Virginia
Provider Communications

Provider Spotlight

Oct 8, 2021

Submit claims with complete and correct data to avoid claim denials

Oct 1, 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.

Oct 1, 2021

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


Articles Recent

Title Publication Category Date

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

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
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