Colorado
Provider Communications

August 2018 Anthem Provider Newsletter - CO

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Title Category

Working with Anthem – 2018 Subject Specific Webinars – August schedule

Administrative

Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid Available on the Web

Administrative

Submit Prior Authorizations medication requests electronically; new phone and fax numbers for MA prescription PAs effective September 1

Medicare

Reimbursement Policies are available online

Reimbursement Policies

Provider Transparency Update

Administrative

Provider and Facility identified Overpayments (aka “voluntary” or “unsolicited”)

Administrative

Pharmacy information available on anthem.com

Pharmacy

Once per Lifetime Procedures – Professional

Reimbursement Policies

Non-participating lab referrals

Administrative

New enhancements to the Interactive Care Reviewer (ICR) tool

Administrative

Network Update newsletter has a new look and usability features

Administrative

Member Explanation of Benefits gets a makeover

Administrative

Mailing Address for Federal Employee Program® (FEP) Paper Claims and Claims Related Correspondence

Federal Employee Plan (FEP)

MA members receive incentives for completing screenings

Medicare

Keep up with Medicare news

Medicare

Innovative ways to improve your patients’ experiences and earn CME credits

Administrative

Important information about billing colonoscopy and related anesthesia services

Administrative

Health Care Reform Updates (including Health Insurance Marketplace / Affordable Care Act)

Administrative

Clear Claim Connection

Reimbursement Policies

Bundled Services and Supplies – Professional

Reimbursement Policies

Availity webinars regarding EDI

Administrative

Anthem’s Individualized Care Program supports palliative care for commercial members

Products & Programs

Anthem to update drug lists supporting commercial health plans

Pharmacy

Anthem to enhance automated claim edits for professional claims

Administrative

Anthem removes drugs from specialty pharmacy clinical site of care (level of care) drug list

Pharmacy

Anthem has partnered with Availity to become our designated EDI Gateway

Administrative

Anthem Community Care Coordination expands relationship with Innovative Health Delivery to support commercial members with complex needs

Products & Programs

Anthem applies daily morphine equivalent dosing limit

Pharmacy

Anthem accepts pre-certification requests for prescription medications online

Administrative

Additional Support Available for Members with Rare Conditions

Products & Programs
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