Wisconsin
Provider Communications

Articles Recent

Title Publication Category Date

PCP searches in Find Care

PCP searches in Find Care - Wisconsin Administrative Nov 2, 2022

Claims status message enhancements: providing clear descriptions and actionable next steps

November 2022 Anthem Provider News - Wisconsin Digital Tools Nov 1, 2022

Submit digital attachments within seven-calendar days for claims filed with a PWK segment indicator

November 2022 Anthem Provider News - Wisconsin Digital Tools Nov 1, 2022

You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, too

November 2022 Anthem Provider News - Wisconsin Digital Tools Nov 1, 2022

Visit the Provider Learning Hub to view our latest learning opportunities

November 2022 Anthem Provider News - Wisconsin Digital Tools Nov 1, 2022

Remote EMR access service for HEDIS

November 2022 Anthem Provider News - Wisconsin Digital Tools Nov 1, 2022

Specialty pharmacy updates - November 2022

Material Adverse Change (MAC)

November 2022 Anthem Provider News - Wisconsin Pharmacy Nov 1, 2022

Medical policy and clinical guideline updates - November 2022

Material Adverse Change (MAC)
November 2022 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Nov 1, 2022

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

November 2022 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Nov 1, 2022

Correction to reimbursement policy: Place of Service - Facility

Material Adverse Change (MAC)

November 2022 Anthem Provider News - Wisconsin Reimbursement Policies Nov 1, 2022

Keep up with Medicaid News - November 2022

- Prior authorization requirement changes effective November 1, 2022
- Medical drug benefit Clinical Criteria updates
- Appointment access and geographic availability
November 2022 Anthem Provider News - Wisconsin Medicaid Nov 1, 2022

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

November 2022 Anthem Provider News - Wisconsin Medicaid Nov 1, 2022

Important information about utilization management

November 2022 Anthem Provider News - Wisconsin Medicaid Nov 1, 2022

Policy update: Inpatient Readmissions

November 2022 Anthem Provider News - Wisconsin Medicaid Nov 1, 2022

Alcohol use disorders often coexist with psychiatric disorders

November 2022 Anthem Provider News - Wisconsin Medicaid Nov 1, 2022

Keep up with Medicare News - November 2022

- Medical drug benefit Clinical Criteria updates
- New specialty pharmacy medical step therapy requirements (Avastin, Mvasi)
- New specialty pharmacy medical step therapy requirements (Zarxio)
November 2022 Anthem Provider News - Wisconsin Medicare Nov 1, 2022

Support documentation for AIM prior authorization requests

November 2022 Anthem Provider News - Wisconsin Administrative Nov 1, 2022

Personalized Match

November 2022 Anthem Provider News - Wisconsin Medicare Nov 1, 2022

CAA: Keep your provider directory information up to date

November 2022 Anthem Provider News - Wisconsin Administrative Nov 1, 2022

Anthem Blue Cross and Blue Shield expands specialty pharmacy precertification list

November 2022 Anthem Provider News - Wisconsin Medicare Nov 1, 2022

Information from Anthem for Care Providers about COVID-19 - RETIRED as of November 8, 2022

As of November 8, 2022, THIS DOCUMENT WILL NO LONGER BE UPDATED.
Future updates regarding COVID-19 will appear in the monthly Provider News publication.
COVID-19 Information - Wisconsin – Publication RETIRED as of November 8, 2022 Administrative Oct 13, 2022

MCG care guidelines 26th edition update

Effective September 23, 2022, we will upgrade to the 26th edition of MCG care guidelines for the following modules: Inpatient/surgical care (ISC). 
MCG care guidelines 26th edition update - Wisconsin State & Federal Oct 12, 2022

Register for our upcoming CME webinar about low back pain management

CME webinar about low back pain management - Wisconsin Administrative Oct 7, 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
- MCG 26th Edition update
October 2022 Anthem Provider News - Wisconsin Medicare Oct 1, 2022

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 RETRACTION: Please refer to article published 9/1/22

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

New Strategic Provider System implementation in August 2022

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

Pharmacy information available on provider website

October 2022 Anthem Provider News - Wisconsin Pharmacy 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

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

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

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

Monkeypox and smallpox vaccines: Product code on claims

October 2022 Anthem Provider News - Wisconsin Administrative 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

Reimbursement policy update: Multiple and Bilateral Surgery Processing - Professional

Material Adverse Change (MAC)
October 2022 Anthem Provider News - Wisconsin Reimbursement Policies 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

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
- MCG 26th Edition update
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

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

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
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