Virginia
Provider Communications


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Title Publication Category Date

Get the full picture of your patients’ health through their smartphones

November 2020 Anthem Provider News - Virginia Products & Programs Nov 1, 2020

IngenioRx introduces new pharmacy network in 2021

November 2020 Anthem Provider News - Virginia Pharmacy Nov 1, 2020

Prior authorization updates for specialty pharmacy are available

November 2020 Anthem Provider News - Virginia Pharmacy Nov 1, 2020

Anthem clinical criteria updates for specialty pharmacy are available

November 2020 Anthem Provider News - Virginia Pharmacy Nov 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Anthem Provider News - Virginia Administrative Nov 1, 2020

Electronic claims submission: Clinical Laboratory Improvement Amendments

November 2020 Anthem Provider News - Virginia Administrative Nov 1, 2020

Clinical Laboratory Improvement Amendments number: Additional information

November 2020 Anthem Provider News - Virginia Administrative Nov 1, 2020

Vaccine administration

November 2020 Anthem Provider News - Virginia Administrative Nov 1, 2020

Point of Care secure portal being retired November 30, 2020

November 2020 Anthem Provider News - Virginia Administrative Nov 1, 2020

Availity attachment tools for Anthem and affiliate payers: Live webinars

November 2020 Anthem Provider News - Virginia Administrative Nov 1, 2020

New utilization management tool now available on Availity Payer Spaces: Authorization Rules Lookup tool

November 2020 Anthem Provider News - Virginia Administrative Nov 1, 2020

Dental Anesthesia: Correct coding guidelines

November 2020 Anthem Provider News - Virginia Administrative Nov 1, 2020

U.S. Antibiotic Awareness Week

November 2020 Anthem Provider News - Virginia Administrative Nov 1, 2020

Time is running out so register today: Anthem to host fall webinar on November 12

November 2020 Anthem Provider News - Virginia Administrative Nov 1, 2020

Coverage guidelines effective February 1, 2021

November 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Nov 1, 2020

REMINDER: Post-service reviews using AIM

November 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Nov 1, 2020

Aspire Health telehealth palliative care program for Medicaid members in need of telephonic palliative care

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

Help Medicaid members keep their health coverage

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

Prior authorization requirements for HCPCS code 55899

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

Medical drug benefit Clinical Criteria updates

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

Coding spotlight: Tips and best practices for compliance

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

Inhaled nitric oxide reviews for diagnosis-related group admissions

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

Provider transparency update

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

New specialty pharmacy medical step therapy requirements (Clinical Criteria: ING-CC-0166)

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

New specialty pharmacy medical step therapy requirements (Clinical Criteria ING-CC-0107)

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

Important reminder: Coding requirements for reimbursement for early elective deliveries

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

Keep up with Medicaid news

November 2020 Anthem Provider News - Virginia Medicaid Nov 1, 2020

Preferred continuous glucose monitors

November 2020 Anthem Provider News - Virginia Medicare Nov 1, 2020

Provider Chat: A fast, easy way to get your questions answered

November 2020 Anthem Provider News - Virginia Medicare Nov 1, 2020

Medical drug benefit Clinical Criteria updates

November 2020 Anthem Provider News - Virginia Medicare Nov 1, 2020

FDA approvals and expedited pathways used: New molecular entities

November 2020 Anthem Provider News - Virginia Medicare Nov 1, 2020

Keep up with Medicare news

November 2020 Anthem Provider News - Virginia Medicare Nov 1, 2020

Register today for a Racial Trauma Forum hosted by Anthem and Motivo on October 28, 2020

Racial Trauma Forum invitation - Virginia Behavioral Health Oct 14, 2020

Information from Anthem for Care Providers about COVID-19 (Updated October 9, 2020)

We recently updated FAQ about COVID-19 testing and visits associated with COVID-19 testing.
COVID-19 Information Administrative Oct 9, 2020

Anthem Commercial Risk Adjustment Reporting Update: New guidance on telephone-only service CPT codes for Risk Adjustment Program

October 2020 Anthem Provider News - Virginia Products & Programs Oct 1, 2020

Anthem updates formulary lists for commercial health plan pharmacy benefit

October 2020 Anthem Provider News - Virginia Pharmacy Oct 1, 2020

FDA approvals and expedited pathways used: New Molecular Entities

October 2020 Anthem Provider News - Virginia Pharmacy Oct 1, 2020

Anthem prior authorization updates for specialty pharmacy are available

October 2020 Anthem Provider News - Virginia Pharmacy Oct 1, 2020

Updated coverage for breast cancer prevention medications

October 2020 Anthem Provider News - Virginia Pharmacy Oct 1, 2020

Pharmacy information available on anthem.com

October 2020 Anthem Provider News - Virginia Pharmacy Oct 1, 2020

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

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

Prior authorization update for commercial business

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

New Blue HPN® network included in plans available for employee open enrollment fall 2020

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

New medical claim attachment webinars: Register today

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

Electronic member ID cards available on the Availity Portal

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

National Accounts 2021 pre-certification list

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

What Matters Most: Improving the patient experience

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

Register today for Anthem’s fall webinar scheduled for November 12

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

REMINDER: Expansion of AIM Musculoskeletal Program effective November 1, 2020

October 2020 Anthem Provider News - Virginia Coverage and Clinical Guidelines Oct 1, 2020

Emergency department reimbursement policy

October 2020 Anthem Provider News - Virginia Reimbursement Policies Oct 1, 2020

Federal Employee Program® expands specialty pharmacy prior authorization list

October 2020 Anthem Provider News - Virginia Federal Employee Plan (FEP) Oct 1, 2020

Coding spotlight: Providers’ guide to coding for behavioral health disorders

October 2020 Anthem Provider News - Virginia Medicaid Oct 1, 2020

Patient360 enhancement for medical providers

October 2020 Anthem Provider News - Virginia Medicaid Oct 1, 2020

Prior authorization requirements for E0482

October 2020 Anthem Provider News - Virginia Medicaid Oct 1, 2020

Claim payment disputes: Update

October 2020 Anthem Provider News - Virginia Medicaid Oct 1, 2020

Social determinants of health support expanding with GroundGame Health

October 2020 Anthem Provider News - Virginia Medicaid Oct 1, 2020

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

October 2020 Anthem Provider News - Virginia Medicaid Oct 1, 2020

Keep up with Medicaid news

October 2020 Anthem Provider News - Virginia Medicaid Oct 1, 2020

Social determinants of health support expanding with GroundGame Health

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

Update: Notice of changes to the AIM musculoskeletal program

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

Patient360 enhancement for medical providers

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

Prior authorization requirements for the below codes (Effective December 1, 2020)

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

Prior authorization requirements for the below codes (Effective January 1, 2021)

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

Provider transparency update

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

Medical drug benefit Clinical Criteria updates

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

Keep up with Medicare news

October 2020 Anthem Provider News - Virginia Medicare Oct 1, 2020

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (Updated September 29, 2020)

We are extending cost share waivers for telehealth and telephonic-only care.
COVID-19 Information Administrative Sep 29, 2020

Predictive analytics guide proactive support to patients undergoing chemo, resulting in lowered admissions

September 2020 Anthem Provider News - Virginia Products & Programs Sep 1, 2020

Anthem Commercial Risk Adjustment (CRA) reporting update: 2020 prospective program continues

September 2020 Anthem Provider News - Virginia Products & Programs Sep 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

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

Updates for specialty pharmacy are available

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

Attention Professional Providers: Contract amendment changes effective October 1, 2020; View upcoming contract changes online via Availity

September 2020 Anthem Provider News - Virginia Administrative Sep 1, 2020

New state legislation prompts changes for reimbursement of services during credentialing process for providers

September 2020 Anthem Provider News - Virginia Administrative Sep 1, 2020

New provider directory indicators for medication assisted treatment providers

September 2020 Anthem Provider News - Virginia Administrative Sep 1, 2020

EDI Gateway migration deadline is September 15, 2020

September 2020 Anthem Provider News - Virginia Administrative Sep 1, 2020

Patient360 adds care gap alert feedback for medical providers

September 2020 Anthem Provider News - Virginia Administrative Sep 1, 2020

Enhanced medical records submission process to support claims processing

September 2020 Anthem Provider News - Virginia Administrative Sep 1, 2020

Interactive Care Reviewer: Anthem’s online prior authorization tool targeting September 12 launch for our Commercial membership; Available now for Federal Employee Program members

September 2020 Anthem Provider News - Virginia Administrative Sep 1, 2020

Providers can now receive and respond to medical record requests for postpay audits via Change Healthcare’s Assurance Attach Assist Module

September 2020 Anthem Provider News - Virginia Administrative Sep 1, 2020

Anthem’s fall webinar takes place on November 12: Register now

September 2020 Anthem Provider News - Virginia Administrative Sep 1, 2020

Clinical Laboratory Improvement Amendments for Anthem

September 2020 Anthem Provider News - Virginia Reimbursement Policies Sep 1, 2020

Discharge planning

September 2020 Anthem Provider News - Virginia Medicaid Sep 1, 2020

CLIA Certificate of Waiver

September 2020 Anthem Provider News - Virginia Medicaid Sep 1, 2020

What Matters Most online training course: Improving patient experience

September 2020 Anthem Provider News - Virginia Medicaid Sep 1, 2020

Medical drug benefit Clinical Criteria updates

September 2020 Anthem Provider News - Virginia Medicaid Sep 1, 2020

Coverage Guidelines and Clinical Utilization Management Guidelines update

September 2020 Anthem Provider News - Virginia Medicaid Sep 1, 2020

Quarterly pharmacy formulary change notice

September 2020 Anthem Provider News - Virginia Medicaid Sep 1, 2020

Keep up with Medicaid news

September 2020 Anthem Provider News - Virginia Medicaid Sep 1, 2020

Medical drug benefit Clinical Criteria updates

September 2020 Anthem Provider News - Virginia Medicare Sep 1, 2020

UPDATE: Notice of changes to the AIM musculoskeletal program

September 2020 Anthem Provider News - Virginia Medicare Sep 1, 2020

Keep up with Medicare news

September 2020 Anthem Provider News - Virginia Medicare Sep 1, 2020

Appropriate coding helps provide a comprehensive picture of patients’ health

August 2020 Anthem Provider News - Virginia Products & Programs Aug 1, 2020

Anthem prior authorization updates for specialty pharmacy are available

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

Anthem to update formulary lists for Commercial health plan pharmacy benefit

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

Voluntary site of care outreach for oncology checkpoint inhibitors beginning August 1, 2020

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

Anthem clinical criteria updates for specialty pharmacy are available

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

REMINDER: Company requires National Drug Code for professional and facility outpatient claims effective September 1, 2020

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

Pharmacy information available on anthem.com

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

Anthem electronic attachments: X12 275 5010

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