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

Access patient-specific drug benefit information through EMR

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

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

An important reminder from Anthem about home sleep testing with NovaSom

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

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 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 engages Availity as our EDI gateway

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

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 prior authorization list

March 2019 Anthem Provider Newsletter - Virginia Pharmacy Mar 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 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 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

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

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

Availity EDI Gateway webinars scheduled

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

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?

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

Claims system updates for 2019: Professional

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

Clinical Criteria updates

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

Clinical criteria updates for specialty pharmacy

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

Clinical criteria updates for specialty pharmacy

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

Clinical criteria updates for specialty pharmacy effective June 1, 2019

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

Clinical guideline effective April 1, 2019

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

Clinical practice and preventive health guidelines available on the Web

April 2019 Anthem Provider Newsletter - Virginia Guideline Updates Apr 1, 2019

Clinical practice and preventive health guidelines available on the Web

December 2018 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Nov 30, 2018

Clinical practice and preventive health guidelines available on the Web

March 2019 Anthem Provider Newsletter - Virginia Guideline Updates Mar 1, 2019

Clinical practice and preventive health guidelines available on the Web

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

Clinical practice and preventive health guidelines available on the Web

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

Clinical practice and preventive health guidelines available on the Web

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

Clinical practice and preventive health guidelines available on the Web

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

CMS issues regulatory changes for short- and long-acting narcotics; days’ supply limits effective January 1, 2019

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

CMS Medicare Preclusion List effective April 1, 2019

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

Coding spotlight: Substance use disorders and smoking

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

Coding Spotlight: Cancer - A provider’s guide to properly code cancers

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

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

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

Company works to simplify payment recovery process for National Accounts membership

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

ConditionCare Program benefits patients and physicians

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

Coordination of benefits for FEP® members

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

Coordination of care

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

CORRECTION: Alpha prefix is “VQW” for Anthem’s Exclusive Provider Organization benefit plans

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

Correction: Cervical length measurement by transvaginal ultrasound

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

CORRECTION: Postpartum follow-up care incentives

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

Coverage guideline informational notice

October 2018 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Oct 1, 2018

Coverage Guidelines and Clinical Utilization Management Guidelines update

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

Coverage Guidelines and Clinical Utilization Management Guidelines update

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

Coverage Guidelines and Clinical Utilization Management Guidelines update

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

Coverage guidelines effective April 1, 2019

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

Coverage Guidelines effective January 1, 2019

October 2018 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Oct 1, 2018

Coverage Guidelines effective July 1, 2019

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

Coverage guidelines effective March 1, 2019

December 2018 Anthem Provider Newsletter - Virginia Coverage and Clinical Guidelines Nov 30, 2018

Coverage guidelines effective November 1, 2018

August 2018 Anthem Provider Newsletter -- Virginia Coverage and Clinical Guidelines Aug 17, 2018

Coverage guidelines informational notice

August 2018 Anthem Provider Newsletter -- Virginia Coverage and Clinical Guidelines Aug 17, 2018

Diabetes: Provider guide to coding the diagnosis and treatment of diabetes

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

Direct contracting for nurse practitioners and physician assistants in 2019

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

DME providers and physicians: Important wheelchair prior authorization information

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

Dual Eligible Special Needs Plans: Provider training required

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

Early intervention claims

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

Early intervention claims

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

EDI Gateway migration

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