Ohio
Provider Communications

Articles

Title Publication Category Date

Anthem prior authorization updates for specialty pharmacy are available - July 2020*

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

Anthem prior authorization updates for specialty pharmacy are available - June 2020*

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

Anthem prior authorization updates for specialty pharmacy are available - May 2020*

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

Anthem SOAP Notes/Health Assessments for 2019 calendar year are due February 15, 2020

February 2020 Anthem Provider News - Ohio Administrative Feb 1, 2020

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 specialty pharmacy medical step therapy drug list- clarification

October 2019 Anthem Provider News - Ohio Pharmacy Oct 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 accept Hospital in Home services

September 2022 Anthem Provider News - Ohio Administrative Sep 1, 2022

Anthem to acquire Beacon Health Options

N/A Behavioral Health Jun 6, 2019

Anthem to delay most April 1, 2020 formulary list updates for commercial health plan pharmacy benefit

COVID-19 Information - Ohio – Publication RETIRED as of November 8, 2022 Pharmacy Apr 1, 2020

Anthem to Enhance Claim Edits for Outpatient Facility Claims

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Anthem to update formulary lists for commercial health plan pharmacy benefit

February 2020 Anthem Provider News - Ohio Pharmacy Feb 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

August 2020 Anthem Provider News - Ohio Pharmacy Aug 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

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

Anthem to update formulary lists for commercial health plan pharmacy benefit

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

Anthem to update formulary lists for commercial health plan pharmacy benefit effective October 1, 2021*

*Notice of Material Amendment/Change to Contract (MAC)
August 2021 Anthem Provider News - Ohio Pharmacy Aug 1, 2021

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 updates formulary lists for commercial health plan pharmacy benefit

October 2020 Anthem Provider News - Ohio Pharmacy Oct 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

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 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 2019 Anthem Provider News - Ohio Administrative Dec 1, 2019

Appropriate coding helps provide a comprehensive picture of patients’ health

November 2019 Anthem Provider News - Ohio Administrative Nov 1, 2019

Appropriate coding helps provide a comprehensive picture of patients’ health

August 2020 Anthem Provider News - Ohio Administrative Aug 1, 2020

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

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

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

Aspire Telehealth Palliative Care program

October 2019 Anthem Provider News - Ohio Medicare Oct 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

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

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

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

August 2019 Medical drug benefit Clinical Criteria updates

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

Authorization application enhancements: faster, easier, and more efficient

November 2022 Anthem Provider News - Ohio Digital Tools Nov 1, 2022

Authorizations for post-acute care services

October 2022 Anthem Provider News - Ohio Medicare Oct 4, 2022

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

Availity attachment tools for Anthem and affiliate payers - Live webinars

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

Availity EDI Gateway Webinars Scheduled

October 2018 Anthem Ohio Provider Newsletter Administrative Sep 28, 2018

Availity Essentials provider chat - a fast, easy way to get your UM questions answered for Federal Employee members

October 2022 Anthem Provider News - Ohio Federal Employee Plan (FEP) Oct 1, 2022

Availity Portal Notification Center

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

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

Availity: Upcoming retirement planned for legacy Medical Attachment submission tool

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

Be Antibiotics Aware: Protect your patient

November 2021 Anthem Provider News - Ohio Administrative Nov 1, 2021

Behavioral healthcare appointment access requirements

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

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

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

November 2019 Anthem Provider News - Ohio Medicare Nov 1, 2019

Blue High Performance Network expanded to include Dayton, Ohio region

November 2022 Anthem Provider News - Ohio Administrative Nov 1, 2022

Blue High Performance Network name changing for 2022

November 2021 Anthem Provider News - Ohio Administrative Nov 1, 2021

Bundled Services and Supplies (Professional)

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

CAA: Current provider directory information is key for members and providers to engage with you seamlessly

September 2022 Anthem Provider News - Ohio Administrative Sep 1, 2022

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

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

CAA: Keep your provider directory information current

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

CAA: Keep your provider directory information up to date

November 2022 Anthem Provider News - Ohio Administrative Nov 1, 2022

CAA: Provider directories accuracy is important

June 2022 Anthem Provider News - Ohio Administrative Jun 1, 2022

CAA: Review your online provider directory information

October 2022 Anthem Provider News - Ohio Administrative Oct 1, 2022

CAA: Timely updates help keep our provider directories current

May 2022 Anthem Provider News - Ohio Administrative May 1, 2022

CAA: Update your provider directory information

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

Cancer Care Navigator

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

Case Management Program

December 2018 Anthem Ohio Provider Newsletter Administrative Dec 1, 2018

Case management program

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

Case management program

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

Case management program

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

Certain specialty medication prior authorization requests may require additional documentation*

*Notice of Material Amendment/Change to Contract (MAC)
July 2021 Anthem Provider News - Ohio Pharmacy Jul 1, 2021

Change in coverage for continuous glucose monitors for some fully insured groups

November 2021 Anthem Provider News - Ohio Administrative Nov 1, 2021

Change in email submission of service requests for Federal Employee Program® members*

*Notice of Material Amendment/Change to Contract (MAC)
August 2021 Anthem Provider News - Ohio Federal Employee Plan (FEP) Aug 1, 2021

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

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

Change to the Federal Employee Program clinical grievance and appeal address

March 2022 Anthem Provider News - Ohio Federal Employee Plan (FEP) Mar 1, 2022

Changes in Automotive Accounts AIM Processing effective Jan. 1

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

Changes to prior authorization (PA) requirements

September 2019 Anthem Provider News - Ohio Medicare Sep 1, 2019

Chat directly with a prior authorization specialist

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

Chlamydia is asymptomatic. Only through screening will we know for sure

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

Claim editing update for Excludes1 notes

September 2019 Anthem Provider News - Ohio Reimbursement Policies Sep 1, 2019

Claims editing update for ICD-10-CM Excludes 1 notes

March 2021 Anthem Provider News - Ohio Reimbursement Policies Mar 1, 2021

Claims requiring additional documentation facility reimbursement policy update

September 2019 Anthem Provider News - Ohio Administrative Sep 1, 2019

Claims status message enhancements: providing clear descriptions and actionable next steps

November 2022 Anthem Provider News - Ohio Digital Tools Nov 1, 2022

Clarification to reimbursement policy updates: Modifier Rules and Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation - professional

November 2021 Anthem Provider News - Ohio Reimbursement Policies Nov 1, 2021

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

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

Clearing up coding confusion for retinal eye exams (DRE)

August 2021 Anthem Provider News - Ohio Administrative Aug 1, 2021

Clinical appeals

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

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

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

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

September 2019 Anthem Provider News - Ohio Pharmacy Sep 1, 2019

Clinical Criteria coding updates for specialty pharmacy are available

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

Clinical Criteria updates

September 2019 Anthem Provider News - Ohio Medicare Sep 1, 2019

Clinical criteria updates

November 2021 Anthem Provider News - Ohio Medicare Nov 1, 2021

Clinical criteria updates

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

Clinical Criteria updates

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

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

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

Clinical criteria updates for specialty pharmacy*

February 2019 Anthem Ohio Provider Newsletter Pharmacy Feb 1, 2019

Clinical criteria updates notification - December 2020

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

Clinical criteria updates notification - November 2020

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

Clinical Guideline Update - May 2019*

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