Wisconsin
Provider Communications

Articles

Title Publication Category Date

2019 FEP Benefit information available online

December 2018 Anthem Wisconsin Provider Newsletter Federal Employee Plan (FEP) Dec 1, 2018

2019 Medicare Advantage individual benefits and formularies

December 2018 Anthem Wisconsin Provider Newsletter Medicare Dec 1, 2018

Access patient-specific drug benefit information through EMR

October 2018 Anthem Wisconsin Provider Newsletter Pharmacy Sep 28, 2018

Access requirements for behavioral health care services

September 2019 Anthem Provider News - Wisconsin Behavioral Health Sep 1, 2019

Additional improvements coming to anthem.com

November 2019 Anthem Provider News - Wisconsin Administrative Nov 1, 2019

AIM programs may require additional prior authorization documentation*

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

AIM Specialty Health programs may require documentation

August 2019 Anthem Provider News - Wisconsin Medicare Aug 1, 2019

Anthem Accepts Electronic Prior Authorization Requests for Prescription Medications Online

December 2018 Anthem Wisconsin Provider Newsletter Pharmacy Dec 1, 2018

Anthem announces changes in medical non-oncology specialty drug reviews effective June 15, 2019

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

Anthem Announces Early Launch of IngenioRx

N/A Pharmacy Jan 30, 2019

Anthem clinical criteria and prior authorization updates for specialty pharmacy are available*

November 2019 Anthem Provider News - Wisconsin Pharmacy Nov 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: 2019 Program Year Progression -- What’s in it for you and your patients?

July 2019 Anthem Provider News - Wisconsin Administrative Jul 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

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

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

Anthem Commercial Risk Adjustment (CRA) Reporting Update: Risk Adjustment Data Validation (RADV) Audit happening now

September 2019 Anthem Provider News - Wisconsin Administrative Sep 1, 2019

Anthem Contracted Ambulance Providers

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

Anthem customizations to MCG care guidelines 23rd edition*

August 2019 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Aug 1, 2019

Anthem engages Matrix to conduct mobile health clinics and in-home assessments for targeted members

October 2019 Anthem Provider News - Wisconsin Administrative Oct 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

Anthem expands specialty pharmacy clinically equivalent drug 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 medical step therapy drug list for agents for hereditary angioedema*

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

Anthem expands specialty pharmacy medical step therapy drug list*

February 2019 Anthem Wisconsin Provider Newsletter Pharmacy Feb 1, 2019

Anthem expands specialty pharmacy prior authorization list

October 2018 Anthem Wisconsin Provider Newsletter Pharmacy Sep 28, 2018

Anthem expands specialty pharmacy prior authorization list*

February 2019 Anthem Wisconsin Provider Newsletter Pharmacy Feb 1, 2019

Anthem expands specialty pharmacy prior authorization list*

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

Anthem expands specialty pharmacy prior authorization list*

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

Anthem eye refraction and routine eye exam billing information

February 2019 Anthem Wisconsin Provider Newsletter Medicare Feb 1, 2019

Anthem Federal Employee Health Benefit Program® (FEP) PPO Members will now require prior approval for specific Specialty Drugs and Site of Care

July 2019 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Jul 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

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

Anthem launches additional changes to anthem.com

October 2019 Anthem Provider News - Wisconsin Administrative Oct 1, 2019

Anthem launches additional changes to anthem.com for Q2

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

Anthem launches additional changes to anthem.com in March

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

Anthem launches additional changes to anthem.com in October

October 2018 Anthem Wisconsin Provider Newsletter Administrative Sep 28, 2018

Anthem launches additional changes to anthem.com in September

September 2018 Anthem Wisconsin eUpdate Administrative Aug 30, 2018

Anthem launches Sydney on September 1; new app offers better digital health care support to members

September 2019 Anthem Provider News - Wisconsin Administrative Sep 1, 2019

Anthem offers risk adjustment and documentation training

January 2019 Anthem Wisconsin Provider Newsletter Medicare Jan 1, 2019

Anthem specialty pharmacy medical step therapy drug list clarification about non-oncology colony stimulating factor agents*

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

Anthem specialty pharmacy medical step therapy drug list- clarification

October 2019 Anthem Provider News - Wisconsin Pharmacy Oct 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

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

November 2018 Anthem Wisconsin Network eUpdate Administrative Nov 1, 2018

Anthem to acquire Beacon Health Options

N/A Behavioral Health Jun 6, 2019

Anthem to Enhance Claim Edits for Outpatient Facility Claims

December 2018 Anthem Wisconsin Provider Newsletter Administrative Dec 1, 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

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

July 2019 Anthem Provider News - Wisconsin Administrative Jul 1, 2019

Anthem works to simplify payment recovery process for National Accounts membership

December 2019 Anthem Provider News - Wisconsin Administrative Dec 1, 2019

Anthem Works to Simplify Payment Recovery Process for National Accounts Membership

December 2018 Anthem Wisconsin Provider Newsletter Administrative Dec 1, 2018

Appropriate coding helps provide a comprehensive picture of patients’ health

November 2019 Anthem Provider News - Wisconsin Administrative Nov 1, 2019

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

Aspire Telehealth Palliative Care program

October 2019 Anthem Provider News - Wisconsin Medicare Oct 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

Authorization process update for identified HCBS procedure codes

October 2019 Anthem Provider News - Wisconsin Medicaid Oct 1, 2019

Availity EDI Gateway Webinars Scheduled

October 2018 Anthem Wisconsin Provider Newsletter Administrative Sep 28, 2018

Availity to Serve as EDI Entry Point for Electronic Submissions

December 2018 Anthem Wisconsin Provider Newsletter Administrative Dec 1, 2018

Availity: Anthem’s EDI Gateway is now through Availity

October 2018 Anthem Wisconsin Provider Newsletter Administrative Sep 28, 2018

Availity: Explore the updates to the Medical Attachment Tool

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

Availity: New look to Claim Status and Secure Messaging

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

Availity: New report for oncology practices

November 2018 Anthem Wisconsin Network eUpdate Administrative Nov 1, 2018

Benefit change for Infliximab for Federal Employee Program (FEP)

December 2018 Anthem Wisconsin Provider Newsletter Federal Employee Plan (FEP) 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

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

November 2019 Anthem Provider News - Wisconsin Medicare Nov 1, 2019

Bundled Services and Supplies (Professional)

December 2018 Anthem Wisconsin Provider Newsletter Reimbursement Policies Dec 1, 2018

Case management program

December 2019 Anthem Provider News - Wisconsin Administrative Dec 1, 2019

Case Management Program

December 2018 Anthem Wisconsin Provider Newsletter Administrative Dec 1, 2018

Change to 835 ERA for all D-SNP MA members for 2019

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

Changes to prior authorization (PA) requirements

September 2019 Anthem Provider News - Wisconsin Medicare Sep 1, 2019

Claim editing update for Excludes1 notes

September 2019 Anthem Provider News - Wisconsin Reimbursement Policies Sep 1, 2019

Claims requiring additional documentation facility reimbursement policy update

September 2019 Anthem Provider News - Wisconsin Administrative Sep 1, 2019

Clinical criteria and prior authorization updates for specialty pharmacy are available*

August 2019 Anthem Provider News - Wisconsin Pharmacy Aug 1, 2019

Clinical criteria and prior authorization updates for specialty pharmacy are available*

September 2019 Anthem Provider News - Wisconsin Pharmacy Sep 1, 2019

Clinical Criteria coding updates for specialty pharmacy are available

July 2019 Anthem Provider News - Wisconsin Pharmacy Jul 1, 2019

Clinical Criteria updates

September 2019 Anthem Provider News - Wisconsin Medicare Sep 1, 2019

Clinical Criteria updates

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

Clinical Criteria updates - May 2019

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

Clinical criteria updates for specialty pharmacy

July 2019 Anthem Provider News - Wisconsin Pharmacy Jul 1, 2019

Clinical criteria updates for specialty pharmacy

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

Clinical criteria updates for specialty pharmacy

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

Clinical criteria updates for specialty pharmacy*

February 2019 Anthem Wisconsin Provider Newsletter Pharmacy Feb 1, 2019

Clinical Guideline Update - May 2019*

May 2019 Anthem Provider Newsletter - Wisconsin Medical Policy & Clinical Guidelines May 1, 2019

Clinical Guideline Updates -- September 2019*

September 2019 Anthem Provider News - Wisconsin Medical Policy & Clinical Guidelines Sep 1, 2019

Clinical practice and preventive health guidelines

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

Clinical practice and preventive health guidelines available

December 2019 Anthem Provider News - Wisconsin Administrative Dec 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

December 2018 Anthem Wisconsin Provider Newsletter Medical Policy & Clinical Guidelines Dec 1, 2018

Clinical Validation: Professional*

July 2019 Anthem Provider News - Wisconsin Reimbursement Policies Jul 1, 2019

CMS Medicare Preclusion List effective April 1, 2019

December 2018 Anthem Wisconsin Provider Newsletter Medicare Dec 1, 2018

CMS reminder: expedited/urgent requests

November 2019 Anthem Provider News - Wisconsin Medicare Nov 1, 2019

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

March 2019 Anthem Provider Newsletter - Wisconsin Medicaid Mar 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

Coding Spotlight: Hypertension

July 2019 Anthem Provider News - Wisconsin Medicaid Jul 1, 2019

Coding spotlight: provider’s guide to coding behavioral and emotional disorders

December 2019 Anthem Provider News - Wisconsin Medicaid Dec 1, 2019

Coding Spotlight: Substance Use Disorders and Smoking

December 2018 Anthem Wisconsin Provider Newsletter Medicaid Dec 1, 2018

Coding tip for psychological and neuropsychological testing

December 2019 Anthem Provider News - Wisconsin Behavioral Health Dec 1, 2019

Coming Soon: Anthem Electronic Attachments

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

Coming soon: Electronic attachments

September 2019 Anthem Provider News - Wisconsin Medicare Sep 1, 2019

Coming soon: electronic attachments

September 2019 Anthem Provider News - Wisconsin Medicaid Sep 1, 2019

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

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