Wisconsin
Provider Communications

Articles Category: Administrative

Title Publication Category Date

Important COVID-19 update: Prior authorization and other policy adjustments (updated January 7, 2022)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing, acute rehabilitation, and long term acute care hospital facilities.
COVID-19 Information - Wisconsin Administrative Jan 7, 2022

New Medicare Advantage plan will have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing providers nationally

Effective April 1, 2022, approximately 200,000 Medicare-eligible City of New York retirees across the United States will transition to the NYC Medicare Advantage Plus plan and have access to Blue Cross Blue Shield Medicare Advantage PPO Network Sharing. Read important information about this change in the New York City Medicare Advantage announcement.

Important Update for New 200k Group Retiree PPO Plan - Wisconsin Administrative Jan 5, 2022

Updated BlueCard® Program Provider Manual available January 1, 2022

January 2022 Anthem Provider News - Wisconsin Administrative Jan 1, 2022

Well-child visits: Know the numbers

January 2022 Anthem Provider News - Wisconsin Administrative Jan 1, 2022

Submitting prior authorizations is getting easier

Anthem is transitioning to the Availity Authorization app
January 2022 Anthem Provider News - Wisconsin Digital Tools Jan 1, 2022

Is prior authorization required?

Answering your questions about the new Availity Authorization App
January 2022 Anthem Provider News - Wisconsin Digital Tools Jan 1, 2022

Information from Anthem for Care Providers about COVID-19 (updated December 30, 2021)

We recently updated information about coverage dates for telephonic-only care.
COVID-19 Information - Wisconsin Administrative Dec 30, 2021

Plans accessing BlueHPN network go live January 1, 2022

December 2021 Anthem Provider News - Wisconsin Administrative Dec 1, 2021

Important information about utilization management

December 2021 Anthem Provider News - Wisconsin Administrative Dec 1, 2021

Case management program

December 2021 Anthem Provider News - Wisconsin Administrative Dec 1, 2021

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

December 2021 Anthem Provider News - Wisconsin Administrative Dec 1, 2021

Professional system updates for 2022

December 2021 Anthem Provider News - Wisconsin Administrative Dec 1, 2021

Outpatient system updates for 2022

December 2021 Anthem Provider News - Wisconsin Administrative Dec 1, 2021

Chlamydia is asymptomatic. Only through screening will we know for sure

December 2021 Anthem Provider News - Wisconsin Administrative Dec 1, 2021

Behavioral healthcare appointment access requirements

December 2021 Anthem Provider News - Wisconsin Administrative Dec 1, 2021

Importance of PCP after-hours messaging

December 2021 Anthem Provider News - Wisconsin Administrative Dec 1, 2021

Member rights and responsibilities

December 2021 Anthem Provider News - Wisconsin Administrative Dec 1, 2021

Coordination of care

December 2021 Anthem Provider News - Wisconsin Administrative Dec 1, 2021

Clinical practice and preventive health guidelines available on anthem.com

December 2021 Anthem Provider News - Wisconsin Administrative Dec 1, 2021

Reminder: EnrollSafe is available – electronic funds transfer enrollment portal for Anthem providers

EnrollSafe replaced CAQH Enrollhub effective November 1, 2021
December 2021 Anthem Provider News - Wisconsin Digital Tools Dec 1, 2021

Register today for a forum on Grief and Loss: The disproportionate impact of the pandemic on communities of color

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about the disproportionate impact of the pandemic on communities of color.
Grief & Loss Forum - Wisconsin Administrative Nov 29, 2021

CME credits available in 2021 for a variety of clinical quality webinars - register now!

November 2021 Anthem Provider News - Wisconsin Administrative Nov 1, 2021

Join Anthem in talking about racism and its impact on health, and earn continuing education credits!

November 2021 Anthem Provider News - Wisconsin Administrative Nov 1, 2021

Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claims

November 2021 Anthem Provider News - Wisconsin Administrative Nov 1, 2021

Change in coverage for continuous glucose monitors for some fully insured groups

November 2021 Anthem Provider News - Wisconsin Administrative Nov 1, 2021

Time to prepare for HEDIS medical record review

November 2021 Anthem Provider News - Wisconsin Administrative Nov 1, 2021

Reducing the burden of medical record review and improving health outcomes with ECDS reporting

November 2021 Anthem Provider News - Wisconsin Administrative Nov 1, 2021

Be Antibiotics Aware: Protect your patient

November 2021 Anthem Provider News - Wisconsin Administrative Nov 1, 2021

Surprisingly easy ways to help patients quit smoking cigarettes

November 2021 Anthem Provider News - Wisconsin Administrative Nov 1, 2021

Against medical advice (AMA) discharge physician tracking tool

November 2021 Anthem Provider News - Wisconsin Digital Tools Nov 1, 2021

EnrollSafe is available: Our new electronic funds transfer enrollment portal for Anthem providers

EnrollSafe replaces CAQH Enrollhub effective November 1, 2021
November 2021 Anthem Provider News - Wisconsin Digital Tools Nov 1, 2021

Updated provider manual

November 2021 Anthem Provider News - Wisconsin Administrative Nov 1, 2021

Join The Fenway Institute for a CME webinar about improving your LGBTQIA+ patient interactions

Join a live webinar, “LGBTQIA+ Care: Delivering Trust and Belonging with Every Interaction,” presented by the National LGBTQIA+ Health Education Center at The Fenway Institute. 

Gain LGBTQIA+ Patient Interaction Knowledge - Wisconsin Administrative Oct 21, 2021

Join the American Heart Association for a CME webinar on hypertension and diabetes disease management


Chronic disease management strategies for your patients with hypertension and diabetes

Date: Friday, October 8, 2021

Time: 12:00 p.m. ET

Clinical Quality CME Webinar Series Continues - Wisconsin Administrative Oct 5, 2021

Clarification: Anthem’s enhanced claim edits for outpatient facility claims

October 2021 Anthem Provider News - Wisconsin Administrative Oct 1, 2021

Looking to earn CME credits? Register for these on-demand webinars!

October 2021 Anthem Provider News - Wisconsin Administrative Oct 1, 2021

Federal Price Transparency and Consolidated Appropriations Act phase in new mandates beginning January 1, 2022

October 2021 Anthem Provider News - Wisconsin Administrative Oct 1, 2021

Your recommendation is key to encouraging cancer screenings for your female patients

October 2021 Anthem Provider News - Wisconsin Administrative Oct 1, 2021

Are you talking to ALL of your patients about breast cancer screenings?

October 2021 Anthem Provider News - Wisconsin Administrative Oct 1, 2021

Good news! Non-payment remittance advice enhancements coming soon

October 2021 Anthem Provider News - Wisconsin Administrative Oct 1, 2021

Clinical appeals

October 2021 Anthem Provider News - Wisconsin Administrative Oct 1, 2021

Reminder: EnrollSafe, the new EFT enrollment portal for Anthem providers replacing CAQH Enrollhub effective November 1, 2021

October 2021 Anthem Provider News - Wisconsin Digital Tools Oct 1, 2021

Procedure searches in Find Care

October 2021 Anthem Provider News - Wisconsin Digital Tools Oct 1, 2021

Register today for the Exploring the Impact of Racial Trauma on the Health & Wellbeing of Children forum on September 29, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about the impact of racial trauma on the health and wellbeing on children and adolescents
Racial Trauma & Children - Wisconsin Administrative Sep 15, 2021

National Accounts 2022 Pre-certification list

September 2021 Anthem Provider News - Wisconsin Administrative Sep 1, 2021

Register now for our September CME webinars

September 2021 Anthem Provider News - Wisconsin Administrative Sep 1, 2021

Statin therapy for patients with diabetes

September 2021 Anthem Provider News - Wisconsin Administrative Sep 1, 2021

Six SIMPLE strategies to help increase medication adherence

September 2021 Anthem Provider News - Wisconsin Administrative Sep 1, 2021

Cure for the common cold: Rest, fluids and this free prescription pad

September 2021 Anthem Provider News - Wisconsin Administrative Sep 1, 2021

HEDIS® medical record submission made easier with our Remote EMR Access Service

September 2021 Anthem Provider News - Wisconsin Administrative Sep 1, 2021

Get your payments faster when you sign up for electronic funds transfer

Introducing EnrollSafe, the new electronic funds transfer enrollment portal for Anthem providers – replacing CAQH Enrollhub effective November 1, 2021.
September 2021 Anthem Provider News - Wisconsin Digital Tools Sep 1, 2021

Register now for our August CME webinars

August 2021 Anthem Provider News - Wisconsin Administrative Aug 1, 2021

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

August 2021 Anthem Provider News - Wisconsin Administrative Aug 1, 2021

Clearing up coding confusion for retinal eye exams (DRE)

August 2021 Anthem Provider News - Wisconsin Administrative Aug 1, 2021

New! Schedule appointments online through Availity

August 2021 Anthem Provider News - Wisconsin Digital Tools Aug 1, 2021

Register for upcoming August CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

Motivating Patients to Adhere to Cervical Cancer Prevention and Screening Recommendations
Tuesday, August 3, 2021, 12:00 p.m. ET

10 Best Practices for Improving Pharmacy Quality Measures
Thursday, August 12, 2021, 1:00 p.m. or 3:00 p.m. ET

6 Ways to Improve Risk Adjustment Documentation Accuracy
Tuesday, August 17, 2021, 12:00 p.m. or 3:00 p.m. ET

Register Now!

Clinical Quality CME Webinar Series Continues - Wisconsin Administrative Jul 29, 2021

Register now to learn strategies to help you and your practice improve clinical quality

July 2021 Anthem Provider News - Wisconsin Administrative Jul 1, 2021

Timely receipt of primary payer’s EOB can help reduce timely filing denials for secondary claims

July 2021 Anthem Provider News - Wisconsin Administrative Jul 1, 2021

Proper coding for in-home monitoring can make a measurable difference for INR

July 2021 Anthem Provider News - Wisconsin Administrative Jul 1, 2021

Another mark of the pandemic: An increase in childhood obesity

July 2021 Anthem Provider News - Wisconsin Administrative Jul 1, 2021

How to enroll in electronic fund transfer (EFT) for faster remittance

July 2021 Anthem Provider News - Wisconsin Digital Tools Jul 1, 2021

Electronic claim response files

July 2021 Anthem Provider News - Wisconsin Digital Tools Jul 1, 2021

Interactive Care Reviewer (ICR): New search option for cases submitted through ICR

July 2021 Anthem Provider News - Wisconsin Digital Tools Jul 1, 2021

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators Administrative Jun 25, 2021

Keep your contact information current

June 2021 Anthem Provider News - Wisconsin Administrative Jun 1, 2021

Answering your claims questions is easier through chat; secure messaging will sunset soon, start using chat now

June 2021 Anthem Provider News - Wisconsin Administrative Jun 1, 2021

Regular check-ins with your clearinghouse could affect timely filing

June 2021 Anthem Provider News - Wisconsin Administrative Jun 1, 2021

Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study finds

June 2021 Anthem Provider News - Wisconsin Administrative Jun 1, 2021

Interactive Care Reviewer’s new copy feature decreases time to submit authorization request

June 2021 Anthem Provider News - Wisconsin Digital Tools Jun 1, 2021

Submit EDI corrected claims via Availity or EDI

June 2021 Anthem Provider News - Wisconsin Digital Tools Jun 1, 2021

Digital solution options with Availity

June 2021 Anthem Provider News - Wisconsin Digital Tools Jun 1, 2021

Two great learning resources on one secure portal

June 2021 Anthem Provider News - Wisconsin Digital Tools Jun 1, 2021

Register for upcoming CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

5 Strategies to Improve Your Quality Measures - June 10th, 12 p.m. or 3 p.m. ET
7 Ways to Enhance Your Patients’ Experience - June 17th, 12 p.m. or 3 p.m. ET

Register now!


Clinical Quality CME Webinar Series - Wisconsin Administrative May 27, 2021

Register today for the In Pursuit of Racial Equity: Deconstructing Bias forum hosted by Anthem and Motivo on June 9, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about racial equity and implicit bias.
Deconstructing Bias Forum Invitation - Wisconsin Administrative May 21, 2021

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - May 2021

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.
May 2021 Anthem Provider News - Wisconsin Administrative May 1, 2021

Updated 2021 Provider Manual now available

May 2021 Anthem Provider News - Wisconsin Administrative May 1, 2021

Resources to support diverse patients and communities

May 2021 Anthem Provider News - Wisconsin Administrative May 1, 2021

Referring to network DME providers for negative pressure wound therapy helps members save on out-of-pocket costs

May 2021 Anthem Provider News - Wisconsin Administrative May 1, 2021

2021 Affirmative statement regarding utilization management decisions

May 2021 Anthem Provider News - Wisconsin Administrative May 1, 2021

A helpful and complete guide to covered well-child visits

May 2021 Anthem Provider News - Wisconsin Administrative May 1, 2021

May is National High Blood Pressure Education Month

May 2021 Anthem Provider News - Wisconsin Administrative May 1, 2021

Digital online scheduling feature now available in the Availity Portal

May 2021 Anthem Provider News - Wisconsin Administrative May 1, 2021

Provider bulletins for medical and itemized bill attachments: Electronic solutions at your fingertips

May 2021 Anthem Provider News - Wisconsin Administrative May 1, 2021

Sending larger digital attachments through Availity

May 2021 Anthem Provider News - Wisconsin Administrative May 1, 2021

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - April 2021

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.
April 2021 Anthem Provider News - Wisconsin Administrative Apr 1, 2021

Important update to provider UM reimbursement penalties and corresponding entry in Provider Manual*

*Material Adverse Change (MAC)
April 2021 Anthem Provider News - Wisconsin Administrative Apr 1, 2021

Does your practice offer telehealth services? Let us know!

April 2021 Anthem Provider News - Wisconsin Administrative Apr 1, 2021

Information Center - Access important policies, forms and helpful resources

April 2021 Anthem Provider News - Wisconsin Administrative Apr 1, 2021

Understanding Availity roles for electronic data interchange (EDI)

April 2021 Anthem Provider News - Wisconsin Administrative Apr 1, 2021

Make the change to digital authorization/referral and hospital admission notifications using EDI

April 2021 Anthem Provider News - Wisconsin Administrative Apr 1, 2021

Attention facilities: Sending admission, discharge and transfer data results in improved care management for patients

April 2021 Anthem Provider News - Wisconsin Administrative Apr 1, 2021

Chat directly with a prior authorization specialist

April 2021 Anthem Provider News - Wisconsin Administrative Apr 1, 2021

Keeping up with routine vaccination during COVID-19

April 2021 Anthem Provider News - Wisconsin Administrative Apr 1, 2021

Interactive bilingual website taking action for our health

Exclusively developed for the Latino Community
April 2021 Anthem Provider News - Wisconsin Administrative Apr 1, 2021

Join Anthem in talking about racism and its impact on health

April 2021 Anthem Provider News - Wisconsin Administrative Apr 1, 2021

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - March 2021

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.
March 2021 Anthem Provider News - Wisconsin Administrative Mar 1, 2021

Medical attachment capability now includes itemized bills and more!

March 2021 Anthem Provider News - Wisconsin Administrative Mar 1, 2021

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - February 2021

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 2021 Anthem Provider News - Wisconsin Administrative Feb 1, 2021

New provider directory indicator for telehealth services

February 2021 Anthem Provider News - Wisconsin Administrative Feb 1, 2021

New Anthem utilization management tool now available on Availity: Authorization Rules Lookup tool

February 2021 Anthem Provider News - Wisconsin Administrative Feb 1, 2021
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