Ohio
Provider Communications

Provider Spotlight

Aug 8, 2022

Information from Anthem for Care Providers about COVID-19 (updated August 8, 2022)

We recently updated information about coverage dates for telephonic-only care.

Aug 4, 2022

New Digital Provider Enrollment tool added to Availity


Articles Recent

Title Publication Category Date

Information from Anthem for Care Providers about COVID-19 (updated August 8, 2022)

We recently updated information about coverage dates for telephonic-only care.
COVID-19 Information - Ohio Administrative Aug 8, 2022

New Digital Provider Enrollment tool added to Availity

N/A 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

Help patients heal from the comfort of home with Hospital in Home care

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

CAA: Keep your provider directory information current

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

More potato chips, sugary drinks and less physical activity are key contributors to childhood obesity

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

Clearing up coding confusion for diabetic retinal screenings

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

Coming soon: The Anthem Provider Learning Hub makes Availity learning easier

July 2022 Anthem Provider News - Ohio Digital Tools Jul 1, 2022

Enhancing claims attachment processes through the digital application Claims Status Inquiry

July 2022 Anthem Provider News - Ohio Digital Tools Jul 1, 2022

Enhanced reimbursement for voluntary Cancer Care Quality program to be discontinued effective December 31, 2022

July 2022 Anthem Provider News - Ohio Products & Programs Jul 1, 2022

Pharmacy information available at anthem.com

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

New reimbursement policy: Transitional Care Management - professional

July 2022 Anthem Provider News - Ohio Reimbursement Policies Jul 1, 2022

Keep up with Medicare News - July 2022

- New specialty pharmacy medical step therapy requirements
July 2022 Anthem Provider News - Ohio Medicare Jul 1, 2022

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 - Ohio Medicare Jul 1, 2022

Cancer Care Navigator

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

Updates to edits associated with implants

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

New reimbursement policy: Modifier FB - Professional and Facility*

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

Reimbursement policy update: Modifier Rules - Professional*

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

Reimbursement policy update: Laboratory and venipuncture services - professional and facility*

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

Reimbursement policy update: Place of Service - Facility*

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

Retraction for reimbursement policy: Sexually Transmitted Infections - Professional

July 2022 Anthem Provider News - Ohio Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Distinct Procedural Service, Modifiers 59, XE, XP, XS, XU - professional*

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

New! Concierge Cancer Care program for Ohio Federal Employee Program members

July 2022 Anthem Provider News - Ohio Federal Employee Plan (FEP) Jul 1, 2022

Introducing Elevance Health — Focusing on whole health and its most powerful drivers

Elevance Health Administrative Jun 15, 2022

Exploring the Intersection of Race and Disability

Register today for the Exploring the Intersection of Race and Disability forum hosted by Anthem Blue Cross and Blue Shield (Anthem) and Motivo* for Anthem providers on June 22, 2022.
Exploring the Intersection of Race and Disability forum - Ohio Administrative Jun 8, 2022

Forum: Exploring the Intersection of Race and Disability

June 2022 Anthem Provider News - Ohio Administrative Jun 1, 2022

Updates to AIM musculoskeletal program: Monitored anesthesia care reviews*

*Notice of Material Amendment/Change to Contract (MAC)
June 2022 Anthem Provider News - Ohio Products & Programs Jun 1, 2022

Specialty pharmacy updates - June 2022*

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

Medical policy and clinical guideline updates - June 2022*

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

Updated guidance on prior authorization requirements for admissions to in-network long-term acute care hospitals (LTACHs)*

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

Updates to AIM musculoskeletal clinical appropriateness guidelines*

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

Updates to AIM advanced imaging clinical appropriateness guidelines*

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

Updates to AIM sleep disorder management clinical appropriateness guidelines*

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

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

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

Process change for Federal Employee Program third-party correspondence requests

June 2022 Anthem Provider News - Ohio Federal Employee Plan (FEP) Jun 1, 2022

Keep up with Medicare News - June 2022

June 2022 Anthem Provider News - Ohio Medicare Jun 1, 2022

Evaluation and management services for COVID testing - professional

June 2022 Anthem Provider News - Ohio Medicare Jun 1, 2022

Medical drug benefit clinical criteria updates

June 2022 Anthem Provider News - Ohio Medicare Jun 1, 2022

Medical policies and clinical utilization management guidelines update

June 2022 Anthem Provider News - Ohio Medicare Jun 1, 2022

Updates to AIM Specialty Health advanced imaging clinical appropriateness guidelines

June 2022 Anthem Provider News - Ohio Medicare Jun 1, 2022

Provider outreach to validate your provider data

June 2022 Anthem Provider News - Ohio Administrative Jun 1, 2022

Once-a-year testing is critically important to providing quality diabetes care

June 2022 Anthem Provider News - Ohio Administrative Jun 1, 2022

CAA: Provider directories accuracy is important

June 2022 Anthem Provider News - Ohio Administrative Jun 1, 2022

Opioid overdose deaths: What can we do?

June 2022 Anthem Provider News - Ohio Behavioral Health Jun 1, 2022

Keep up with Medicare News - May 2022

- Anthem expands specialty pharmacy precertification list-March 2022 update
- Anthem expands specialty pharmacy precertification list-April 2022 update
- New specialty pharmacy medical step therapy requirements-May 2022 update
May 2022 Anthem Provider News - Ohio Medicare May 1, 2022

Convenient, reliable at-home testing for colorectal cancer and diabetes care

May 2022 Anthem Provider News - Ohio Medicare May 1, 2022

HEDIS 2022: summary of changes from NCQA

May 2022 Anthem Provider News - Ohio Medicare May 1, 2022

New specialty pharmacy medical step therapy requirements-March 2022 update

May 2022 Anthem Provider News - Ohio Medicare May 1, 2022

Evaluation and management services for COVID testing-Professional*

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

Resources to support diverse patients and communities

May 2022 Anthem Provider News - Ohio Administrative May 1, 2022

Anthem announces changes to post-payment audits conducted on our behalf

May 2022 Anthem Provider News - Ohio Administrative May 1, 2022

CAA: Timely updates help keep our provider directories current

May 2022 Anthem Provider News - Ohio Administrative May 1, 2022

Primary care appointment access and open panels

May 2022 Anthem Provider News - Ohio Administrative May 1, 2022

May is National High Blood Pressure Education Month: We’ve got this!

May 2022 Anthem Provider News - Ohio Administrative May 1, 2022

Alcohol use disorder has a big cost

May 2022 Anthem Provider News - Ohio Administrative May 1, 2022

Specialty pharmacy updates - May 2022*

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

MCG Care Guidelines 26th Edition*

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

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

May 2022 Anthem Provider News - Ohio Federal Employee Plan (FEP) May 1, 2022

Join us for an FEP Quality Learning Program live webinar

May 2022 Anthem Provider News - Ohio Federal Employee Plan (FEP) May 1, 2022

Improving antibiotic use for acute respiratory infections in the outpatient setting

CME Webinar Offers CDC's Best Practices for Safe & Effective Antibiotic Prescribing - Ohio Administrative Apr 5, 2022

Specialty pharmacy updates - April 2022*

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

Designated specialty pharmacy network updates*

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

Updated provider manual now available

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

The Anthem, Inc. name is changing

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

Reminder on Botox for Anthem members

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

CAA: Update your provider directory information

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

HEDIS 2022: Summary of changes from NCQA

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

Importance of behavioral healthcare after-hours messaging

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

Catching up on routine vaccines

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

Evaluation and management documentation guidelines

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

Procedure searches in Find Care

April 2022 Anthem Provider News - Ohio Digital Tools Apr 1, 2022

Pharmacy information available at anthem.com

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

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

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

The Anthem, Inc. name is changing

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

Keep up with Medicare News - April 2022

- Medical Policies and Clinical Utilization Management Guidelines update
- AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
- Anthem expands specialty pharmacy precertification list
April 2022 Anthem Provider News - Ohio Medicare Apr 1, 2022

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

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

Reimbursement policy update: Inpatient readmissions

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

The impact of listening

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

Clinical Criteria updates

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

Evaluation and management documentation guidelines

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

Model of Care required training

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

Implementation update for the NYC Medicare Advantage Plus plan, an alliance between Empire BlueCross BlueShield and EmblemHealth

City of New York Retirees will NOT transition to NYC Medicare Advantage Plus on April 1, 2022. Additional updates on a new effective date will be made available at a later date. Read important information about this change here.
Transition to NYC Medicare Advantage Plus Delayed - Ohio Medicare Mar 15, 2022

The Anthem, Inc. name is changing

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

Exploring Implicit Bias in Healthcare for Historically Marginalized Communities

Exploring Implicit Bias in Healthcare for Historically Marginalized Communities has been approved by NBCC for 1.5 hours of NBCC credit. Motivo is solely responsible for all aspects of the program. NBCC Approval No. SP-3833.
Register today for a forum on Exploring Implicit Bias in Healthcare on March 16, 2022 - Ohio Administrative Mar 2, 2022

Evaluation and management services correct coding reminder - professional

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

Specialty pharmacy updates - March 2022*

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