Wisconsin
Provider Communications

Articles

Title Publication Category Date

Updated Provider Manual posted to anthem.com

October 2018 Anthem Wisconsin Provider Newsletter Administrative Sep 28, 2018

Anthem launches additional changes to anthem.com in October

October 2018 Anthem Wisconsin Provider Newsletter Administrative Sep 28, 2018

Availity: Anthem’s EDI Gateway is now through Availity

October 2018 Anthem Wisconsin Provider Newsletter Administrative Sep 28, 2018

Availity EDI Gateway Webinars Scheduled

October 2018 Anthem Wisconsin Provider Newsletter Administrative Sep 28, 2018

Explore new enhancements to the Availity Education and Reference Center

October 2018 Anthem Wisconsin Provider Newsletter Administrative Sep 28, 2018

Special Investigations Unit (SUI) Updates: FDA Warnings

October 2018 Anthem Wisconsin Provider Newsletter Administrative Sep 28, 2018

HEDIS® 2018: Provider Incentive Winners Announced!

October 2018 Anthem Wisconsin Provider Newsletter Administrative Sep 28, 2018

Are you looking for innovative ways to improve your patients’ experiences and earn CME credits?

October 2018 Anthem Wisconsin Provider Newsletter Administrative Sep 28, 2018

Update to Durable Medical Equipment - effective October 14, 2018

October 2018 Anthem Wisconsin Provider Newsletter Administrative Oct 12, 2018

HEDIS® 2019: Controlling High Blood Pressure (CBP)

February 2019 Anthem Wisconsin Provider Newsletter Administrative Feb 1, 2019

Anthem taps Paul Marchetti to lead company’s overall care transformation strategy

November 2018 Anthem Wisconsin Network eUpdate Administrative Nov 1, 2018

Electronic Member ID Cards - Easy online access on the Availity Portal

May 2019 Anthem Provider Newsletter - Wisconsin Administrative May 1, 2019

Reminder: Correspondence must include a valid Anthem member ID number

November 2018 Anthem Wisconsin Network eUpdate Administrative Nov 1, 2018

Availity: New report for oncology practices

November 2018 Anthem Wisconsin Network eUpdate Administrative Nov 1, 2018

Review of professional claims with emergency room level 5 E/M codes

May 2019 Anthem Provider Newsletter - Wisconsin Administrative May 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Health Assessment requests for 2019 / Alternative reporting engagement

May 2019 Anthem Provider Newsletter - Wisconsin Administrative May 1, 2019

AIM programs may require additional prior authorization documentation*

June 2019 Anthem Provider Newsletter - Wisconsin Administrative Jun 1, 2019

Anthem Contracted Ambulance Providers

May 2019 Anthem Provider Newsletter - Wisconsin Administrative May 1, 2019

Attention: Availity launches additional changes to the new look to our Medical Attachment submission tool

May 2019 Anthem Provider Newsletter - Wisconsin Administrative May 1, 2019

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program begins; benefits of direct connection access to your EMR

June 2019 Anthem Provider Newsletter - Wisconsin Administrative Jun 1, 2019

Find A Doctor -- New Sort Option

June 2019 Anthem Provider Newsletter - Wisconsin Administrative Jun 1, 2019

Coming Soon: Anthem Electronic Attachments

June 2019 Anthem Provider Newsletter - Wisconsin Administrative Jun 1, 2019

New ICR Immediate Decision List posted on Availity Payer Spaces

June 2019 Anthem Provider Newsletter - Wisconsin Administrative Jun 1, 2019

Anthem launches additional changes to anthem.com for Q2

June 2019 Anthem Provider Newsletter - Wisconsin Administrative Jun 1, 2019

Updated Provider Manual now available

May 2019 Anthem Provider Newsletter - Wisconsin Administrative May 1, 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

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes - May 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 starred (*) below.
May 2019 Anthem Provider Newsletter - Wisconsin Administrative May 1, 2019

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

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

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

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes: April 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.
April 2019 Anthem Provider Newsletter - Wisconsin Administrative Apr 1, 2019

Notice of Material Changes/Amendments to Contract and Prior Authorization Changes -- June 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 starred (*) below.
June 2019 Anthem Provider Newsletter - Wisconsin Administrative Jun 1, 2019

Now Available: Get patient payments faster with Healthcare Bill Payments at anthem.com

September 2018 Anthem Wisconsin eUpdate Administrative Aug 30, 2018

Anthem launches additional changes to anthem.com in September

September 2018 Anthem Wisconsin eUpdate Administrative Aug 30, 2018

Submit electronic SOAP notes today using ePASS® and receive $100 each

September 2018 Anthem Wisconsin eUpdate Administrative Aug 30, 2018

New on Interactive Care Reviewer (ICR): Request Clinical Appeals

April 2019 Anthem Provider Newsletter - Wisconsin Administrative Apr 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

Anthem launches additional changes to anthem.com in March

March 2019 Anthem Provider Newsletter - Wisconsin Administrative 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

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Accurate coding helps provide a comprehensive picture of patients’ health and services provided

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

Why do patients stop taking their prescribed medications and what can you do to help them?

April 2019 Anthem Provider Newsletter - Wisconsin Administrative Apr 1, 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

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

Member Satisfaction with Behavioral Health Outpatient Services (WI)

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

Anthem to acquire Beacon Health Options

N/A Behavioral Health Jun 6, 2019

Clinical practice and preventive health guidelines

October 2018 Anthem Wisconsin Provider Newsletter Coverage and Clinical Guidelines Sep 28, 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

HEDIS 2019 Federal Employee Program® medical record request requirements

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

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

Prior authorization requirements for Interferon beta-1a

October 2018 Anthem Wisconsin Provider Newsletter Medicaid Sep 28, 2018

Prior authorization requirements for high-level, definitive drug testing

October 2018 Anthem Wisconsin Provider Newsletter Medicaid Sep 28, 2018

Medical Policies and Clinical Utilization Management Guidelines update - May 2018

October 2018 Anthem Wisconsin Provider Newsletter Medicaid Sep 28, 2018

Medical Policies and Clinical Utilization Management Guidelines update - March 2018

October 2018 Anthem Wisconsin Provider Newsletter Medicaid Sep 28, 2018

Vaginal birth after cesarean shared decision-making aid available

October 2018 Anthem Wisconsin Provider Newsletter Medicaid Sep 28, 2018

EDI Gateway migration

October 2018 Anthem Wisconsin Provider Newsletter Medicaid Sep 28, 2018

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

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

Medical Policies and Clinical Utilization Management Guidelines update - January 2018

October 2018 Anthem Wisconsin Provider Newsletter Medicaid Sep 28, 2018

Medicaid News - May 2019

May 2019 Anthem Provider Newsletter - Wisconsin Medicaid May 1, 2019

Clinical Criteria updates - May 2019

May 2019 Anthem Provider Newsletter - Wisconsin Medicaid May 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

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

Anthem fights opioid addiction: Extension for Community Health Care Outcomes and Quality Medication-Assisted Therapy

October 2018 Anthem Wisconsin Provider Newsletter Medicaid Sep 28, 2018

Medical Policies and Clinical Utilization Management Guidelines update: January 2019

January 2019 Anthem Wisconsin Provider Newsletter Medicaid Jan 1, 2019

Medicaid News -- June 2019

June 2019 Anthem Provider Newsletter - Wisconsin Medicaid Jun 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

June 2019 Anthem Provider Newsletter - Wisconsin Medicaid Jun 1, 2019

Review of professional claims with emergency department level 5 E&M codes

June 2019 Anthem Provider Newsletter - Wisconsin Medicaid Jun 1, 2019

Complex Case Management program

June 2019 Anthem Provider Newsletter - Wisconsin Medicaid Jun 1, 2019

Important information about utilization management

June 2019 Anthem Provider Newsletter - Wisconsin Medicaid Jun 1, 2019

Members' Rights and Responsibilities Statement

June 2019 Anthem Provider Newsletter - Wisconsin Medicaid Jun 1, 2019

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

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