Wisconsin
Provider Communications

Articles

Title Publication Category Date

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

Reimbursement Policy Update - Claims requiring additional documentation (Facility)

September 2018 Anthem Wisconsin eUpdate Reimbursement Policies Aug 30, 2018

Genetic testing prior authorization by ordering physician helps ensure accurate lab payment

October 2018 Anthem Wisconsin Provider Newsletter Medicare Sep 28, 2018

Anthem transitions MA back pain management and cardiology UM programs from OrthoNet to AIM

October 2018 Anthem Wisconsin Provider Newsletter Medicare Sep 28, 2018

Please evaluate statin use for MA members with diabetes, cardiovascular disease

October 2018 Anthem Wisconsin Provider Newsletter Medicare Sep 28, 2018

Medicare pharmacy and prescriber home starts January 2019

October 2018 Anthem Wisconsin Provider Newsletter Medicare Sep 28, 2018

Keep up with Medicare news

October 2018 Anthem Wisconsin Provider Newsletter Medicare Sep 28, 2018

Update to AIM Specialty Health clinical appropriateness guidelines

October 2018 Anthem Wisconsin Provider Newsletter Products & Programs Sep 28, 2018

Update to AIM Specialty Health radiation oncology clinical appropriateness guidelines

October 2018 Anthem Wisconsin Provider Newsletter Products & Programs Sep 28, 2018

Update to AIM Specialty Health sleep disorder management clinical appropriateness guidelines

October 2018 Anthem Wisconsin Provider Newsletter Products & Programs Sep 28, 2018

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

October 2018 Anthem Wisconsin Provider Newsletter Products & Programs Sep 28, 2018

Health Care Reform (including Health Insurance Exchange) Updates and Notifications

October 2018 Anthem Wisconsin Provider Newsletter Products & Programs Sep 28, 2018

Access patient-specific drug benefit information through EMR

October 2018 Anthem Wisconsin Provider Newsletter Pharmacy Sep 28, 2018

Anthem expands specialty pharmacy prior authorization list

October 2018 Anthem Wisconsin Provider Newsletter Pharmacy Sep 28, 2018

Anthem expands specialty pharmacy level of care (clinical site of care) drug list

October 2018 Anthem Wisconsin Provider Newsletter Pharmacy Sep 28, 2018

Anthem expands specialty pharmacy clinically equivalent drug list

October 2018 Anthem Wisconsin Provider Newsletter Pharmacy Sep 28, 2018

Pharmacy information available at anthem.com

October 2018 Anthem Wisconsin Provider Newsletter Pharmacy 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

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

Clinical practice and preventive health guidelines

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

Integrated Medical and Behavioral Healthcare Services Billing

October 2018 Anthem Wisconsin Provider Newsletter Reimbursement Policies Sep 28, 2018

Tips for billing CPT modifier 33

October 2018 Anthem Wisconsin Provider Newsletter Reimbursement Policies Sep 28, 2018

View reimbursement policies online at anthem.com

October 2018 Anthem Wisconsin Provider Newsletter Reimbursement Policies Sep 28, 2018

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

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

Updated Provider Manual posted to anthem.com

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

Medical Policy and Clinical Guidelines Updates

October 2018 Anthem Wisconsin Provider Newsletter Medical Policy & Clinical Guidelines Sep 28, 2018

New Reimbursement Policy - Facility Revenue Code Billing

October 2018 Anthem Wisconsin Provider Newsletter Reimbursement Policies Sep 28, 2018

Reimbursement Policy Update - Readmissions (Facility)

October 2018 Anthem Wisconsin Provider Newsletter Reimbursement Policies Sep 28, 2018

Medical Policies and Clinical Utilization Management Guidelines update - January 2018

October 2018 Anthem Wisconsin Provider Newsletter Medicaid Sep 28, 2018

Prior authorization requirements for Somatrem

October 2018 Anthem Wisconsin Provider Newsletter Medicaid Sep 28, 2018

Update to Durable Medical Equipment - effective October 14, 2018

October 2018 Anthem Wisconsin Provider Newsletter Administrative Oct 12, 2018

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

November 2018 Anthem Wisconsin Network eUpdate Administrative Nov 1, 2018

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

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

University of Chicago Offers Medicare Advantage Option

December 2018 Anthem Wisconsin Provider Newsletter Medicare Dec 1, 2018

Keep up with Medicare news

December 2018 Anthem Wisconsin Provider Newsletter Medicare Dec 1, 2018

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
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