Ohio
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

2019 FEP Benefit information available online

December 2018 Anthem Ohio Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

2020 affirmative statement concerning utilization management decisions

July 2020 Anthem Provider News - Ohio Medicare Jul 1, 2020

2020 FEP® Benefit information available online

January 2020 Anthem Provider News - Ohio Federal Employee Plan (FEP) Jan 1, 2020

2020 Medicare risk adjustment provider trainings

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

2020 Medicare risk adjustment provider trainings

April 2020 Anthem Provider News - Ohio Medicare Apr 1, 2020

2020 Medicare risk adjustment provider trainings

June 2020 Anthem Provider News - Ohio Medicare Jun 1, 2020

2020 Medicare risk adjustment provider trainings

August 2020 Anthem Provider News - Ohio Medicare Aug 1, 2020

2020 Medicare risk adjustment provider trainings

January 2021 Anthem Provider News - Ohio Medicare Jan 1, 2021

2020 Special Needs Plans

July 2020 Anthem Provider News - Ohio Medicare Jul 1, 2020

2021 FEP® benefit information available online

January 2021 Anthem Provider News - Ohio Federal Employee Plan (FEP) Jan 1, 2021

2021 Medicare Advantage individual benefits and formularies

December 2020 Anthem Provider News - Ohio Medicare Dec 1, 2020

2022 FEP benefit information available online

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

2022 Medicare Advantage service area and benefit updates

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

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

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

Access to more claim denial information is now self-service

March 2021 Anthem Provider News - Ohio Medicare Mar 1, 2021

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

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

Admission review process for Anthem Blue Cross and Blue Shield Federal Employee Program® (FEP) members

July 2020 Anthem Provider News - Ohio Federal Employee Plan (FEP) Jul 1, 2020

AIM Specialty Health programs may require documentation

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

Annual wellness visits for Medicare Advantage members

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

Anthem Blue Cross and Blue Shield (Anthem) working with Optum to collect medical records for risk adjustment

June 2020 Anthem Provider News - Ohio Medicare Jun 1, 2020

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list

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

Anthem Blue Cross and Blue Shield provider orientations

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

Anthem expands specialty pharmacy precertification list

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

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Ohio Provider Newsletter Medicare Feb 1, 2019

Anthem Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific Specialty Drugs and Site of Care

July 2019 Anthem Provider News - Ohio Federal Employee Plan (FEP) Jul 1, 2019

Anthem MA Ohio Field Based Case Management Program

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

Anthem offering Advance Medical Directives program for 2022

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

Anthem offers risk adjustment and documentation training

January 2019 Anthem Ohio Provider Newsletter Medicare Jan 1, 2019

Anthem transitions MA back pain management and cardiology UM programs from OrthoNet to AIM

October 2018 Anthem Ohio Provider Newsletter Medicare Sep 28, 2018

Aspire Telehealth Palliative Care program

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

Attention facilities: Sending admission, discharge and transfer data to Anthem results in improved care management for patients

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

August 2019 Medical drug benefit Clinical Criteria updates

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

Authorizations for post-acute care services

October 2022 Anthem Provider News - Ohio Medicare Oct 4, 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

Benefit change for Infliximab for Federal Employee Program (FEP)

December 2018 Anthem Ohio Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

November 2019 Anthem Provider News - Ohio Medicare Nov 1, 2019

Cancer Care Navigator

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

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

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Anthem Provider Newsletter - Ohio Medicare Mar 1, 2019

Change to the Federal Employee Program clinical grievance and appeal address

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

Changes to prior authorization (PA) requirements

September 2019 Anthem Provider News - Ohio Medicare Sep 1, 2019

Clinical Criteria updates

September 2019 Anthem Provider News - Ohio Medicare Sep 1, 2019

Clinical criteria updates

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

Clinical criteria updates

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

Clinical Criteria updates

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

Clinical criteria updates for specialty pharmacy

March 2019 Anthem Provider Newsletter - Ohio Medicare Mar 1, 2019

Clinical criteria updates notification - December 2020

April 2021 Anthem Provider News - Ohio Medicare Apr 1, 2021

Clinical criteria updates notification - November 2020

April 2021 Anthem Provider News - Ohio Medicare Apr 1, 2021

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

CMS reminder: expedited/urgent requests

November 2019 Anthem Provider News - Ohio Medicare Nov 1, 2019

Coming soon: Electronic attachments

September 2019 Anthem Provider News - Ohio Medicare Sep 1, 2019

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

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

Complex discharge planning

March 2020 Anthem Provider News - Ohio Medicare Mar 1, 2020

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

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

Coordination of Benefits for an FEP® member

December 2018 Anthem Ohio Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Coordination of benefits for an FEP® member

December 2019 Anthem Provider News - Ohio Federal Employee Plan (FEP) Dec 1, 2019

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

Courtesy notification of specialty pharmacy medical step therapy updates

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

COVID-19 information from Anthem Blue Cross and Blue Shield

April 2020 Anthem Provider News - Ohio Medicare Apr 1, 2020

Custom Learning Center located on Availity Essentials Payer Spaces

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

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Provider News - Ohio Medicare Sep 1, 2019

DEXA bone scan criteria for the Federal Employee Program®

June 2021 Anthem Provider News - Ohio Federal Employee Plan (FEP) Jun 1, 2021

Diabetes HbA1c < 8 HEDIS guidance

June 2020 Anthem Provider News - Ohio Medicare Jun 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Anthem Provider News - Ohio Medicare Nov 1, 2020

Digital transactions cut administrative tasks in half

December 2020 Anthem Provider News - Ohio Medicare Dec 1, 2020

Does your practice offer telehealth services? Let us know!

April 2021 Anthem Provider News - Ohio Medicare Apr 1, 2021

Dual Eligible Special Needs (D-SNP) Plans - provider training required

March 2019 Anthem Provider Newsletter - Ohio Medicare Mar 1, 2019

Electric Boat offers Medicare Advantage options

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

Electronic data interchange process

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

Enhancing claims attachment processes through digital applications

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

Evaluation and management documentation guidelines

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

Evaluation and management services correct coding reminder (professional)

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

Evaluation and management services for COVID testing - professional

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

FDA approvals and expedited pathways used - new molecular entities

November 2020 Anthem Provider News - Ohio Medicare Nov 1, 2020

Federal Employee Program® expands specialty pharmacy prior authorization list*

October 2020 Anthem Provider News - Ohio Federal Employee Plan (FEP) Oct 1, 2020

Federal Employee Program® Specialty Pharmacy Clinical Site-of-Care prior authorization review*

October 2019 Anthem Provider News - Ohio Federal Employee Plan (FEP) Oct 1, 2019

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

October 2018 Anthem Ohio Provider Newsletter Medicare Sep 28, 2018

Get faster payments with EFT

February 2022 Anthem Provider News - Ohio Medicare Feb 1, 2022

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

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

Good news: Non-payment remittance advice enhancements are here

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

Greater Dayton Senior Care Advantage - a delegated provider for Dayton, OH Medicare Advantage membership

April 2020 Anthem Provider News - Ohio Medicare Apr 1, 2020

Group Retiree Solutions Kentucky and Ohio HMO Medicare Advantage plans

December 2019 Anthem Provider News - Ohio Medicare Dec 1, 2019

Healthcare Quality Patient Assessment Form and Patient Assessment Form

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

HEDIS 2019 Federal Employee Program® medical record request requirements

February 2019 Anthem Ohio Provider Newsletter Federal Employee Plan (FEP) Feb 1, 2019

HEDIS 2020 Federal Employee Program® medical record request requirements

April 2020 Anthem Provider News - Ohio Federal Employee Plan (FEP) Apr 1, 2020

HEDIS 2021 Federal Employee Program® medical record request requirements

April 2021 Anthem Provider News - Ohio Federal Employee Plan (FEP) Apr 1, 2021

HEDIS 2022 Federal Employee Program medical record request requirements

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

HEDIS 2022: summary of changes from NCQA

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

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

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

Help protect your patients by providing medical ID protection - best practices

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

Home health billing guidelines for contracted providers

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

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

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

Important update on Botox® for Anthem Medicare members

January 2022 Anthem Provider News - Ohio Medicare Jan 1, 2022

In-Office Assessment Program

July 2020 Anthem Provider News - Ohio Medicare Jul 1, 2020

In-Office Assessment program

April 2021 Anthem Provider News - Ohio Medicare Apr 1, 2021

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

Information about 2021 Special Needs Plans

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

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

March 2019 Anthem Provider Newsletter - Ohio Medicare Mar 1, 2019
Page 1 of 3 Next Page