Virginia
Provider Communications

Provider Spotlight

Sep 23, 2021

Important COVID-19 Update: Prior authorization and other policy adjustments (Updated September 23, 2021)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing facilities.

Sep 1, 2021

Get your payments faster when you sign up for electronic funds transfer

Introducing EnrollSafe, the new electronic funds transfer enrollment portal for Anthem providers - replacing CAQH Enrollhub effective November 1, 2021.


Articles Recent

Title Publication Category Date

Important COVID-19 Update: Prior authorization and other policy adjustments (Updated September 23, 2021)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing facilities.
COVID-19 Information Administrative Sep 23, 2021

Register today for the Exploring the Impact of Racial Trauma on the Health and Wellbeing of Children forum on September 29, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about the impact of racial trauma on the health and wellbeing of children and adolescents.

Racial Trauma and Children Administrative Sep 15, 2021

UPDATE: Company to implement provider claim payment dispute process for Commercial lines of business on September 21

September 2021 Anthem Provider News - Virginia Administrative Sep 1, 2021

National Accounts 2022 Pre-certification list

September 2021 Anthem Provider News - Virginia Administrative Sep 1, 2021

Statin therapy for patients with diabetes

Achieve 90% patient statin therapy adherence with a personalized approach
September 2021 Anthem Provider News - Virginia Administrative Sep 1, 2021

Six SIMPLE strategies to help increase medication adherence

September 2021 Anthem Provider News - Virginia Administrative Sep 1, 2021

Cure for the common cold: Rest, fluids and this free prescription pad

Be Antibiotic Aware campaign offers a prescription solution to antibiotics.

 

September 2021 Anthem Provider News - Virginia Administrative Sep 1, 2021

Register now for our September CME webinars

September 2021 Anthem Provider News - Virginia Administrative Sep 1, 2021

Get your payments faster when you sign up for electronic funds transfer

Introducing EnrollSafe, the new electronic funds transfer enrollment portal for Anthem providers - replacing CAQH Enrollhub effective November 1, 2021.
September 2021 Anthem Provider News - Virginia Digital Tools Sep 1, 2021

HEDIS® medical record submission made easier with Anthem’s Remote Electronic Medical Record Access Service

September 2021 Anthem Provider News - Virginia Digital Tools Sep 1, 2021

Updates for specialty pharmacy are available

September 2021 Anthem Provider News - Virginia Pharmacy Sep 1, 2021

Federal Employee Program® AIM Radiology prior authorization review transition delayed until November 1

September 2021 Anthem Provider News - Virginia Federal Employee Plan (FEP) Sep 1, 2021

Keep up with Medicaid news - September 2021

View these Medicaid articles:
  • Clinical Criteria updates notification 
  • New specialty pharmacy medical step therapy requirements:  Iron Infusion Step Therapy
  • Prior authorization required for specialty pharmacy drugs:  Iron Infusion Prior Authorization Update

 

September 2021 Anthem Provider News - Virginia Medicaid Sep 1, 2021

Reimbursement policy update: DRG inpatient facility transfers effective November 30, 2021

September 2021 Anthem Provider News - Virginia Medicare Sep 1, 2021

Utilization management authorization rule operations

September 2021 Anthem Provider News - Virginia Medicare Sep 1, 2021

Prior authorization/precertification form notification

September 2021 Anthem Provider News - Virginia Medicare Sep 1, 2021

Keep up with Medicare news - September 2021

View this Medicare article:
  • Clinical Criteria updates notification
September 2021 Anthem Provider News - Virginia Medicare Sep 1, 2021

Information from Anthem for Care Providers about COVID-19 (Updated August 2, 2021)

We recently updated information about coverage dates for telephonic-only care.
COVID-19 Information Administrative Aug 2, 2021

Provider claim payment disputes for Anthem’s Commercial lines of business

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

Strategic Provider System to be implemented in August 2021

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

Clearing up coding confusion for retinal eye exams

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

Register now for our August CME webinars

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

New! Schedule appointments online through Availity

August 2021 Anthem Provider News - Virginia Digital Tools Aug 1, 2021

Transition to AIM Specialty Health imaging of the heart clinical appropriateness guideline for computed tomography to detect coronary artery calcification

August 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Aug 1, 2021

New clinical guideline: Home Parenteral Nutrition, effective November 1, 2021

August 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Aug 1, 2021

Coding update effective November 1, 2021

August 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Aug 1, 2021

Telehealth visits can impact after-hospitalization follow-up care for mental illness

August 2021 Anthem Provider News - Virginia Behavioral Health Aug 1, 2021

Specialty dose rounding program for certain oncology medications

August 2021 Anthem Provider News - Virginia Pharmacy Aug 1, 2021

Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021

August 2021 Anthem Provider News - Virginia Pharmacy Aug 1, 2021

Immune Globulin Adjusted Body Weight Dosing Program beginning August 1, 2021

August 2021 Anthem Provider News - Virginia Pharmacy Aug 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

August 2021 Anthem Provider News - Virginia Pharmacy Aug 1, 2021

Anthem to update formulary lists for Commercial health plan pharmacy benefit

August 2021 Anthem Provider News - Virginia Pharmacy Aug 1, 2021

Updates for specialty pharmacy are available

August 2021 Anthem Provider News - Virginia Pharmacy Aug 1, 2021

Pharmacy information available on anthem.com

August 2021 Anthem Provider News - Virginia Pharmacy Aug 1, 2021

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

August 2021 Anthem Provider News - Virginia Federal Employee Plan (FEP) Aug 1, 2021

Adding 87081 to Physician Office Lab list

August 2021 Anthem Provider News - Virginia Medicaid Aug 1, 2021

Enrollment for Northern Virginia area is open now through August 31, 2021

August 2021 Anthem Provider News - Virginia Medicaid Aug 1, 2021

Closing gaps in care through telehealth

August 2021 Anthem Provider News - Virginia Medicaid Aug 1, 2021

Keep up with Medicaid news

August 2021 Anthem Provider News - Virginia Medicaid Aug 1, 2021

Preventing claims denials: Shingles vaccine

Know best: Shingles vaccinations are a Medicare Part D benefit whether administered in your office or in the pharmacy

August 2021 Anthem Provider News - Virginia Medicare Aug 1, 2021

Keep up with Medicare news

August 2021 Anthem Provider News - Virginia Medicare Aug 1, 2021

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 - Virginia Administrative Jul 29, 2021

Proper coding for in-home monitoring can make a measurable difference for international normalized ratio blood test

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

Timely receipt of primary payer’s explanation of benefits can help reduce timely filing denials for secondary claims

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

LabCorp is the exclusive laboratory for HealthKeepers, Inc.

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

Another mark of the pandemic: An increase in childhood obesity

More potato chips, sugary drinks and less physical activity are key contributors
July 2021 Anthem Provider News - Virginia Administrative Jul 1, 2021

New Strategic Provider System launch delayed

July 2021 Anthem Provider News - Virginia Digital Tools Jul 1, 2021

New search option for cases submitted through Interactive Care Reviewer

July 2021 Anthem Provider News - Virginia Digital Tools Jul 1, 2021

Electronic claims response files

July 2021 Anthem Provider News - Virginia Digital Tools Jul 1, 2021

Clinical quality in practice webinar series

July 2021 Anthem Provider News - Virginia Digital Tools Jul 1, 2021

How to enroll in electronic funds transfer for faster remittance

July 2021 Anthem Provider News - Virginia Digital Tools Jul 1, 2021

Coverage guidelines effective October 1, 2021

July 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Jul 1, 2021

Company to retire Blue Precision program at the end of the year

July 2021 Anthem Provider News - Virginia Products & Programs Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Provider News - Virginia Pharmacy Jul 1, 2021

UPDATE: Site of Care medical necessity reviews for long-acting colony-stimulating factors will no longer go into effect on August 1, 2021

July 2021 Anthem Provider News - Virginia Pharmacy Jul 1, 2021

Updates for specialty pharmacy are available

July 2021 Anthem Provider News - Virginia Pharmacy Jul 1, 2021

Federal Employee Program® AIM radiology prior authorization review

July 2021 Anthem Provider News - Virginia Federal Employee Plan (FEP) Jul 1, 2021

Reimbursement policy: Modifier 90; reference (outside) laboratory and pass-through billing

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

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

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

Coding spotlight: Mental disorders in childhood

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

What matters most: Improving the patient experience

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

Resources to support your diverse patient panel

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

Suicide prevention and intervention: What you need to know

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

Prior authorization requirement changes effective September 1, 2021

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

Prior authorization requirement changes for medical codes 0205U, 0209U, and 0218U effective September 1, 2021

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

Prior authorization requirement changes for multiple medical codes effective September 1, 2021

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

Let’s Vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies
July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

Medical drug benefit Clinical Criteria updates

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

Keep up with Medicaid news

July 2021 Anthem Provider News - Virginia Medicaid Jul 1, 2021

Reimbursement policy: Modifier 90; Reference (outside) laboratory and pass-through billing

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

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

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

Let’s Vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies

 

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

Prior authorization requirement changes for codes A0426 and A0428 effective October 1, 2021

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

Medical drug benefit Clinical Criteria updates

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

Keep up with Medicare news

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

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

Let’s vaccinate

Help increase your vaccination rates and close gaps in care with these tools and strategies.
June 2021 Anthem Provider News - Virginia Products & Programs Jun 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

June 2021 Anthem Provider News - Virginia Pharmacy Jun 1, 2021

Updates for specialty pharmacy are available

June 2021 Anthem Provider News - Virginia Pharmacy Jun 1, 2021

Pharmacy information available on anthem.com

June 2021 Anthem Provider News - Virginia Pharmacy Jun 1, 2021

Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study finds

June 2021 Anthem Provider News - Virginia Administrative Jun 1, 2021

Keep your contact information current

June 2021 Anthem Provider News - Virginia Administrative Jun 1, 2021

Provider contract and fee schedule notifications via Availity

June 2021 Anthem Provider News - Virginia Digital Tools Jun 1, 2021

Anthem’s new strategic provider system will launch in July

June 2021 Anthem Provider News - Virginia Digital Tools Jun 1, 2021

Interactive Care Reviewer’s new copy feature decreases time to submit authorization request

June 2021 Anthem Provider News - Virginia Digital Tools Jun 1, 2021

Essential information you need to submit EDI corrected claims

June 2021 Anthem Provider News - Virginia Digital Tools Jun 1, 2021

Regular check-ins with your clearinghouse are key to identifying claim errors early

June 2021 Anthem Provider News - Virginia Digital Tools Jun 1, 2021

Custom Learning Center or Availity Learning Center: Two great learning resources on one secure portal

June 2021 Anthem Provider News - Virginia Digital Tools Jun 1, 2021

Digital solution options with Availity

June 2021 Anthem Provider News - Virginia Digital Tools Jun 1, 2021

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

June 2021 Anthem Provider News - Virginia Guideline Updates Jun 1, 2021

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

June 2021 Anthem Provider News - Virginia Guideline Updates Jun 1, 2021

Update to provider utilization management reimbursement penalties for professional providers

June 2021 Anthem Provider News - Virginia Reimbursement Policies Jun 1, 2021

DEXA bone scan criteria for the Federal Employee Program

June 2021 Anthem Provider News - Virginia Federal Employee Plan (FEP) Jun 1, 2021

Provider education program survey: Your Voice Counts

June 2021 Anthem Provider News - Virginia Medicaid Jun 1, 2021

MCG care guidelines 25th edition

June 2021 Anthem Provider News - Virginia Medicaid Jun 1, 2021

Keeping up with routine vaccinations during COVID-19

June 2021 Anthem Provider News - Virginia Medicaid Jun 1, 2021

Aspire Health for members in need of palliative care

June 2021 Anthem Provider News - Virginia Medicaid Jun 1, 2021

Trauma: What you need to know

June 2021 Anthem Provider News - Virginia Medicaid Jun 1, 2021

Complex Case Management program

June 2021 Anthem Provider News - Virginia Medicaid Jun 1, 2021
Page 1 of 10 Next Page