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

Case management program

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

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

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 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

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 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

Join Anthem in talking about racism and its impact on health

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

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

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

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

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

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

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

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 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

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

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

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 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

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

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

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

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

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

Verifying and updating your provider information

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

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes -- August 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.
August 2019 Anthem Provider News - Ohio Administrative Aug 1, 2019

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

Information from Anthem for Care Providers about COVID-19 (updated June 9, 2021)

We recently updated information about coverage and cost shares for telephonic-only care.
COVID-19 Information - Ohio Administrative Jun 9, 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 - 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

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

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

COVID-19 information repository for Anthem Care Providers

May 2020 Anthem Provider News - Ohio Administrative May 1, 2020

Anthem works to simplify payment recovery process for National Accounts membership

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

Medical attachment capability now includes itemized bills and more!

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

Retrieve your Anthem Patient’s HEDIS® care gaps through Patient360 located on the Availity portal

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

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

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

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

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

The 2020 Provider Manual is now available

May 2020 Anthem Provider News - Ohio Administrative May 1, 2020

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

Case management program

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

Anthem Commercial Risk Adjustment (CRA) Prospective Program Update: Assessing Your Patients for Risk Adjustable Conditions

May 2020 Anthem Provider News - Ohio Administrative May 1, 2020

Updated Provider Manual now available*

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

Quality Corner: Diabetes HbA1c<8 HEDIS Guidance

May 2020 Anthem Provider News - Ohio Administrative May 1, 2020

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

Enhanced search and download options allow easy access to information at your fingertips

Oct. 9, 2019 Anthem Provider News - Ohio Administrative Oct 9, 2019

Coordination of care

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

National Accounts 2021 Pre-certification list*

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

Important information about utilization management

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

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

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

Members’ rights and responsibilities

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

New medical claim attachment webinars: Register today

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

Clinical practice and preventive health guidelines available

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

What Matters Most: Improving the patient experience

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

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

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

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

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes -- July 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.
July 2019 Anthem Provider News - Ohio Administrative Jul 1, 2019

Register now to learn strategies to help you and your practice improve clinical quality

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