Virginia
Provider Communications

Articles

Title Publication Category Date

2019 FEP® benefit information available online

December 2018 Anthem Provider Newsletter - Virginia Federal Employee Plan (FEP) Nov 30, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Anthem Provider Newsletter - Virginia Medicare Nov 30, 2018

2019 Utilization management affirmative statement concerning utilization management decisions

June 2019 Anthem Provider Newsletter - Virginia Medicaid Jun 1, 2019

Access patient-specific drug benefit information through EMR

October 2018 Anthem Provider Newsletter - Virginia Pharmacy Oct 1, 2018

Access requirements for behavioral health care services

September 2019 Anthem Provider News - Virginia Behavioral Health Sep 1, 2019

Access standards for PCPs, specialists and behavioral health practitioners in 2018

August 2018 Anthem Provider Newsletter -- Virginia Administrative Aug 17, 2018

Additional drugs added to the specialty pharmacy clinically equivalent drug list effective January 1, 2019

October 2018 Anthem Provider Newsletter - Virginia Pharmacy Oct 1, 2018

Additional support available for members with rare conditions

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

AIM programs may require additional pre-service documentation

June 2019 Anthem Provider Newsletter - Virginia Administrative Jun 1, 2019

AIM Specialty Health programs may require documentation

August 2019 Anthem Provider News - Virginia Medicaid Aug 1, 2019

AIM Specialty Health programs may require documentation

August 2019 Anthem Provider News - Virginia Medicare Aug 1, 2019

An important reminder from Anthem about home sleep testing with NovaSom

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

An important reminder from Anthem about home sleep testing with NovaSom

July 2019 Anthem Provider News - Virginia Products & Programs Jul 1, 2019

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

September 2019 Anthem Provider News - Virginia Administrative Sep 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

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

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

Anthem accepts electronic prior authorization requests for prescription medications online

December 2018 Anthem Provider Newsletter - Virginia Pharmacy Nov 30, 2018

Anthem accepts prior authorization requests for prescription medications online

August 2018 Anthem Provider Newsletter -- Virginia Pharmacy Aug 17, 2018

Anthem Announces Early Launch of IngenioRx

N/A Pharmacy Jan 30, 2019

Anthem applies daily morphine equivalent dosing limit

August 2018 Anthem Provider Newsletter -- Virginia Pharmacy Aug 17, 2018

Anthem Blue Cross and Blue Shield expands specialty pharmacy prior authorization list

April 2019 Anthem Provider Newsletter - Virginia Pharmacy Apr 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Health Assessment requests for 2019 / Alternative reporting engagement

May 2019 Anthem Provider Newsletter - Virginia Products & Programs May 1, 2019

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

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

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Risk Adjustment Data Validation (RADV) audit happening now

September 2019 Anthem Provider News - Virginia Products & Programs Sep 1, 2019

Anthem Commercial Risk Adjustment Program Update: Medical chart collection for ACA members due by March 31, 2019

March 2019 Anthem Provider Newsletter - Virginia Products & Programs Mar 1, 2019

Anthem Commercial Risk Adjustment reporting update: 2019 Program year progression

July 2019 Anthem Provider News - Virginia Products & Programs Jul 1, 2019

Anthem contracted ambulance providers

May 2019 Anthem Provider Newsletter - Virginia Administrative May 1, 2019

Anthem customizations to MCG care guideline 23rd Edition

May 2019 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines May 1, 2019

Anthem engages Availity as our EDI gateway

August 2018 Anthem Provider Newsletter -- Virginia Behavioral Health Aug 17, 2018

Anthem engages Matrix to conduct mobile health clinics and in-home assessments for targeted members

August 2019 Anthem Provider News - Virginia Products & Programs Aug 1, 2019

Anthem engages with Alliant Health Solutions

August 2018 Anthem Provider Newsletter -- Virginia Behavioral Health Aug 17, 2018

Anthem expands specialty pharmacy clinical site of care (level of care) drug list

August 2018 Anthem Provider Newsletter -- Virginia Pharmacy Aug 17, 2018

Anthem expands specialty pharmacy medical step therapy drug list

March 2019 Anthem Provider Newsletter - Virginia Pharmacy Mar 1, 2019

Anthem expands specialty pharmacy medical step therapy drug list for agents for hereditary angioedema

May 2019 Anthem Provider Newsletter - Virginia Pharmacy May 1, 2019

Anthem expands specialty pharmacy prior authorization list

March 2019 Anthem Provider Newsletter - Virginia Pharmacy Mar 1, 2019

Anthem expands specialty pharmacy prior authorization list

June 2019 Anthem Provider Newsletter - Virginia Pharmacy Jun 1, 2019

Anthem expands specialty pharmacy prior authorization list

August 2018 Anthem Provider Newsletter -- Virginia Pharmacy Aug 17, 2018

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Provider Newsletter - Virginia Medicare Feb 1, 2019

Anthem Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific specialty drugs and site of care

July 2019 Anthem Provider News - Virginia Federal Employee Plan (FEP) Jul 1, 2019

Anthem fights opioid addiction: Extension for Community Healthcare Outcomes and quality medication-assisted therapy

October 2018 Anthem Provider Newsletter - Virginia Administrative Oct 1, 2018

Anthem HealthKeepers Plus coding spotlight — Obesity

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

Anthem HealthKeepers Plus emergency transportation claims update

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Anthem HealthKeepers Plus member reassignment and continuity of care

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

Anthem HealthKeepers Plus Members’ Rights and Responsibilities Statement

June 2019 Anthem Provider Newsletter - Virginia Medicaid Jun 1, 2019

Anthem HealthKeepers Plus Member’s Rights and Responsibilities Statement from HealthKeepers, Inc.

August 2018 Anthem Provider Newsletter -- Virginia Medicaid Aug 17, 2018

Anthem HealthKeepers Plus pharmacy management information

August 2019 Anthem Provider News - Virginia Medicaid Aug 1, 2019

Anthem HealthKeepers Plus pharmacy management information

December 2018 Anthem Provider Newsletter - Virginia Medicaid Nov 30, 2018

Anthem HealthKeepers Plus provider surveys

April 2019 Anthem Provider Newsletter - Virginia Medicaid Apr 1, 2019

Anthem in Virginia implements customizations to MCG care guidelines 23rd edition

August 2019 Anthem Provider News - Virginia Guideline Updates Aug 1, 2019

Anthem in Virginia launches new design changes for provider communications on anthem.com

August 31, 2018: Anthem eUPDATE - Virginia Administrative Aug 31, 2018

Anthem in Virginia to offer new Exclusive Provider Organization plans beginning January 1, 2019

December 2018 Anthem Provider Newsletter - Virginia Administrative Nov 30, 2018

Anthem launches additional changes to anthem.com

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

Anthem launches additional changes to anthem.com for Provider Manuals

August 2019 Anthem Provider News - Virginia Administrative Aug 1, 2019

Anthem launches additional changes to anthem.com for Q2

June 2019 Anthem Provider Newsletter - Virginia Administrative Jun 1, 2019

Anthem launches additional changes to anthem.com in March

March 2019 Anthem Provider Newsletter - Virginia Administrative Mar 1, 2019

Anthem launches additional changes to anthem.com in October

October 2018 Anthem Provider Newsletter - Virginia Administrative Oct 1, 2018

Anthem launches additional changes to anthem.com in September

August 31, 2018: Anthem eUPDATE - Virginia Administrative Aug 31, 2018

Anthem launches Sydney on September 1; New app offers better digital health care support to members

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

Anthem offers risk adjustment and documentation training

January 2019 Anthem Provider Newsletter - Virginia Medicare Jan 1, 2019

Anthem partners with Availity to serve as our EDI Gateway

October 2018 Anthem Provider Newsletter - Virginia Administrative Oct 1, 2018

Anthem removes drugs from specialty pharmacy clinical site of care (level of care) drug list

August 2018 Anthem Provider Newsletter -- Virginia Pharmacy Aug 17, 2018

Anthem specialty pharmacy medical step therapy drug list clarification

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

Anthem specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents

May 2019 Anthem Provider Newsletter - Virginia Pharmacy May 1, 2019

Anthem sponsors webinars about Availity’s EDI gateway services

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

Anthem streamlines member identification cards reminder; Use Availity to verify members’ cost shares and benefits at time of service

December 2018 Anthem Provider Newsletter - Virginia Administrative Nov 30, 2018

Anthem streamlines member identification cards – Use Availity to verify members’ cost shares and benefits at time of service

August 2018 Anthem Provider Newsletter -- Virginia Administrative Aug 17, 2018

Anthem taps Paul Marchetti to lead company’s overall care transformation strategy

November 1, 2018: Anthem eUPDATE - Virginia Administrative Nov 1, 2018

Anthem to acquire Beacon Health Options

N/A Administrative Jun 6, 2019

Anthem to contract directly with NPs, PAs in 2019

March 2019 Anthem Provider Newsletter - Virginia Medicare Mar 1, 2019

Anthem to enhance automated claim edits for professional claims

August 2018 Anthem Provider Newsletter -- Virginia Administrative Aug 17, 2018

Anthem to enhance claim edits for outpatient facility claims

February 2019 Anthem Provider Newsletter - Virginia Administrative Feb 1, 2019

Anthem to mail professional provider contract amendment in late May 2019

May 2019 Anthem Provider Newsletter - Virginia Administrative May 1, 2019

Anthem to update drug lists supporting commercial health plans

August 2018 Anthem Provider Newsletter -- Virginia Pharmacy Aug 17, 2018

Anthem transitions Medicare Advantage back pain management and cardiology UM programs from OrthoNet to AIM

October 2018 Anthem Provider Newsletter - Virginia Medicare Oct 1, 2018

Anthem webinar scheduled for October 10

October 2018 Anthem Provider Newsletter - Virginia Administrative Oct 1, 2018

Anthem’s Commercial Risk Adjustment reporting update: Accurate coding helps provide a comprehensive picture of patients’ health and services provided

April 2019 Anthem Provider Newsletter - Virginia Administrative Apr 1, 2019

Anthem’s Commercial Risk Adjustment reporting update: Retrospective program begins; benefits of direct connection access to your EMR

June 2019 Anthem Provider Newsletter - Virginia Products & Programs Jun 1, 2019

Anthem’s direct contracting effort for NPs and PAs gets under way in 2019

March 2019 Anthem Provider Newsletter - Virginia Administrative Mar 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

Authorization changes for procedure codes

May 2019 Anthem Provider Newsletter - Virginia Medicaid May 1, 2019

Availity EDI Gateway webinars scheduled

October 2018 Anthem Provider Newsletter - Virginia Administrative Oct 1, 2018

Availity launches changes to our Medical Attachment submission tool

May 2019 Anthem Provider Newsletter - Virginia Administrative May 1, 2019

Availity to serve as EDI entry point for electronic submissions

December 2018 Anthem Provider Newsletter - Virginia Administrative Nov 30, 2018

Avastin – Intravitreal treatment for retinal vascular conditions: Report using HCPCS code C9257

August 2018 Anthem Provider Newsletter -- Virginia Administrative Aug 17, 2018

Benefit change for Infliximab for Federal Employee Program

December 2018 Anthem Provider Newsletter - Virginia Federal Employee Plan (FEP) Nov 30, 2018

Benefits available for chronic care management and advance care planning services effective February 23, 2019

January 2019 Anthem Provider Newsletter - Virginia Administrative Jan 1, 2019

Billing for private room stays

April 2019 Anthem Provider Newsletter - Virginia Administrative Apr 1, 2019

Biosimilars: What are they?

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

Biosimilars: What are they?

March 2019 Anthem Provider Newsletter - Virginia Pharmacy Mar 1, 2019

Care and Cost Finder – New sort option

August 2018 Anthem Provider Newsletter -- Virginia Products & Programs Aug 17, 2018

Case Management Program

December 2018 Anthem Provider Newsletter - Virginia Products & Programs Nov 30, 2018

Cervical length measurement by transvaginal ultrasound

October 2018 Anthem Provider Newsletter - Virginia Medicaid Oct 1, 2018

Change to 835 ERA for all D-SNP MA members for 2019

March 2019 Anthem Provider Newsletter - Virginia Medicare Mar 1, 2019

Change to toll-free phone lines for Provider Services: A reminder from Anthem in Virginia

August 2019 Anthem Provider News - Virginia Administrative Aug 1, 2019

Changes coming to Claim Status Inquiry and Secure Messaging on the Availity Portal

July 2019 Anthem Provider News - Virginia Administrative Jul 1, 2019

Changes to PA requirements

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

Claim editing update for Excludes1 notes

September 2019 Anthem Provider News - Virginia Reimbursement Policies Sep 1, 2019

Claims system updates for 2019: Professional

December 2018 Anthem Provider Newsletter - Virginia Administrative Nov 30, 2018

Clinical Criteria and prior authorization updates for specialty pharmacy are available

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

Clinical Criteria and prior authorization updates for specialty pharmacy are available

August 2019 Anthem Provider News - Virginia Pharmacy Aug 1, 2019
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