Virginia
Provider Communications

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Title Publication Category Date

New year brings new ID cards for many Anthem members

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

Let us help you accomplish your 2020 “To Do List” early: EDI Migration

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

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

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

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

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

Upcoming retirement planned for legacy Medical Attachment submission tool

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

Coverage guidelines effective April 1, 2020

January 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Jan 1, 2020

Important update: Milliman Care Guideline (MCG), 23rd Edition; ORG: W0163 Pelvic Organ Prolapse Repair

January 2020 Anthem Provider News - Virginia Guideline Updates Jan 1, 2020

New Musculoskeletal and Pain Management Solution effective for select National ASO Accounts January 1, 2020

January 2020 Anthem Provider News - Virginia Products & Programs Jan 1, 2020

2020 FEP® benefit information available online

January 2020 Anthem Provider News - Virginia Federal Employee Plan (FEP) Jan 1, 2020

Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Virginia Medicaid Jan 1, 2020

Coding spotlight: Provider’s guide to coding respiratory diseases

January 2020 Anthem Provider News - Virginia Medicaid Jan 1, 2020

Inmate Services Program

January 2020 Anthem Provider News - Virginia Medicaid Jan 1, 2020

Verifying and updating your provider information

January 2020 Anthem Provider News - Virginia Medicaid Jan 1, 2020

Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Virginia Medicaid Jan 1, 2020

Keep up with Medicaid news

January 2020 Anthem Provider News - Virginia Medicaid Jan 1, 2020

Introducing a new Medicare Advantage special needs plan for 2020

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

Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

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

Medicare preferred continuous glucose monitors

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

Medical drug benefit Clinical Criteria updates

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

Help protect your patients by providing medical ID protection: Best practices

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

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

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

Healthcare Quality Patient Assessment Form and Patient Assessment Form

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

Medical drug benefit Clinical Criteria updates

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

Electric Boat offers Medicare Advantage options

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

Keep up with Medicare news

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

Anthem works to simplify payment recovery process for National Accounts membership

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

Verifying and updating your provider information

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

Anthem makes improvements to interactive voice response system

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

Accessibility standards for services provided by primary care physicians, specialists and behavioral health practitioners

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

Retrieve your Anthem patient’s HEDIS® care gaps through Patient360 located on the Availity Portal

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

Important information about utilization management

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

Case Management Program

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

Coordination of Care

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

Members’ Rights and Responsibilities

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

Clinical practice and preventive health guidelines available on anthem.com

December 2019 Anthem Provider News - Virginia Guideline Updates Dec 1, 2019

System updates for 2020: Professional

December 2019 Anthem Provider News - Virginia Reimbursement Policies Dec 1, 2019

Pharmacy information available on anthem.com

December 2019 Anthem Provider News - Virginia Pharmacy Dec 1, 2019

Coding tips for Psychological and Neuropsychological Testing

December 2019 Anthem Provider News - Virginia Behavioral Health Dec 1, 2019

Coordination of benefits for members enrolled in the Federal Employee Program®

December 2019 Anthem Provider News - Virginia Federal Employee Plan (FEP) Dec 1, 2019

Coding spotlight: Provider’s guide to coding behavioral and emotional disorders

December 2019 Anthem Provider News - Virginia Medicaid Dec 1, 2019

Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updates

December 2019 Anthem Provider News - Virginia Medicaid Dec 1, 2019

Medical drug benefit Clinical Criteria updates

December 2019 Anthem Provider News - Virginia Medicaid Dec 1, 2019

Keep up with Medicaid news

December 2019 Anthem Provider News - Virginia Medicaid Dec 1, 2019

Direct contracting for nurse practitioners and physician assistants in 2019

December 2019 Anthem Provider News - Virginia Medicare Dec 1, 2019

Medical drug Clinical Criteria updates

December 2019 Anthem Provider News - Virginia Medicare Dec 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement (APM ID 0037943)

December 2019 Anthem Provider News - Virginia Medicare Dec 1, 2019

Reminder to Medicare Advantage providers: Refer patients to contracted network specialists

December 2019 Anthem Provider News - Virginia Medicare Dec 1, 2019

Keep up with Medicare news

December 2019 Anthem Provider News - Virginia Medicare Dec 1, 2019

Attention Professional Providers: Important update regarding timely filing requirement for Anthem’s commercial and Medicare Advantage plans

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

Additional improvements coming to anthem.com

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

Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness Guideline

November 2019 Anthem Provider News - Virginia Guideline Updates Nov 1, 2019

Updates to AIM Radiation Therapy Clinical Appropriateness Guideline

November 2019 Anthem Provider News - Virginia Guideline Updates Nov 1, 2019

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

November 2019 Anthem Provider News - Virginia Guideline Updates Nov 1, 2019

Updates to AIM Spine Surgery Clinical Appropriateness Guideline

November 2019 Anthem Provider News - Virginia Guideline Updates Nov 1, 2019

Appropriate coding helps provide a comprehensive picture of patients’ health

November 2019 Anthem Provider News - Virginia Products & Programs Nov 1, 2019

Anthem’s prior authorization and clinical criteria updates for specialty pharmacy are available

November 2019 Anthem Provider News - Virginia Pharmacy Nov 1, 2019

Remaining members will transition to new PBM, IngenioRx, on January 1, 2020

November 2019 Anthem Provider News - Virginia Pharmacy Nov 1, 2019

Direct contracting for nurse practitioners and physician assistants in 2019

November 2019 Anthem Provider News - Virginia Medicaid Nov 1, 2019

Medical drug Clinical Criteria updates

November 2019 Anthem Provider News - Virginia Medicaid Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Provider News - Virginia Medicaid Nov 1, 2019

Suicide prevention and intervention: What you need to know

November 2019 Anthem Provider News - Virginia Medicaid Nov 1, 2019

Keep up with Medicaid news

November 2019 Anthem Provider News - Virginia Medicaid Nov 1, 2019

Attention professional providers serving Medicare Advantage patients: Important update from Anthem regarding timely filing requirement

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

CMS reminder: Expedited/urgent requests

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

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement (APM ID 0037943)

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

Keep up with Medicare news

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

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

October 8, 2019: Anthem Provider News - Virginia Administrative Oct 8, 2019

Anthem launches additional changes to anthem.com

October 2019 Anthem Provider News - Virginia Administrative Oct 1, 2019

Reminder from HealthKeepers, Inc.: Use LabCorp for lab services for Anthem HealthKeepers and Anthem HealthKeepers Plus members

October 2019 Anthem Provider News - Virginia Administrative Oct 1, 2019

National Accounts 2020 Pre-certification list

October 2019 Anthem Provider News - Virginia Administrative Oct 1, 2019

U.S. Antibiotic Awareness Week is November 11-18, 2019

October 2019 Anthem Provider News - Virginia Administrative Oct 1, 2019

Register now for Anthem’s fall webinar scheduled for October 10

October 2019 Anthem Provider News - Virginia Administrative Oct 1, 2019

Receive important email notifications

October 2019 Anthem Provider News - Virginia Administrative Oct 1, 2019

Coverage Guidelines effective January 1, 2020

October 2019 Anthem Provider News - Virginia Coverage and Clinical Guidelines Oct 1, 2019

Clinical practice and preventive health guidelines available on the Web

October 2019 Anthem Provider News - Virginia Guideline Updates Oct 1, 2019

Anthem Commercial Risk Adjustment (CRA) reporting update: Retrospective Program continues

October 2019 Anthem Provider News - Virginia Products & Programs Oct 1, 2019

Anthem specialty pharmacy medical step therapy drug list clarification

October 2019 Anthem Provider News - Virginia Pharmacy Oct 1, 2019

Biosimilars: What are they?

October 2019 Anthem Provider News - Virginia Pharmacy Oct 1, 2019

Important update to Anthem’s commercial drug lists

October 2019 Anthem Provider News - Virginia Pharmacy Oct 1, 2019

Pharmacy information available on anthem.com

October 2019 Anthem Provider News - Virginia Pharmacy Oct 1, 2019

Federal Employee Program® specialty pharmacy clinical site-of-care prior authorization review

October 2019 Anthem Provider News - Virginia Federal Employee Plan (FEP) Oct 1, 2019

Precertification request turnaround times for the Federal Employee Program

October 2019 Anthem Provider News - Virginia Federal Employee Plan (FEP) Oct 1, 2019

Reimbursement policy update: Early and Periodic Screening, Diagnostic and Treatment (EPSDT)

October 2019 Anthem Provider News - Virginia Medicaid Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Anthem Provider News - Virginia Medicaid Oct 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

October 2019 Anthem Provider News - Virginia Medicaid Oct 1, 2019

An update about Anthem’s direct contracting effort for nurse practitioners and physician assistants

October 2019 Anthem Provider News - Virginia Medicaid Oct 1, 2019

Coverage Guidelines and Clinical Utilization Management Guidelines update

October 2019 Anthem Provider News - Virginia Medicaid Oct 1, 2019

New clinical guideline: Pneumatic compression devices, effective December 1, 2019

October 2019 Anthem Provider News - Virginia Medicaid Oct 1, 2019

Provider orientations

October 2019 Anthem Provider News - Virginia Medicaid Oct 1, 2019

Keep up with Medicaid news

October 2019 Anthem Provider News - Virginia Medicaid Oct 1, 2019

Medical drug Clinical Criteria updates

October 2019 Anthem Provider News - Virginia Medicare Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Anthem Provider News - Virginia Medicare Oct 1, 2019

Update: 2019 risk adjustment provider trainings

October 2019 Anthem Provider News - Virginia Medicare Oct 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update

October 2019 Anthem Provider News - Virginia Medicare Oct 1, 2019

An update about Anthem’s direct contracting effort for nurse practitioners and physician assistants

October 2019 Anthem Provider News - Virginia Medicare Oct 1, 2019

Aspire Telehealth Palliative Care program: Aspire Health* for Medicare members in need of telephonic palliative care

October 2019 Anthem Provider News - Virginia Medicare Oct 1, 2019

Medicare preferred continuous glucose monitors

October 2019 Anthem Provider News - Virginia Medicare Oct 1, 2019

Keep up with Medicare news

October 2019 Anthem Provider News - Virginia Medicare Oct 1, 2019

An update about Anthem’s direct contracting effort for NPs and PAs

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

Commercial fee schedule update from Anthem Blue Cross and Blue Shield in Virginia

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