronic funds transfer

Introducing EnrollSafe, the new electronic funds transfer enrollment portal for Anthem providers – replacing CAQH Enrollhub effective November 1, 2021.
September 2021 Anthem Provider News - Ohio Digital Tools Sep 1, 2021

Keep up with Medicare news - September 2021

View this Medicare article:
- Clinical criteria updates notification – May 2021

 

September 2021 Anthem Provider News - Ohio Medicare Sep 1, 2021

Reimbursement Policy Update: DRG Inpatient Facility Transfers

September 2021 Anthem Provider News - Ohio Medicare Sep 1, 2021

Utilization management authorization rule operations

September 2021 Anthem Provider News - Ohio Medicare Sep 1, 2021

Prior authorization form notification

September 2021 Anthem Provider News - Ohio Medicare Sep 1, 2021

Information from Anthem for Care Providers about COVID-19 (updated August 2, 2021)

We recently updated information about coverage dates for telephonic-only care.
COVID-19 Information - Ohio Administrative Aug 2, 2021

Register now for our August CME webinars

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

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

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

Clearing up coding confusion for retinal eye exams (DRE)

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

New! Schedule appointments online through Availity

August 2021 Anthem Provider News - Ohio Digital Tools Aug 1, 2021

Some requests to AIM may require documentation to support prior authorization

August 2021 Anthem Provider News - Ohio Products & Programs Aug 1, 2021

Anthem to update formulary lists for commercial health plan pharmacy benefit effective October 1, 2021*

*Notice of Material Amendment/Change to Contract (MAC)
August 2021 Anthem Provider News - Ohio Pharmacy Aug 1, 2021

Updates for specialty pharmacy are available - August 2021*

*Notice of Material Amendment/Change to Contract (MAC)
August 2021 Anthem Provider News - Ohio Pharmacy Aug 1, 2021

Specialty dose rounding program for certain oncology medications

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

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

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

Immune globulin adjusted body weight dosing program beginning August 1, 2021

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

Pharmacy information available at anthem.com

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

Update: AIM Musculoskeletal Program effective November 1, 2021 - Site of care reviews*

*Notice of Material Amendment/Change to Contract (MAC)
August 2021 Anthem Provider News - Ohio Medical Policy & Clinical Guidelines Aug 1, 2021

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 - Ohio Medical Policy & Clinical Guidelines Aug 1, 2021

Reimbursement policy update: Virtual Visits (Professional and Facility)*

*Notice of Material Amendment/Change to Contract (MAC)
August 2021 Anthem Provider News - Ohio Reimbursement Policies Aug 1, 2021

Reimbursement policy update: Claims requiring additional documentation (Facility)*

*Notice of Material Amendment/Change to Contract (MAC)
August 2021 Anthem Provider News - Ohio Reimbursement Policies Aug 1, 2021

Reimbursement policy update: Distinct Procedural Service, Modifiers 59 and XE, XP, XS, & XU*

*Notice of Material Amendment/Change to Contract (MAC)
August 2021 Anthem Provider News - Ohio Reimbursement Policies Aug 1, 2021

Change in email submission of service requests for Federal Employee Program® members*

*Notice of Material Amendment/Change to Contract (MAC)
August 2021 Anthem Provider News - Ohio Federal Employee Plan (FEP) Aug 1, 2021

Medicare News - August 2021

View these Medicare articles:
- Infliximab Step Therapy - Effective 7/15/2021
- Prior authorization requirement changes effective October 1, 2021 – UM AROW 1907
August 2021 Anthem Provider News - Ohio Medicare Aug 1, 2021

Preventing claims denials: Shingles vaccine

August 2021 Anthem Provider News - Ohio Medicare Aug 1, 2021

Register for upcoming August CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

Motivating Patients to Adhere to Cervical Cancer Prevention and Screening Recommendations
Tuesday, August 3, 2021, 12:00 p.m. ET

10 Best Practices for Improving Pharmacy Quality Measures
Thursday, August 12, 2021, 1:00 p.m. or 3:00 p.m. ET

6 Ways to Improve Risk Adjustment Documentation Accuracy
Tuesday, August 17, 2021, 12:00 p.m. or 3:00 p.m. ET

Register Now!

Clinical Quality CME Webinar Series Continues - Ohio Administrative Jul 29, 2021

Important update to provider UM reimbursement penalties and corresponding entry in Provider Manual*

*Notice of Material Amendment/Change to Contract (MAC)
July 2021 Anthem Provider News - Ohio Administrative Jul 1, 2021

Register now to learn strategies to help you and your practice improve clinical quality

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

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

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

Proper coding for in-home monitoring can make a measurable difference for INR

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

Another mark of the pandemic: An increase in childhood obesity

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

How to enroll in electronic fund transfer (EFT) for faster remittance

July 2021 Anthem Provider News - Ohio Digital Tools Jul 1, 2021

Electronic claim response files

July 2021 Anthem Provider News - Ohio Digital Tools Jul 1, 2021

Interactive Care Reviewer (ICR): New search option for cases submitted through ICR

July 2021 Anthem Provider News - Ohio Digital Tools Jul 1, 2021

Company to retire Blue Precision program at the end of the year

July 2021 Anthem Provider News - Ohio Products & Programs Jul 1, 2021

Reminder: Back Pain Guide program effective July 19, 2021

July 2021 Anthem Provider News - Ohio Products & Programs Jul 1, 2021

Update: Site of care medical necessity reviews for long-acting colony-stimulating factors not implemented on June 1, 2021*

*Notice of Material Amendment/Change to Contract (MAC)
July 2021 Anthem Provider News - Ohio Pharmacy Jul 1, 2021

Designated specialty pharmacy network updates effective October 1, 2021*

*Notice of Material Amendment/Change to Contract (MAC)
July 2021 Anthem Provider News - Ohio Pharmacy Jul 1, 2021

Updates for specialty pharmacy are available - July 2021*

*Notice of Material Amendment/Change to Contract (MAC)
July 2021 Anthem Provider News - Ohio Pharmacy Jul 1, 2021

Certain specialty medication prior authorization requests may require additional documentation*

*Notice of Material Amendment/Change to Contract (MAC)
July 2021 Anthem Provider News - Ohio Pharmacy Jul 1, 2021

Medical Policy and Clinical Guideline Updates - July 2021*

*Notice of Material Amendment/Change to Contract (MAC)
July 2021 Anthem Provider News - Ohio Medical Policy & Clinical Guidelines Jul 1, 2021
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