Ohio
Provider Communications

Articles Category: Administrative

Title Publication Category Date

The 2019 Provider Manual is now available for your review

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

CAA: Update your provider directory information

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

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes: April 2019

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 2019 Anthem Provider Newsletter - Ohio Administrative Apr 1, 2019

Case management program

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

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

Important information about utilization management

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

Catching up on routine vaccines

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

COVID fee schedule changes*

*Notice of Material Amendment/Change to Contract (MAC)
COVID-19 Information - Ohio – Publication RETIRED as of November 8, 2022 Administrative Apr 1, 2021

Evaluation and management documentation guidelines

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

Updated Provider Manual now available

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

Telephonic-only care allowance extended through April 11, 2023

Telephonic-only care allowance extended through April 11, 2023 - Ohio Administrative Jan 11, 2023

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

Reminder to providers: Fee schedule information

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

Introducing lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

Beginning June 1, 2020, Anthem is introducing our Anthem Health Access Plans for certain large group employers currently enrolled in our commercial lines of business only.
COVID-19 Information - Ohio – Publication RETIRED as of November 8, 2022 Administrative May 26, 2020

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

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

Update to Provider UM reimbursement penalties and corresponding update to Provider Manual*

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

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

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

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

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

Chat directly with a prior authorization specialist

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

Make the move to the Availity EDI Gateway today

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

A special thank you to Care Providers

Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.
COVID-19 Information - Ohio – Publication RETIRED as of November 8, 2022 Administrative Jun 1, 2020

Keeping up with routine vaccination during COVID-19

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

Anthem Commercial Risk Adjustment (CRA) Reporting Update: 2019 Program Year Progression -- What’s in it for you and your patients?

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

Interactive bilingual website taking action for our health

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

Important reminder: New ID cards for many of our Anthem Blue Cross and Blue Shield members

New ID cards for Anthem Blue Cross and Blue Shield members - Ohio Administrative Jan 19, 2023

Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measures

March 2023 Anthem Provider News - Ohio Administrative Mar 1, 2023

Join Anthem in talking about racism and its impact on health

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

Updates to edits associated with implants

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

Anthem acquires Beacon Health Options

April 2020 Anthem Provider News - Ohio Administrative Mar 2, 2020

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - June 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.
June 2020 Anthem Provider News - Ohio Administrative Jun 1, 2020

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

Update to facility editing: HCPCS code G0463

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

Carelon Medical Benefits Management (formerly AIM Specialty Health) Radiology Clinical Appropriateness Guidelines CPT code list update*

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

March 2023 Anthem Provider News - Ohio Administrative Mar 1, 2023

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - July 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.
July 2020 Anthem Provider News - Ohio Administrative Jul 1, 2020

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

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

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

CAA: Keep your provider directory information current

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

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

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

It is almost CAHPS survey time!

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

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

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

Clearing up coding confusion for diabetic retinal screenings

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

Evaluation and management changes 2021

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

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

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

Important change to prior authorization requests for inpatient hospital admissions*

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

New Blue HPN® plans go live January 1, 2021

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

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

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

Welcome to the Custom Learning Center in Availity

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

Outpatient system updates for 2021 - Facility

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

Anthem Commercial Risk Adjustment (CRA) Reporting Update: 2020 Program Year Progression - What’s in it for you and your patients?

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

Professional system updates for 2021

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

Good news! Non-payment remittance advice enhancements coming soon

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

New features added to Interactive Care Reviewer

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

Clinical appeals

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

Procedure searches in Find Care: New sort option

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

Keep your contact information current

June 2021 Anthem Provider News - Ohio Administrative Jun 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

Updated Provider Manual posted to anthem.com

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

Postponed: Review of professional claims with emergency room level 5 E/M codes

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

Anthem waives cost share for COVID-19 treatment (Updated May 29, 2020)

Effective April 1, we expanded coverage for our members undergoing treatment related to a COVID-19 diagnosis, which covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020.
COVID-19 Information - Ohio – Publication RETIRED as of November 8, 2022 Administrative May 29, 2020

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

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

Availity: Upcoming retirement planned for legacy Medical Attachment submission tool

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

Regular check-ins with your clearinghouse could affect timely filing

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

Anthem launches additional changes to anthem.com in October

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

Let Us Help You Accomplish Your 2020 “To-Do List” Early - EDI Migration

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

Availity: Anthem’s EDI Gateway is now through Availity

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

The New Year brings New ID Cards for many Anthem members

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

Availity EDI Gateway Webinars Scheduled

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

Receive and respond to post pay audit medical record requests via Availity beginning February 10, 2020

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

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

Explore new enhancements to the Availity Education and Reference Center

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

Special Investigations Unit (SUI) Updates: FDA Warnings

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

Have you reviewed your online provider directory information lately?

February 2023 Anthem Provider News - Ohio Administrative Feb 1, 2023

New policy for EMR clinical data sharing and ADT notifications*

*Notice of Material Amendment/Change to Contract (MAC)
March 2023 Anthem Provider News - Ohio Administrative Mar 1, 2023

HEDIS® 2018: Provider Incentive Winners Announced!

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

Evaluation and management services correct coding reminder - professional

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

Do you offer telehealth services? Let us know!

February 2023 Anthem Provider News - Ohio Administrative Feb 1, 2023

Are you looking for innovative ways to improve your patients’ experiences and earn CME credits?

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

Federal Resources Available for Care Providers and Employers in the Federal CARES Act

During the COVID-19 crisis, care providers are working to keep the country running while navigating the financial impact it is having on them. To help care providers navigate the resources available to them, Anthem has compiled information on programs we have learned about that could provide additional financial relief during this crisis.
COVID-19 Information - Ohio – Publication RETIRED as of November 8, 2022 Administrative Apr 10, 2020

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

New! Vaccination resource page for providers

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

You are invited: Advancing Mental Health Equity for Youth & Young Adults

Register today for the Advancing Mental Health Equity for Youth & Young Adults forum hosted by Anthem Blue Cross and Blue Shield (Anthem) and Motivo* for Anthem providers on March 15, 2023.
March 2023 Anthem Provider News - Ohio Administrative Mar 1, 2023

CAA: Have you reviewed your online provider directory information lately?

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

Updated preventive care guidance regarding screening colonoscopies

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

Anthem introduces lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

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

Understanding your patients’ differences is lifesaving

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

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services – 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 Jan 8, 2021

Your influence matters: Recommending cancer screenings to your patients

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

Anthem Commercial Risk Adjustment (CRA) Program Update: Retrospective Program Begins; Prospective Program Continues

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

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes -- September 2019

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 2019 Anthem Provider News - Ohio Administrative Sep 1, 2019

Availity Portal Notification Center

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

Continuing to Explore the Intersection of Race and Disability

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

Quality Corner: CPT® Category II Codes - Collaborating for enhanced patient care

June 2020 Anthem Provider News - Ohio Administrative Jun 1, 2020
Page 1 of 5 Next Page