Ohio
Provider Communications

Articles

Title Publication Category Date

The 2019 Provider Manual is now available for your review

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

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

Updated Provider Manual posted to anthem.com

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

Anthem launches additional changes to anthem.com in October

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

Availity: Anthem’s EDI Gateway is now through Availity

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

Availity EDI Gateway Webinars Scheduled

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

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

HEDIS® 2018: Provider Incentive Winners Announced!

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

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

GM, Fiat Chrysler & Delphi/APTIV precertification changes for CY 2019

Oct. 18, 2018 Anthem Ohio Network eUpdate Administrative Oct 18, 2018

Update to Durable Medical Equipment - effective October 14, 2018

October 2018 Anthem Ohio Provider Newsletter Administrative Oct 12, 2018

Reminder: Inpatient commercial claim denials

February 2019 Anthem Ohio Provider Newsletter Administrative Feb 1, 2019

HEDIS® 2019: Controlling High Blood Pressure (CBP)

February 2019 Anthem Ohio Provider Newsletter Administrative Feb 1, 2019

Anthem taps Paul Marchetti to lead company’s overall care transformation strategy

November 2018 Anthem Ohio Network eUpdate Administrative Nov 1, 2018

Reminder: Correspondence must include a valid Anthem member ID number

November 2018 Anthem Ohio Network eUpdate Administrative Nov 1, 2018

Availity: New report for oncology practices

November 2018 Anthem Ohio Network eUpdate Administrative Nov 1, 2018

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - December 2018

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 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Benefits to be available for chronic care management and advance care planning services effective February 23, 2019

January 2019 Anthem Ohio Provider Newsletter Administrative Jan 1, 2019

HEDIS® 2019 starts early February

January 2019 Anthem Ohio Provider Newsletter Administrative Jan 1, 2019

Anthem Streamlines Member ID Cards - Use Availity to Verify Members' Cost Shares and Benefits at Time of Service

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Availity to Serve as EDI Entry Point for Electronic Submissions

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Anthem to Enhance Claim Edits for Outpatient Facility Claims

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Members Can Shop for Cost-Efficient Health Care Using SmartShopper

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

HEDIS® 2018 Commercial Results Are In

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Case Management Program

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes: February 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.
February 2019 Anthem Ohio Provider Newsletter Administrative Feb 1, 2019

ConditionCare Program Benefits Patients and Physicians

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Integrated Care Model for Plans Purchased on the Health Insurance Marketplace Benefits Patients and Physicians

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Coordination of Care

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Important Information about Utilization Management

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Members’ Rights and Responsibilities

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid Available on the Web

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Now Available: Get patient payments faster with Healthcare Bill Payments at anthem.com

September 2018 Anthem Ohio eUpdate Administrative Aug 30, 2018

Anthem launches additional changes to anthem.com in September

September 2018 Anthem Ohio eUpdate Administrative Aug 30, 2018

Submit electronic SOAP notes today using ePASS® and receive $100 each

September 2018 Anthem Ohio eUpdate Administrative Aug 30, 2018

New on Interactive Care Reviewer (ICR): Request Clinical Appeals

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

Availity: Explore the updates to the Medical Attachment Tool

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

UM Process Change: Courtesy approval determination notifications

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

Availity: New look to Claim Status and Secure Messaging

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

Availity: Latest Updates to EDI Gateway Migration

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

Provider Transparency Update

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

Anthem launches additional changes to anthem.com in March

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

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Accurate coding helps provide a comprehensive picture of patients’ health and services provided

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

Anthem Commercial Risk Adjustment (CRA) Program Update: Medical chart collection for ACA members due March 31, 2019

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

Why do patients stop taking their prescribed medications and what can you do to help them?

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

Anthem ePASS® Weekly Webinar Schedule

Sign up for an ePASS® Weekly Webinar!
Jan. 16, 2019 Anthem Ohio Provider Network eUpdate Administrative Jan 16, 2019

New Year Brings New ID Cards - and New ID Numbers - for Many Anthem Members

Jan. 23, 2019 Anthem Ohio Provider Network eUpdate Administrative Jan 23, 2019

New Codes for Applied Behavior Analysis (ABA)

January 2019 Anthem Ohio Provider Newsletter Behavioral Health Jan 1, 2019

Clinical practice and preventive health guidelines

October 2018 Anthem Ohio Provider Newsletter Coverage and Clinical Guidelines Sep 28, 2018

Restructure of AIM Advanced Imaging Clinical Appropriateness Guidelines

December 2018 Anthem Ohio Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Update to AIM Clinical Appropriateness Guidelines

December 2018 Anthem Ohio Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

December 2018 Anthem Ohio Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Interactive Care Reviewer (ICR) New Features

December 2018 Anthem Ohio Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

HEDIS 2019 Federal Employee Program® medical record request requirements

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

2019 FEP Benefit information available online

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

Coordination of Benefits for an FEP® member

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

Benefit change for Infliximab for Federal Employee Program (FEP)

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

Medical Policy and Clinical Guidelines Updates

October 2018 Anthem Ohio Provider Newsletter Medical Policy & Clinical Guidelines Sep 28, 2018

Medical Policy and Clinical Guidelines: February 2019*

February 2019 Anthem Ohio Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Pre-Service/Prior Authorization Clinical Review Update: February 2019*

February 2019 Anthem Ohio Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines*

February 2019 Anthem Ohio Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Anthem adopts neonatal level of care reviews (Neonatal Levels of Care, CG-MED-26)

November 2018 Anthem Ohio Network eUpdate Medical Policy & Clinical Guidelines Nov 1, 2018

Clinical practice and preventive health guidelines available on anthem.com

December 2018 Anthem Ohio Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Medical Polices and Clinical Guidelines Updates - December 2018

December 2018 Anthem Ohio Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Medical Policy and Clinical Guidelines Updates - April 2019*

April 2019 Anthem Provider Newsletter - Ohio Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline*

April 2019 Anthem Provider Newsletter - Ohio Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Ohio Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Ohio Medical Policy & Clinical Guidelines Apr 1, 2019

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines*

April 2019 Anthem Provider Newsletter - Ohio Medical Policy & Clinical Guidelines Apr 1, 2019

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

October 2018 Anthem Ohio Provider Newsletter Medicare Sep 28, 2018

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

October 2018 Anthem Ohio Provider Newsletter Medicare Sep 28, 2018

Please evaluate statin use for MA members with diabetes, cardiovascular disease

October 2018 Anthem Ohio Provider Newsletter Medicare Sep 28, 2018

Medicare pharmacy and prescriber home starts January 2019

October 2018 Anthem Ohio Provider Newsletter Medicare Sep 28, 2018

Keep up with Medicare news

October 2018 Anthem Ohio Provider Newsletter Medicare Sep 28, 2018

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem Ohio Provider Newsletter Medicare Feb 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Ohio Provider Newsletter Medicare Feb 1, 2019

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Ohio Provider Newsletter Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Ohio Provider Newsletter Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Anthem Ohio Provider Newsletter Medicare Feb 1, 2019

Anthem offers risk adjustment and documentation training

January 2019 Anthem Ohio Provider Newsletter Medicare Jan 1, 2019

Paradigm Senior Care Advantage a delegated provider for Akron MA membership

January 2019 Anthem Ohio Provider Newsletter Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Ohio Provider Newsletter Medicare Jan 1, 2019

Keep up with Medicare news

January 2019 Anthem Ohio Provider Newsletter Medicare Jan 1, 2019

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

When and how to initiate Medicare Advantage reopenings

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

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

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

Anthem MA Ohio Field Based Case Management Program

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

Members with COPD eligible for health improvement program

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

Keep up with Medicare news

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

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

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

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

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

Clinical criteria updates for specialty pharmacy

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

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

Keep up with Medicare news

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

Update regarding evaluation and management with modifier 25

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