Ohio
Provider Communications

Articles Category: Administrative

Title Publication Category Date

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

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

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators Administrative Jun 25, 2021

Keep your contact information current

June 2021 Anthem Provider News - Ohio Administrative Jun 1, 2021

Answering your claims questions is easier through chat; secure messaging will sunset soon, start using chat now

June 2021 Anthem Provider News - Ohio Administrative Jun 1, 2021

Regular check-ins with your clearinghouse could affect timely filing

June 2021 Anthem Provider News - Ohio Administrative Jun 1, 2021

Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study finds

June 2021 Anthem Provider News - Ohio Administrative Jun 1, 2021

Interactive Care Reviewer’s new copy feature decreases time to submit authorization request

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

Submit EDI corrected claims via Availity or EDI

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

Digital solution options with Availity

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

Two great learning resources on one secure portal

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

Register for upcoming 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.

5 Strategies to Improve Your Quality Measures - June 10th, 12 p.m. or 3 p.m. ET
7 Ways to Enhance Your Patients’ Experience - June 17th, 12 p.m. or 3 p.m. ET

Register now!


Clinical Quality CME Webinar Series - Ohio Administrative May 27, 2021

Register today for the In Pursuit of Racial Equity: Deconstructing Bias forum hosted by Anthem and Motivo on June 9, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about racial equity and implicit bias.
Deconstructing Bias Forum Invitation - Ohio Administrative May 21, 2021

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - May 2021

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
May 2021 Anthem Provider News - Ohio Administrative May 1, 2021

Resources to support diverse patients and communities

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

Referring to network DME providers for negative pressure wound therapy helps members save on out-of-pocket costs

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

2021 Affirmative statement regarding utilization management decisions

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

A helpful and complete guide to covered well-child visits

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

May is National High Blood Pressure Education Month

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

Digital online scheduling feature now available in the Availity Portal

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

Provider bulletins for medical and itemized bill attachments: Electronic solutions at your fingertips

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

Sending larger digital attachments through Availity

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

COVID fee schedule changes*

*Notice of Material Amendment/Change to Contract (MAC)
COVID-19 Information - Ohio Administrative Apr 1, 2021

Updated Provider Manual now available

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

Does your practice offer telehealth services? Let us know!

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

Information Center - Access important policies, forms and helpful resources

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

Understanding Availity roles for electronic data interchange (EDI)

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

Make the change to digital authorization/referral and hospital admission notifications using EDI

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

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

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

Chat directly with a prior authorization specialist

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

Keeping up with routine vaccination during COVID-19

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

Interactive bilingual website taking action for our health

Exclusively developed for the Latino Community
April 2021 Anthem Provider News - Ohio Administrative Apr 1, 2021

Join Anthem in talking about racism and its impact on health

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

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - April 2021

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
April 2021 Anthem Provider News - Ohio Administrative Apr 1, 2021

Medical attachment capability now includes itemized bills and more!

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

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - March 2021

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
March 2021 Anthem Provider News - Ohio Administrative Mar 1, 2021

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - February 2021

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
February 2021 Anthem Provider News - Ohio Administrative Feb 1, 2021

New provider directory indicator for telehealth services

February 2021 Anthem Provider News - Ohio Administrative Feb 1, 2021

New Anthem utilization management tool now available on Availity: Authorization Rules Lookup tool

February 2021 Anthem Provider News - Ohio Administrative Feb 1, 2021

Register today for The Road to Allyship Forum hosted by Anthem and Motivo on February 3, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about racial equity and the importance of allies.
The Road to Allyship Forum Invitation Administrative Jan 21, 2021

Important COVID-19 update: Prior authorization and other policy adjustments (Updated January 13, 2021)

Prior authorization requirements updated for patient transfers from acute inpatient hospitals to skilled nursing facilities.
COVID-19 Information - Ohio Administrative Jan 13, 2021

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated January 8, 2021)

We’ve updated information about coverage for telephonic-only care.
COVID-19 Information - Ohio Administrative Jan 8, 2021

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - January 2021

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
January 2021 Anthem Provider News - Ohio Administrative Jan 1, 2021

It is almost CAHPS survey time!

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

Evaluation and management changes 2021

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

New Blue HPN® plans go live January 1, 2021

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

Outpatient system updates for 2021 - Facility

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

Professional system updates for 2021

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

New features added to Interactive Care Reviewer

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

Procedure searches in Find Care: New sort option

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

Availity attachment tools for Anthem and affiliate payers - Live webinars

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

Self-service, digital transactions are fast and easy

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

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - December 2020

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
December 2020 Anthem Provider News - Ohio Administrative Dec 1, 2020

New Blue HPN® plans go live Jan. 1, 2021

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

Anthem and Quest Diagnostics form strategic relationship

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

Updated BlueCard® Provider Manual available

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

Anthem contracted air ambulance providers for Ohio

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

Access to claim denial information is now self-service

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

2-minute videos to engage patients about preventive care

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

Anthem makes going digital easy with the Provider Digital Engagement Supplement

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

PCP after-hours access requirements

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

Coordination of care

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

Members’ rights and responsibilities

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

Important information about utilization management

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

Case management program

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

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - November 2020

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
November 2020 Anthem Provider News - Ohio Administrative Nov 1, 2020

Availity attachment tools for Anthem and affiliate payers - Live Webinars

Sign up for upcoming webinars!
November 2020 Anthem Provider News - Ohio Administrative Nov 1, 2020

Clinical Laboratory Improvement Amendments (CLIA) Number - Additional Information

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

Digital transactions cut administrative tasks in half

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

Get the full picture of your patient’s health through their smartphone

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

US Antibiotic Awareness Week

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

National Accounts 2021 Pre-certification list*

October 2020 Anthem Provider News - Ohio Administrative Oct 1, 2020

Anthem Chat: A fast, easy way to have your questions answered

October 2020 Anthem Provider News - Ohio Administrative Oct 1, 2020

New medical claim attachment webinars: Register today

October 2020 Anthem Provider News - Ohio Administrative Oct 1, 2020

Electronic member ID cards available on the Availity portal

October 2020 Anthem Provider News - Ohio Administrative Oct 1, 2020

What Matters Most: Improving the patient experience

October 2020 Anthem Provider News - Ohio Administrative Oct 1, 2020

Anthem Commercial Risk Adjustment (CRA) Reporting Update: New guidance on telephone-only service CPT codes for risk adjustment program

October 2020 Anthem Provider News - Ohio Administrative Oct 1, 2020

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - October 2020

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
October 2020 Anthem Provider News - Ohio Administrative Oct 1, 2020

Updated Provider Manual now available*

October 2020 Anthem Provider News - Ohio Administrative Oct 1, 2020

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - September 2020

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
September 2020 Anthem Provider News - Ohio Administrative Sep 1, 2020

Inclusion of AIM-reviewed services in UM reimbursement penalties

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

New provider directory indicators for medication assisted treatment (MAT) providers

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

EDI Gateway migration deadline is September 15, 2020

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

Providers can now receive and respond to medical record requests for post-pay audit via Change Healthcare’s Assurance Attach Assist Module

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

Enhanced medical records submission process to support claims processing

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

Patient360 adds care gap alert feedback for medical providers

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

Anthem Commercial Risk Adjustment (CRA) Reporting Update: 2020 Prospective Program continues

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

Notice of material changes/amendments to contract and prior authorization changes - August 2020

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
- Anthem prior authorization updates for specialty pharmacy are available-August 2020*
- Medical Policy and Clinical Guideline Updates-August 2020*
- Expansion of AIM Musculoskeletal Program effective November 1, 2020*
- Reimbursement Policy Update: Claims requiring additional documentation (Facility)*
August 2020 Anthem Provider News - Ohio Administrative Aug 1, 2020
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