Ohio
Provider Communications

Articles

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

2019 Ohio Provider Manual -- Correction

June 2019 Anthem Provider Newsletter - Ohio Administrative Jun 1, 2019

Access patient-specific drug benefit information through EMR

October 2018 Anthem Ohio Provider Newsletter Pharmacy Sep 28, 2018

AIM programs may require additional prior authorization documentation*

June 2019 Anthem Provider Newsletter - Ohio Administrative Jun 1, 2019

AIM Specialty Health programs may require documentation

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

Anthem Accepts Electronic Prior Authorization Requests for Prescription Medications Online

December 2018 Anthem Ohio Provider Newsletter Pharmacy Dec 1, 2018

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

Anthem announces changes in medical non-oncology specialty drug reviews effective June 15, 2019

June 2019 Anthem Provider Newsletter - Ohio Pharmacy Jun 1, 2019

Anthem Announces Early Launch of IngenioRx

N/A Pharmacy Jan 30, 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

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

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) Reporting Update: Health Assessment requests for 2019 / Alternative reporting engagement

May 2019 Anthem Provider Newsletter - Ohio Administrative May 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program begins; benefits of direct connection access to your EMR

June 2019 Anthem Provider Newsletter - Ohio Administrative Jun 1, 2019

Anthem Contracted Ambulance Providers

May 2019 Anthem Provider Newsletter - Ohio Administrative May 1, 2019

Anthem customizations to MCG care guidelines 23rd edition*

August 2019 Anthem Provider News - Ohio Medical Policy & Clinical Guidelines Aug 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

Anthem expands specialty pharmacy clinically equivalent drug list

October 2018 Anthem Ohio Provider Newsletter Pharmacy Sep 28, 2018

Anthem expands specialty pharmacy level of care (clinical site of care) drug list

October 2018 Anthem Ohio Provider Newsletter Pharmacy Sep 28, 2018

Anthem expands specialty pharmacy medical step therapy drug list for agents for hereditary angioedema*

May 2019 Anthem Provider Newsletter - Ohio Pharmacy May 1, 2019

Anthem expands specialty pharmacy medical step therapy drug list*

February 2019 Anthem Ohio Provider Newsletter Pharmacy Feb 1, 2019

Anthem expands specialty pharmacy prior authorization list

October 2018 Anthem Ohio Provider Newsletter Pharmacy Sep 28, 2018

Anthem expands specialty pharmacy prior authorization list*

February 2019 Anthem Ohio Provider Newsletter Pharmacy Feb 1, 2019

Anthem expands specialty pharmacy prior authorization list*

June 2019 Anthem Provider Newsletter - Ohio Pharmacy Jun 1, 2019

Anthem expands specialty pharmacy prior authorization list*

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

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 fights opioid addiction: Extension for Community Healthcare Outcomes and Quality Medication-Assisted Therapy

October 2018 Anthem Ohio Provider Newsletter Products & Programs Sep 28, 2018

Anthem launches additional changes to anthem.com for Q2

June 2019 Anthem Provider Newsletter - Ohio Administrative Jun 1, 2019

Anthem launches additional changes to anthem.com in March

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

Anthem launches additional changes to anthem.com in October

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

Anthem launches additional changes to anthem.com in September

September 2018 Anthem Ohio eUpdate Administrative Aug 30, 2018

Anthem MA Ohio Field Based Case Management Program

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

Anthem offers risk adjustment and documentation training

January 2019 Anthem Ohio Provider Newsletter Medicare Jan 1, 2019

Anthem specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents*

May 2019 Anthem Provider Newsletter - Ohio Pharmacy May 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

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

November 2018 Anthem Ohio Network eUpdate Administrative Nov 1, 2018

Anthem to acquire Beacon Health Options

N/A Behavioral Health Jun 6, 2019

Anthem to Enhance Claim Edits for Outpatient Facility Claims

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 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

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

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

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 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

Attention: Availity launches additional changes to the new look to our Medical Attachment submission tool

May 2019 Anthem Provider Newsletter - Ohio Administrative May 1, 2019

Availity EDI Gateway Webinars Scheduled

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

Availity to Serve as EDI Entry Point for Electronic Submissions

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Availity: Anthem’s EDI Gateway is now through Availity

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

Availity: Explore the updates to the Medical Attachment Tool

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

Availity: New look to Claim Status and Secure Messaging

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

Availity: New report for oncology practices

November 2018 Anthem Ohio Network eUpdate Administrative Nov 1, 2018

Benefit change for Infliximab for Federal Employee Program (FEP)

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

Bundled Services and Supplies (Professional)

December 2018 Anthem Ohio Provider Newsletter Reimbursement Policies Dec 1, 2018

Case Management Program

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

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

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

Changes in Automotive Accounts AIM Processing effective Jan. 1

Dec. 14, 2018 Anthem Ohio Network eUpdate Products & Programs Dec 14, 2018

Clinical criteria and prior authorization updates for specialty pharmacy are available*

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

Clinical Criteria coding updates for specialty pharmacy are available

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

Clinical criteria updates for specialty pharmacy

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

Clinical criteria updates for specialty pharmacy

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

Clinical criteria updates for specialty pharmacy

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

Clinical criteria updates for specialty pharmacy*

February 2019 Anthem Ohio Provider Newsletter Pharmacy Feb 1, 2019

Clinical Guideline Update - May 2019*

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

Clinical practice and preventive health guidelines

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

Clinical practice and preventive health guidelines available on anthem.com

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

Clinical Validation: Professional*

July 2019 Anthem Provider News - Ohio Reimbursement Policies Jul 1, 2019

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Ohio Provider Newsletter Medicare Dec 1, 2018

Coming Soon: Anthem Electronic Attachments

June 2019 Anthem Provider Newsletter - Ohio Administrative Jun 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

ConditionCare Program Benefits Patients and Physicians

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Coordination of Benefits for an FEP® member

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

Coordination of Care

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

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

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

Electronic Member ID Cards - Easy online access on the Availity Portal

May 2019 Anthem Provider Newsletter - Ohio Administrative May 1, 2019

Eligible facilities to bill modifiers JG and TB on 340B drugs

January 2019 Anthem Ohio Provider Newsletter Pharmacy Jan 1, 2019

Explore new enhancements to the Availity Education and Reference Center

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

Find A Doctor -- New Sort Option

June 2019 Anthem Provider Newsletter - Ohio Administrative Jun 1, 2019

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

October 2018 Anthem Ohio Provider Newsletter Medicare Sep 28, 2018

GM Precertification and Integrated Health Management (360 Health) changes for CY 2019

December 2018 Anthem Ohio Provider Newsletter Products & Programs Dec 1, 2018

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

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

Health Care Reform (including Health Insurance Exchange) Updates and Notifications

October 2018 Anthem Ohio Provider Newsletter Products & Programs Sep 28, 2018

HEDIS 2019 Federal Employee Program® medical record request requirements

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

HEDIS® 2018 Commercial Results Are In

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

HEDIS® 2018: Provider Incentive Winners Announced!

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

HEDIS® 2019 starts early February

January 2019 Anthem Ohio Provider Newsletter Administrative Jan 1, 2019

HEDIS® 2019: Controlling High Blood Pressure (CBP)

February 2019 Anthem Ohio Provider Newsletter Administrative Feb 1, 2019

Home health billing guidelines for contracted providers

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

ICD-10-CM Coding Guidelines and Laterality: Professional

July 2019 Anthem Provider News - Ohio Reimbursement Policies Jul 1, 2019

Important Information about Utilization Management

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Important reminder regarding specialty pharmacy clinical site of care program

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

Important update to Anthem’s commercial drug lists

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

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

December 2018 Anthem Ohio Provider Newsletter Medicare 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

Integrated Medical and Behavioral Healthcare Services Billing

October 2018 Anthem Ohio Provider Newsletter Reimbursement Policies Sep 28, 2018

Interactive Care Reviewer (ICR) New Features

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

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

Introducing the New Clinical Criteria Page for Injectable, Infused or Implanted Drugs

December 2018 Anthem Ohio Provider Newsletter Pharmacy Dec 1, 2018

Keep up with Medicare news

October 2018 Anthem Ohio Provider Newsletter Medicare Sep 28, 2018
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