Wisconsin
Provider Communications

Articles Recent

Title Publication Category Date

National Accounts 2023 Precertification list

October 2022 Anthem Provider News - Wisconsin Administrative Oct 1, 2022

The Provider Learning Hub is here

October 2022 Anthem Provider News - Wisconsin Administrative Oct 1, 2022

Guidance for coding evaluation and management services for new and established patients

October 2022 Anthem Provider News - Wisconsin Administrative Oct 1, 2022

CAA: Review your online provider directory information

October 2022 Anthem Provider News - Wisconsin Administrative Oct 1, 2022

Learn how Interactive Care Reviewer makes it easy to submit authorizations electronically

October 2022 Anthem Provider News - Wisconsin Administrative Oct 1, 2022

New Strategic Provider System implementation in August 2022

October 2022 Anthem Provider News - Wisconsin Digital Tools Oct 1, 2022

IngenioRx will become CarelonRx on January 1, 2023

October 2022 Anthem Provider News - Wisconsin Pharmacy Oct 1, 2022

Specialty pharmacy updates - October 2022

Material Adverse Change (MAC)
October 2022 Anthem Provider News - Wisconsin Pharmacy Oct 1, 2022

Pharmacy information available on provider website

October 2022 Anthem Provider News - Wisconsin Pharmacy Oct 1, 2022

Reimbursement policy update: Three-Dimensional (3D) Radiology Services - Professional and Facility

October 2022 Anthem Provider News - Wisconsin Reimbursement Policies Oct 1, 2022

Availity Essentials provider chat - a fast, easy way to get your UM questions answered for Federal Employee members

October 2022 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Oct 1, 2022

Keep up with Medicaid News - October 2022

- New specialty pharmacy medical step therapy requirements
- Prior authorization updates for medications billed under the medical benefit-1
- Prior authorization updates for medications billed under the medical benefit-2
- Change to claims acceptance based on Clinical Laboratory Improvement Amendments

 

October 2022 Anthem Provider News - Wisconsin Medicaid Oct 1, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing - Professional (WI only)

October 2022 Anthem Provider News - Wisconsin Medicaid Oct 1, 2022

Members’ Rights and Responsibilities section

October 2022 Anthem Provider News - Wisconsin Medicaid Oct 1, 2022

Monkeypox resources and recommendations for our care providers

October 2022 Anthem Provider News - Wisconsin Medicaid Oct 1, 2022

Courtesy notification of specialty pharmacy medical step therapy updates

October 2022 Anthem Provider News - Wisconsin Medicare Oct 1, 2022

Reimbursement Policy Retraction: Sexually Transmitted Infections Testing - Professional

October 2022 Anthem Provider News - Wisconsin Medicare Oct 1, 2022

Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional

Material Adverse Change (MAC)

 

October 2022 Anthem Provider News - Wisconsin Reimbursement Policies Oct 1, 2022

Monkeypox and smallpox vaccines: Product code on claims

October 2022 Anthem Provider News - Wisconsin Administrative Oct 1, 2022

Keep up with Medicare News - October 2022

- Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ
- Anthem expands specialty pharmacy precertification list-1
- Anthem expands specialty pharmacy precertification list-2
- Consultation codes
October 2022 Anthem Provider News - Wisconsin Medicare Oct 1, 2022

Continuing to Explore the Intersection of Race and Disability

Continuing to Explore the Intersection of Race and Disability forum - Wisconsin Administrative Sep 9, 2022

Direct behavioral health fee schedule updates

September 2022 Anthem Provider News - Wisconsin Behavioral Health Sep 1, 2022

Specialty pharmacy updates - September 2022*

*Material Adverse Change (MAC)
September 2022 Anthem Provider News - Wisconsin Pharmacy Sep 1, 2022

Medical policy and clinical guideline updates – September 2022*

*Material Adverse Change (MAC)
September 2022 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Sep 1, 2022

Reimbursement policy update: Modifier Rules - Professional*

*Material Adverse Change (MAC)
September 2022 Anthem Provider News - Wisconsin Reimbursement Policies Sep 1, 2022

Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) - Professional

September 2022 Anthem Provider News - Wisconsin Reimbursement Policies Sep 1, 2022

Reimbursement policy update: Modifier 66: Surgical Teams - Professional

September 2022 Anthem Provider News - Wisconsin Reimbursement Policies Sep 1, 2022

OBRA 93 claim filing for Federal Employee Program

September 2022 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Sep 1, 2022

Keep up with Medicaid News - September 2022

- Clinical criteria updates
September 2022 Anthem Provider News - Wisconsin Medicaid Sep 1, 2022

New Digital Provider Enrollment tool added to Availity

September 2022 Anthem Provider News - Wisconsin Medicaid Sep 1, 2022

Reimbursement policy update: Modifiers 25 and 57 - Evaluation and Management with Global Procedures

September 2022 Anthem Provider News - Wisconsin Medicaid Sep 1, 2022

Enhancing claims attachment processes through digital applications

September 2022 Anthem Provider News - Wisconsin Medicaid Sep 1, 2022

Complex Case Management program

September 2022 Anthem Provider News - Wisconsin Medicaid Sep 1, 2022

New specialty pharmacy medical step therapy requirements

September 2022 Anthem Provider News - Wisconsin Medicaid Sep 1, 2022

Alcohol use disorders linked to chronic diseases

September 2022 Anthem Provider News - Wisconsin Medicaid Sep 1, 2022

Enhancing claims attachment processes through digital applications

September 2022 Anthem Provider News - Wisconsin Medicare Sep 1, 2022

New Back Pain Management Program

September 2022 Anthem Provider News - Wisconsin Products & Programs Sep 1, 2022

Keep up with Medicare News - September 2022

- Anthem expands specialty pharmacy precertification list
- Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ

 

September 2022 Anthem Provider News - Wisconsin Medicare Sep 1, 2022

Continuing to Explore the Intersection of Race and Disability

September 2022 Anthem Provider News - Wisconsin Administrative Sep 1, 2022

Monkeypox resources and recommendations for our care providers

September 2022 Anthem Provider News - Wisconsin Administrative Sep 1, 2022

Important information about women’s preventive care visits

September 2022 Anthem Provider News - Wisconsin Administrative Sep 1, 2022

Correction: New patient evaluation and management services when reported for the same patient within the last three years

September 2022 Anthem Provider News - Wisconsin Administrative Sep 1, 2022

Reminder to submit claims with complete and correct data to avoid claim denial

September 2022 Anthem Provider News - Wisconsin Administrative Sep 1, 2022

Drug code billing reminder

September 2022 Anthem Provider News - Wisconsin Administrative Sep 1, 2022

CAA: Current provider directory information is key for members and providers to engage with you seamlessly

September 2022 Anthem Provider News - Wisconsin Administrative Sep 1, 2022

Anthem to accept Hospital in Home services

September 2022 Anthem Provider News - Wisconsin Administrative Sep 1, 2022

Updates to the Claim Attachment workflow

September 2022 Anthem Provider News - Wisconsin Digital Tools Sep 1, 2022

Update to formulary lists for Commercial health plan pharmacy benefit

September 2022 Anthem Provider News - Wisconsin Pharmacy Sep 1, 2022

Reminder: AIM prior authorization phone number change for Medicare

September 2022 Anthem Provider News - Wisconsin Medicare Sep 1, 2022

Prior authorization requirement changes effective December 1, 2022

September 2022 Anthem Provider News - Wisconsin Medicare Sep 1, 2022

Anthem expands specialty pharmacy precertification list

September 2022 Anthem Provider News - Wisconsin Medicare Sep 1, 2022

Reimbursement policy update: Modifiers 25 and 57 - Evaluation and Management with Global Procedures

September 2022 Anthem Provider News - Wisconsin Medicare Sep 1, 2022

Information from Anthem for Care Providers about COVID-19 (updated August 8, 2022)

We recently updated information about coverage dates for telephonic-only care.
COVID-19 Information - Wisconsin Administrative Aug 8, 2022

Upgraded data management system launches August 2022

N/A Digital Tools Aug 5, 2022

Update: outpatient prepay itemized bill review program*

*Material Adverse Change (MAC)
August 2022 Anthem Provider News - Wisconsin Administrative Aug 1, 2022

Specialty pharmacy updates - August 2022*

*Material Adverse Change (MAC)
August 2022 Anthem Provider News - Wisconsin Pharmacy Aug 1, 2022

Keep up with Medicaid News - August 2022

- Specialty pharmacy site of care
- Upgraded data management system launches August 2022
August 2022 Anthem Provider News - Wisconsin Medicaid Aug 1, 2022

We are here

August 2022 Anthem Provider News - Wisconsin Medicaid Aug 1, 2022

HEDIS 2022: Summary of changes from NCQA

August 2022 Anthem Provider News - Wisconsin Medicaid Aug 1, 2022

Prior authorization requirement changes effective November 1, 2022

August 2022 Anthem Provider News - Wisconsin Medicaid Aug 1, 2022

Chlamydia screening

August 2022 Anthem Provider News - Wisconsin Medicaid Aug 1, 2022

Using SBIRT to address opioid and substance use disorders

August 2022 Anthem Provider News - Wisconsin Medicaid Aug 1, 2022

The cost of alcohol use disorder

August 2022 Anthem Provider News - Wisconsin Medicaid Aug 1, 2022

Cataract awareness

August 2022 Anthem Provider News - Wisconsin Medicaid Aug 1, 2022

Keep up with Medicare News - August 2022

- Upgraded data management system launches August 2022
August 2022 Anthem Provider News - Wisconsin Medicare Aug 1, 2022

AIM Specialty Health phone number update

August 2022 Anthem Provider News - Wisconsin Administrative Aug 1, 2022

New patient evaluation and management services when reported for the same patient within the last three years

August 2022 Anthem Provider News - Wisconsin Administrative Aug 1, 2022

Timely updates help keep our provider directories current

August 2022 Anthem Provider News - Wisconsin Administrative Aug 1, 2022

Add supporting documents directly to your claims with the new Claims Status Send Attachments feature

August 2022 Anthem Provider News - Wisconsin Digital Tools Aug 1, 2022

Introducing the Provider Learning Hub

August 2022 Anthem Provider News - Wisconsin Digital Tools Aug 1, 2022

Telehealth visits can impact after-hospitalization follow-up care for mental illness

August 2022 Anthem Provider News - Wisconsin Behavioral Health Aug 1, 2022

Pharmacy information available at anthem.com

August 2022 Anthem Provider News - Wisconsin Pharmacy Aug 1, 2022

New Digital Provider Enrollment tool added to Availity

September 2022 Anthem Provider News - Wisconsin Digital Tools Jul 25, 2022

Join us for our next clinical quality in practice webinar

Join us for our next clinical quality in practice webinar - Wisconsin Administrative Jul 20, 2022

Enroll through EnrollSafe to be paid via EFT

Enroll through EnrollSafe to be paid via EFT - Wisconsin Digital Tools Jul 14, 2022

Update to facility editing: HCPCS code G0463

July 2022 Anthem Provider News - Wisconsin Administrative Jul 1, 2022

Coding tips for reporting administration of Spravato®

July 2022 Anthem Provider News - Wisconsin Administrative Jul 1, 2022

Help patients heal from the comfort of home with Hospital in Home care

July 2022 Anthem Provider News - Wisconsin Administrative Jul 1, 2022

CAA: Keep your provider directory information current

July 2022 Anthem Provider News - Wisconsin Administrative Jul 1, 2022

More potato chips, sugary drinks and less physical activity are key contributors to childhood obesity

July 2022 Anthem Provider News - Wisconsin Administrative Jul 1, 2022

Clearing up coding confusion for diabetic retinal screenings

July 2022 Anthem Provider News - Wisconsin Administrative Jul 1, 2022

Coming soon: The Anthem Provider Learning Hub makes Availity learning easier

July 2022 Anthem Provider News - Wisconsin Digital Tools Jul 1, 2022

Enhancing claims attachment processes through the digital application Claims Status Inquiry

July 2022 Anthem Provider News - Wisconsin Digital Tools Jul 1, 2022

Enhanced reimbursement for voluntary Cancer Care Quality program to be discontinued effective December 31, 2022

July 2022 Anthem Provider News - Wisconsin Products & Programs Jul 1, 2022

Pharmacy information available at anthem.com

July 2022 Anthem Provider News - Wisconsin Pharmacy Jul 1, 2022

New reimbursement policy: Transitional Care Management - professional

July 2022 Anthem Provider News - Wisconsin Reimbursement Policies Jul 1, 2022

Keep up with Medicare News - July 2022

- New specialty pharmacy medical step therapy requirements
July 2022 Anthem Provider News - Wisconsin Medicare Jul 1, 2022

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

July 2022 Anthem Provider News - Wisconsin Medicare Jul 1, 2022

Cancer Care Navigator

July 2022 Anthem Provider News - Wisconsin Medicare Jul 1, 2022

New reimbursement policy: Modifier FB - Professional and Facility*

*Material Adverse Change (MAC)
July 2022 Anthem Provider News - Wisconsin Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Modifier Rules - Professional*

*Material Adverse Change (MAC)
July 2022 Anthem Provider News - Wisconsin Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Laboratory and venipuncture services - professional and facility*

*Material Adverse Change (MAC)
July 2022 Anthem Provider News - Wisconsin Reimbursement Policies Jul 1, 2022

New reimbursement policy: Place of Service - Facility*

*Material Adverse Change (MAC)
July 2022 Anthem Provider News - Wisconsin Reimbursement Policies Jul 1, 2022

Retraction for reimbursement policy: Sexually Transmitted Infections - Professional

July 2022 Anthem Provider News - Wisconsin Reimbursement Policies Jul 1, 2022

Reimbursement policy update: Distinct Procedural Service, Modifiers 59, XE, XP, XS, XU - professional*

*Material Adverse Change (MAC)
July 2022 Anthem Provider News - Wisconsin Reimbursement Policies Jul 1, 2022

Keep up with Medicaid News - July 2022

July 2022 Anthem Provider News - Wisconsin Medicaid Jul 1, 2022

Prior authorization requirement changes effective August 1, 2022

July 2022 Anthem Provider News - Wisconsin Medicaid Jul 1, 2022

MCG care guidelines 26th edition

July 2022 Anthem Provider News - Wisconsin Medicaid Jul 1, 2022

New Strategic Provider System will launch in August 2022

July 2022 Anthem Provider News - Wisconsin Medicaid Jul 1, 2022

Update use of Modifier 25 for billing for visits that include preventive services and problem-oriented evaluation and management services

July 2022 Anthem Provider News - Wisconsin Medicaid Jul 1, 2022
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