Wisconsin
Provider Communications

Articles Recent

Title Publication Category Date

Dual Eligible Special Needs (D-SNP) Plans - provider training required

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

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

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

Clinical criteria updates for specialty pharmacy

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

Introducing a new clinical criteria web page for injectable, infused or implanted drugs covered under the medical benefit

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

Keep up with Medicare news

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

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

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

Some of your patients will begin moving to IngenioRx in Q2 2019

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

Important update to Anthem’s commercial drug lists

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

Anthem launches additional changes to anthem.com in March

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

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

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

Neonatal intensive care unit post-traumatic stress disorder program

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

Clinical criteria updates for specialty pharmacy

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

Important reminder regarding specialty pharmacy clinical site of care program

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

Availity: Explore the updates to the Medical Attachment Tool

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

Availity: New look to Claim Status and Secure Messaging

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

Availity: Latest Updates to EDI Gateway Migration

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

Provider Transparency Update

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

Member Satisfaction with Behavioral Health Outpatient Services (WI)

February 2019 Anthem Wisconsin Provider Newsletter Behavioral Health Feb 1, 2019

Coding spotlight: Diabetes - provider guide to coding the diagnosis and treatment of diabetes

February 2019 Anthem Wisconsin Provider Newsletter Medicaid Feb 1, 2019

Introducing a new clinical criteria webpage for injectable, infused or implanted drugs covered under the medical benefit

February 2019 Anthem Wisconsin Provider Newsletter Medicaid Feb 1, 2019

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes: February 2019

Notice of Material Changes/Amendments to Contract and Changes to Prior Authorization Requirements may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements.
February 2019 Anthem Wisconsin Provider Newsletter Administrative Feb 1, 2019

Clinical criteria updates for specialty pharmacy*

February 2019 Anthem Wisconsin Provider Newsletter Pharmacy Feb 1, 2019

Anthem expands specialty pharmacy prior authorization list*

February 2019 Anthem Wisconsin Provider Newsletter Pharmacy Feb 1, 2019

Anthem expands specialty pharmacy medical step therapy drug list*

February 2019 Anthem Wisconsin Provider Newsletter Pharmacy Feb 1, 2019

Pharmacy information available at anthem.com

February 2019 Anthem Wisconsin Provider Newsletter Pharmacy Feb 1, 2019

HEDIS® 2019: Controlling High Blood Pressure (CBP)

February 2019 Anthem Wisconsin Provider Newsletter Administrative Feb 1, 2019

Update regarding E/M with modifier 25 - Professional*

February 2019 Anthem Wisconsin Provider Newsletter Reimbursement Policies Feb 1, 2019

Medical Policy and Clinical Guidelines: February 2019*

February 2019 Anthem Wisconsin Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Pre-Service/Prior Authorization Clinical Review Update: February 2019*

February 2019 Anthem Wisconsin Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Update to AIM Musculoskeletal Program Clinical Appropriateness Guidelines*

February 2019 Anthem Wisconsin Provider Newsletter Medical Policy & Clinical Guidelines Feb 1, 2019

Reimbursement Policy Updates: February 2019*

February 2019 Anthem Wisconsin Provider Newsletter Reimbursement Policies Feb 1, 2019

Reimbursement Policy Update: Injectable Substances with Related Injection Services - Professional*

February 2019 Anthem Wisconsin Provider Newsletter Reimbursement Policies Feb 1, 2019

HEDIS 2019 Federal Employee Program® medical record request requirements

February 2019 Anthem Wisconsin Provider Newsletter Federal Employee Plan (FEP) Feb 1, 2019

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem Wisconsin Provider Newsletter Medicare Feb 1, 2019

Use grouped CPT codes for AIM Specialty Health authorizations

February 2019 Anthem Wisconsin Provider Newsletter Medicare Feb 1, 2019

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Wisconsin Provider Newsletter Medicare Feb 1, 2019

New specialty Medicare Part B device preferred product program

February 2019 Anthem Wisconsin Provider Newsletter Medicare Feb 1, 2019

Keep up with Medicare news

February 2019 Anthem Wisconsin Provider Newsletter Medicare Feb 1, 2019

Anthem Announces Early Launch of IngenioRx

N/A Pharmacy Jan 30, 2019

New Year Brings New ID Cards - and New ID Numbers - for Many Anthem Members

Jan. 23, 2019 Anthem Wisconsin Provider Network eUpdate Administrative Jan 23, 2019

Anthem ePASS® Weekly Webinar Schedule

Sign up for an ePASS® Weekly Webinar!
Jan. 16, 2019 Anthem Wisconsin Provider Network eUpdate Administrative Jan 16, 2019

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

January 2019 Anthem Wisconsin Provider Newsletter Administrative Jan 1, 2019

HEDIS® 2019 starts early February

January 2019 Anthem Wisconsin Provider Newsletter Administrative Jan 1, 2019

Simplifying medication prior authorization processes

January 2019 Anthem Wisconsin Provider Newsletter Pharmacy Jan 1, 2019

Update regarding drugs not approved by the FDA

January 2019 Anthem Wisconsin Provider Newsletter Pharmacy Jan 1, 2019

Eligible facilities to bill modifiers JG and TB on 340B drugs

January 2019 Anthem Wisconsin Provider Newsletter Pharmacy Jan 1, 2019

Pharmacy information available at anthem.com

January 2019 Anthem Wisconsin Provider Newsletter Pharmacy Jan 1, 2019

Reminder: HCPCS code A0998 Ambulance response and treatment with no transport is active and available for use

January 2019 Anthem Wisconsin Provider Newsletter Reimbursement Policies Jan 1, 2019

Anthem offers risk adjustment and documentation training

January 2019 Anthem Wisconsin Provider Newsletter Medicare Jan 1, 2019

Medicare Advantage member Explanation of Benefits redesigned

January 2019 Anthem Wisconsin Provider Newsletter Medicare Jan 1, 2019

Keep up with Medicare news

January 2019 Anthem Wisconsin Provider Newsletter Medicare Jan 1, 2019

Transition of Outpatient Rehabilitation Utilization Management program

January 2019 Anthem Wisconsin Provider Newsletter Medicaid Jan 1, 2019

My Diverse Patients - a website to support your diverse patients

January 2019 Anthem Wisconsin Provider Newsletter Medicaid Jan 1, 2019

Medical Policies and Clinical Utilization Management Guidelines update: January 2019

January 2019 Anthem Wisconsin Provider Newsletter Medicaid Jan 1, 2019

Electronic data interchange (EDI) gateway update

December 2018 Anthem Wisconsin Provider Newsletter Medicaid Dec 1, 2018

Transition of Outpatient Rehabilitation Utilization Management Program effective January 1, 2019

December 2018 Anthem Wisconsin Provider Newsletter Medicaid Dec 1, 2018

NCQA: Pharmacy Management Information

December 2018 Anthem Wisconsin Provider Newsletter Medicaid Dec 1, 2018

NCQA: Practitioners’ Rights during Credentialing Process

December 2018 Anthem Wisconsin Provider Newsletter Medicaid Dec 1, 2018

Coding Spotlight: Substance Use Disorders and Smoking

December 2018 Anthem Wisconsin Provider Newsletter Medicaid Dec 1, 2018

Medical Policies and Clinical Utilization Management Guidelines Update-Wisconsin

December 2018 Anthem Wisconsin Provider Newsletter Medicare Dec 1, 2018

UPDATE: Prior Authorization Requirements for High-Level, Definitive Drug Testing Delayed

December 2018 Anthem Wisconsin Provider Newsletter Medicaid Dec 1, 2018

Prior authorization requirements for Subcutaneous Implantable Defibrillator system

December 2018 Anthem Wisconsin Provider Newsletter Medicaid Dec 1, 2018

Prior Authorization Requirements for Sublocade

December 2018 Anthem Wisconsin Provider Newsletter Medicaid Dec 1, 2018

Reimbursement Policy Update: Claims Requiring Additional Documentation

December 2018 Anthem Wisconsin Provider Newsletter Medicaid Dec 1, 2018

Anthem Accepts Electronic Prior Authorization Requests for Prescription Medications Online

December 2018 Anthem Wisconsin Provider Newsletter Pharmacy Dec 1, 2018

Introducing the New Clinical Criteria Page for Injectable, Infused or Implanted Drugs

December 2018 Anthem Wisconsin Provider Newsletter Pharmacy Dec 1, 2018

Pharmacy Information Available at anthem.com

December 2018 Anthem Wisconsin Provider Newsletter Pharmacy Dec 1, 2018

Anthem Streamlines Member ID Cards - Use Availity to Verify Members' Cost Shares and Benefits at Time of Service

December 2018 Anthem Wisconsin Provider Newsletter Administrative Dec 1, 2018

Availity to Serve as EDI Entry Point for Electronic Submissions

December 2018 Anthem Wisconsin Provider Newsletter Administrative Dec 1, 2018

Anthem to Enhance Claim Edits for Outpatient Facility Claims

December 2018 Anthem Wisconsin Provider Newsletter Administrative Dec 1, 2018

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

December 2018 Anthem Wisconsin Provider Newsletter Administrative Dec 1, 2018

Members Can Shop for Cost-Efficient Health Care Using SmartShopper

December 2018 Anthem Wisconsin Provider Newsletter Administrative Dec 1, 2018

HEDIS® 2018 Commercial Results Are In

December 2018 Anthem Wisconsin Provider Newsletter Administrative Dec 1, 2018

Case Management Program

December 2018 Anthem Wisconsin Provider Newsletter Administrative Dec 1, 2018

ConditionCare Program Benefits Patients and Physicians

December 2018 Anthem Wisconsin Provider Newsletter Administrative Dec 1, 2018

Integrated Care Model for Plans Purchased on the Health Insurance Marketplace Benefits Patients and Physicians

December 2018 Anthem Wisconsin Provider Newsletter Administrative Dec 1, 2018

Coordination of Care

December 2018 Anthem Wisconsin Provider Newsletter Administrative Dec 1, 2018

Important Information about Utilization Management

December 2018 Anthem Wisconsin Provider Newsletter Administrative Dec 1, 2018

Members’ Rights and Responsibilities

December 2018 Anthem Wisconsin Provider Newsletter Administrative Dec 1, 2018

Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid Available on the Web

December 2018 Anthem Wisconsin Provider Newsletter Administrative Dec 1, 2018

Restructure of AIM Advanced Imaging Clinical Appropriateness Guidelines

December 2018 Anthem Wisconsin Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Update to AIM Clinical Appropriateness Guidelines

December 2018 Anthem Wisconsin Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Updates to AIM Musculoskeletal Surgery Clinical Appropriateness Guidelines

December 2018 Anthem Wisconsin Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Interactive Care Reviewer (ICR) New Features

December 2018 Anthem Wisconsin Provider Newsletter Coverage and Clinical Guidelines Dec 1, 2018

Bundled Services and Supplies (Professional)

December 2018 Anthem Wisconsin Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement for Convenience Surgical Supply Kits: Professional

December 2018 Anthem Wisconsin Provider Newsletter Reimbursement Policies Dec 1, 2018

Clinical practice and preventive health guidelines available on anthem.com

December 2018 Anthem Wisconsin Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Medical Polices and Clinical Guidelines Updates - December 2018

December 2018 Anthem Wisconsin Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

View reimbursement policies online at anthem.com

December 2018 Anthem Wisconsin Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement Policy Updates - December 2018

December 2018 Anthem Wisconsin Provider Newsletter Reimbursement Policies Dec 1, 2018

Reimbursement Policy Update - Scope of License (Professional)

December 2018 Anthem Wisconsin Provider Newsletter Reimbursement Policies Dec 1, 2018

2019 FEP Benefit information available online

December 2018 Anthem Wisconsin Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Coordination of Benefits for an FEP® member

December 2018 Anthem Wisconsin Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

Benefit change for Infliximab for Federal Employee Program (FEP)

December 2018 Anthem Wisconsin Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

New Medicare Advantage provider service phone number beginning January 1, 2019

December 2018 Anthem Wisconsin Provider Newsletter Medicare Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Anthem Wisconsin Provider Newsletter Medicare Dec 1, 2018

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Wisconsin Provider Newsletter Medicare Dec 1, 2018

When and how to initiate Medicare Advantage reopenings

December 2018 Anthem Wisconsin Provider Newsletter Medicare Dec 1, 2018

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

December 2018 Anthem Wisconsin Provider Newsletter Medicare Dec 1, 2018

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

December 2018 Anthem Wisconsin Provider Newsletter Medicare Dec 1, 2018
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