Virginia
Provider Communications

Provider Spotlight

Nov 1, 2021

EnrollSafe is available: Our new electronic funds transfer enrollment portal for Anthem providers

EnrollSafe replaces CAQH Enrollhub effective November 1, 2021


Articles Recent

Title Publication Category Date

Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claims

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

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

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

Time to prepare for HEDIS® medical record review

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

Reducing the burden of medical record review and improving health outcomes with HEDIS® Electronic Clinical Data Systems reporting

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

Be Antibiotics Aware: Protect your patients

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

Surprisingly easy ways to help patients quit smoking cigarettes

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

Join Anthem in talking about racism and its impact on health and earn continuing education credits

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

Continuing medical education credits available in 2021 for a variety of clinical quality webinars: Register now

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

EnrollSafe is available: Our new electronic funds transfer enrollment portal for Anthem providers

EnrollSafe replaces CAQH Enrollhub effective November 1, 2021
November 2021 Anthem Provider News - Virginia Digital Tools Nov 1, 2021

Against medical advice discharge physician tracking tool

November 2021 Anthem Provider News - Virginia Digital Tools Nov 1, 2021

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

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

Update regarding annual wellness visits for health plans compliant with the Affordable Care Act

November 2021 Anthem Provider News - Virginia Products & Programs Nov 1, 2021

Blue High Performance Network name changing for 2022

November 2021 Anthem Provider News - Virginia Products & Programs Nov 1, 2021

Specialty pharmacy updates are available (effective for dates of service on and after February 1, 2022)

November 2021 Anthem Provider News - Virginia Pharmacy Nov 1, 2021

Anthem clinical criteria updates for specialty pharmacy are available

November 2021 Anthem Provider News - Virginia Pharmacy Nov 1, 2021

Important update on Botox® for Anthem members

November 2021 Anthem Provider News - Virginia Pharmacy Nov 1, 2021

Electronic data interchange process

November 2021 Anthem Provider News - Virginia Medicaid Nov 1, 2021

Clinical Criteria updates

November 2021 Anthem Provider News - Virginia Medicaid Nov 1, 2021

Unspecified diagnosis reminder

November 2021 Anthem Provider News - Virginia Medicaid Nov 1, 2021

4 things you can do to encourage cancer screenings for your women patients

November 2021 Anthem Provider News - Virginia Medicaid Nov 1, 2021

Keep up with Medicaid news: November 2021

  • FAQ: New AIM Specialty Health contact center phone number
  • Behavioral therapy assessments
  • Change to DME incontinence benefit limits
  • Prior authorization updates for specialty pharmacy
November 2021 Anthem Provider News - Virginia Medicaid Nov 1, 2021

Medicare Advantage telehealth rural health center and federally qualified health center claims

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

Electronic data interchange process

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

Clinical Criteria updates

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

Anthem Blue Cross and Blue Shield offering Advance Medical Directives program for 2022

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

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

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

New York City Medicare Advantage announcement

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

Keep up with Medicare news: November 2021

  • Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list
November 2021 Anthem Provider News - Virginia Medicare Nov 1, 2021

Join The Fenway Institute for a CME webinar about improving your LGBTQIA+ patient interactions

Join a live webinar, “LGBTQIA+ Care: Delivering Trust and Belonging with Every Interaction,” presented by the National LGBTQIA+ Health Education Center at The Fenway Institute. 

Gain LGBTQIA+ Patient Interaction Knowledge - Virginia Administrative Oct 21, 2021

Important COVID-19 update: Prior authorization and other policy adjustments (Updated October 20, 2021)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing facilities.
COVID-19 Information Administrative Oct 20, 2021

New Medicare Advantage plan will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing providers nationally

Effective January 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees across the United States will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan and have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

 

New 240k member Group Retiree PPO plan - Virginia Medicare Oct 19, 2021

Submit claims with complete and correct data to avoid claim denials

Submit claims with complete and correct data to avoid claim denials Administrative Oct 8, 2021

Join the American Heart Association for a CME webinar on hypertension and diabetes disease management


Chronic disease management strategies for your patients with hypertension and diabetes

Date: Friday, October 8, 2021

Time: 12:00 p.m. ET

Clinical Quality CME Webinar Series Continues - Virginia Administrative Oct 5, 2021

Important COVID-19 update: Prior authorization and other policy adjustments (Updated October 1, 2021)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing facilities.
COVID-19 Information Administrative Oct 1, 2021

Federal Price Transparency and Consolidated Appropriations Act phase in new mandates beginning January 1, 2022

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

Your recommendation is key to encouraging cancer screenings for your female patients

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

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

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

Looking to earn continuing medical education credits? Register for these on-demand webinars

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

Clinical appeals

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

Good news: Non-payment remittance advice enhancements coming soon

October 2021 Anthem Provider News - Virginia Digital Tools Oct 1, 2021

Procedure searches in Find Care

October 2021 Anthem Provider News - Virginia Digital Tools Oct 1, 2021

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

October 2021 Anthem Provider News - Virginia Digital Tools Oct 1, 2021

Coverage guidelines effective January 1, 2022

October 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Oct 1, 2021

Clinical utilization management guideline update

October 2021 Anthem Provider News - Virginia Coverage and Clinical Guidelines Oct 1, 2021

Specialty pharmacy updates are available

October 2021 Anthem Provider News - Virginia Pharmacy Oct 1, 2021

Pharmacy information available on anthem.com

October 2021 Anthem Provider News - Virginia Pharmacy Oct 1, 2021

Diabetes testing and screening HEDIS measures

October 2021 Anthem Provider News - Virginia Medicaid Oct 1, 2021

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

October 2021 Anthem Provider News - Virginia Medicaid Oct 1, 2021

Prior authorization updates for specialty pharmacy

October 2021 Anthem Provider News - Virginia Medicaid Oct 1, 2021

Prior authorization updates for specialty pharmacy

October 2021 Anthem Provider News - Virginia Medicaid Oct 1, 2021

Keep up with Medicaid news: October 2021

  • 2021 affirmative statement concerning utilization management decisions
  • Medical Policies and Utilization Management Guidelines update
  • Generic buprenorphine/naloxone tablets added to Virginia Preferred Drug List
October 2021 Anthem Provider News - Virginia Medicaid Oct 1, 2021

New medical step therapy requirements

October 2021 Anthem Provider News - Virginia Medicare Oct 1, 2021

Sexually Transmitted Infections Testing: Professional

October 2021 Anthem Provider News - Virginia Medicare Oct 1, 2021

Information about 2021 Special Needs Plans

October 2021 Anthem Provider News - Virginia Medicare Oct 1, 2021

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

October 2021 Anthem Provider News - Virginia Medicare Oct 1, 2021

HEDIS® medical record submission made easier with our Remote EMR Access Service

October 2021 Anthem Provider News - Virginia Medicare Oct 1, 2021

Keep up with Medicare news: October 2021

  • 2021 affirmative statement concerning utilization management decisions
  • Medical Policies and Utilization Management Guidelines update
October 2021 Anthem Provider News - Virginia Medicare Oct 1, 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.
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
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