Georgia
Provider Communications

Articles

Title Publication Category Date

Update to Emergency Department Level of E&M Services reimbursement policy

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

Update to Durable Medical Equipment – effective October 14, 2018

October 2018 BCBSGa Provider Newsletter Administrative Oct 13, 2018

Update to claim processing for services requiring AIM prior authorization

June 2018 BCBSGa Provider Newsletter Products & Programs Jun 14, 2018

Update to AIM Specialty Health sleep disorder management clinical appropriateness guidelines

October 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Update to AIM Specialty Health radiation oncology clinical appropriateness guidelines

October 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Update to AIM Specialty Health Oncologic Imaging clinical appropriateness guidelines

May 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines May 1, 2021

Update to AIM Specialty Health clinical appropriateness guidelines: advanced imaging appropriate use criteria: imaging of the heart

October 2018 BCBSGa Provider Newsletter Medical Policy & Clinical Guidelines Oct 1, 2018

Update to AIM Sleep Disorder Management Clinical Appropriateness Guidelines

April 2019 Anthem Provider Newsletter - Georgia Policy Updates Apr 1, 2019

Update to AIM radiation oncology clinical appropriateness guidelines

August 2018 BCBSGa Provider Newsletter Policy Updates Jul 31, 2018

Update to AIM Musculoskeletal Joint Surgery Clinical Appropriateness Guidelines

April 2019 Anthem Provider Newsletter - Georgia Policy Updates Apr 1, 2019

Update to AIM clinical appropriateness guidelines

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

Update to AIM Advanced Imaging of the Heart Clinical Appropriateness Guideline

April 2019 Anthem Provider Newsletter - Georgia Policy Updates Apr 1, 2019

Update to AIM Advanced Imaging of the Head and Neck Clinical Appropriateness Guidelines

April 2019 Anthem Provider Newsletter - Georgia Policy Updates Apr 1, 2019

Update regarding specialty pharmacy clinical site of care claim processing

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

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred (Professional)

Anthem May 2019 Provider News - Georgia Administrative May 1, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

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

Update regarding drugs not approved by the FDA

January 2019 Anthem Provider Newsletter - Georgia Pharmacy Jan 1, 2019

Update regarding annual wellness visits for ACA-compliant health plans

November 2021 Anthem Provider News - Georgia Products & Programs Nov 1, 2021

UPDATE for commercial providers regarding the AIM sleep therapy program CPT code E1399, NOC: durable medical equipment, miscellaneous.

April 2021 Anthem Provider News - Georgia Products & Programs Apr 1, 2021

Upcoming retirement planned for legacy Medical Attachment submission tool on Availity

January 2020 Anthem Provider News - Georgia Administrative Jan 1, 2020

Unspecified diagnosis code update

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

Understanding your patients’ differences is lifesaving

March 2022 Anthem Provider News - Georgia Administrative Mar 1, 2022

Understanding Availity roles for electronic data interchange (EDI)

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

Two great learning resources on one secure portal

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

Transition to AIM Specialty Health Imaging of the heart clinical appropriateness guideline for Computed Tomography to Detect Coronary Artery Calcification

August 2021 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Aug 1, 2021

Transition to AIM Rehabilitative Services clinical appropriateness guidelines

June 2020 Anthem Provider News - Georgia Policy Updates Jun 1, 2020

Transition to AIM Rehabilitative Services clinical appropriateness guidelines

December 2020 Anthem Provider News - Georgia Medical Policy & Clinical Guidelines Dec 1, 2020

Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines delayed to December 1, 2020

October 2020 Anthem Provider News - Georgia Products & Programs Oct 1, 2020

Tips for billing CPT modifier 33

October 2018 BCBSGa Provider Newsletter Administrative Oct 1, 2018

Timely updates help keep our provider directories current

August 2022 Anthem Provider News - Georgia Administrative Aug 1, 2022

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

We want to help.
July 2021 Anthem Provider News - Georgia Administrative Jul 1, 2021

Time to prepare for HEDIS® medical record review

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

The New Year brings new ID cards for many Anthem members

January 2020 Anthem Provider News - Georgia Administrative Jan 1, 2020

The impact of listening

Medicare Advantage
April 2022 Anthem Provider News - Georgia Medicare Apr 1, 2022

The heath of millennials: trends in behavioral health conditions

April 2021 Anthem Provider News - Georgia Behavioral Health Apr 1, 2021

The Anthem, Inc. name is changing

Our parent company's name is changing Administrative Mar 16, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Provider News - Georgia Administrative Apr 1, 2022

The Anthem, Inc. name is changing

Medicare Advantage
April 2022 Anthem Provider News - Georgia Medicare Apr 1, 2022

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

August 2022 Anthem Provider News - Georgia Behavioral Health Aug 1, 2022

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

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

System updates for 2020 (Professional)

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

System updates for 2019 (Professional)

December 2018 BCBSGa Provider Newsletter Policy Updates Dec 1, 2018

Surprisingly easy ways to help patients quit smoking cigarettes

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

Submit PA medication requests electronically; new phone number for MA prescription PAs effective Sept. 1

August 2018 BCBSGa Provider Newsletter Medicare Jul 31, 2018

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

September 1, 2018 BCBSGa Network eUPDATE Administrative Sep 1, 2018

Submit clinical information with request

August 2018 BCBSGa Provider Newsletter Administrative Jul 31, 2018

Submit a claim payment dispute electronically for Anthem commercial members

February 2022 Anthem Provider News - Georgia Administrative Feb 1, 2022

Streamlined workflow for solicited medical attachments

August 2018 BCBSGa Provider Newsletter Administrative Jul 31, 2018

Statin therapy for patients with diabetes

Achieve 90% patient statin therapy adherence with a personalized approach
September 2021 Anthem Provider News - Georgia Administrative Sep 1, 2021

Specialty pharmacy updates (MAC)

Material adverse change (MAC)
August 2022 Anthem Provider News - Georgia Pharmacy Aug 1, 2022

Specialty dose rounding program for certain oncology medications

August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021

August 2021 Anthem Provider News - Georgia Pharmacy Aug 1, 2021

Special Investigations Unit updates

October 2018 BCBSGa Provider Newsletter Administrative Oct 1, 2018

Southern Company offers Medicare Advantage option

December 2020 Anthem Provider News - Georgia Medicare Dec 1, 2020

Some physician requests to AIM may require the submission of documentation to support attestations for prior authorization

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

Some of your patients will begin moving to IngenioRx in Q2 2019

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

Some HIV medication combinations may require prior authorization

March 2021 Anthem Provider News - Georgia Pharmacy Mar 1, 2021

Somatus is your resource for kidney care management

Medicare Advantage
December 2021 Anthem Provider News - Georgia Medicare Dec 1, 2021

Social determinants of health support expanding GroundGame Health

October 2020 Anthem Provider News - Georgia Medicare Oct 1, 2020

Site of care* medical necessity reviews expands to numerous surgical procedures beginning December 1, 2020

September 2020 Anthem Provider News - Georgia Products & Programs Sep 1, 2020

Site of Care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021

March 2021 Anthem Provider News - Georgia Pharmacy Mar 1, 2021

Simplifying requests for additional information

March 2022 Anthem Provider News - Georgia Digital Tools Mar 1, 2022

Simplifying medication prior authorization processes

January 2019 Anthem Provider Newsletter - Georgia Pharmacy Jan 1, 2019

Shine Light on Depression

February 2020 Anthem Provider News - Georgia Administrative Feb 1, 2020

Sexually Transmitted Infections Testing (Professional)

Medicare Advantage
October 2021 Anthem Provider News - Georgia Medicare Oct 1, 2021

September 2022 Specialty pharmacy updates (MAC)

Material Adverse Change (MAC)
September 2022 Anthem Provider News - Georgia Pharmacy Sep 1, 2022

September 2021 updates for specialty pharmacy are available (MAC)

Material adverse change (MAC)
September 2021 Anthem Provider News - Georgia Pharmacy Sep 1, 2021

Send larger digital attachments through Availity

File size has been expanded to 100 megabytes
May 2021 Anthem Provider News - Georgia Administrative May 1, 2021

Self-service, digital transactions are fast and easy

January 2021 Anthem Provider News - Georgia Administrative Jan 1, 2021

Scope of License reimbursement policy update (Professional)

December 2018 BCBSGa Provider Newsletter Reimbursement Policies Dec 1, 2018

Save time by using CPT II codes: Introducing FEP Quality Reimbursement Program for PPO providers

April 2022 Anthem Provider News - Georgia Federal Employee Plan (FEP) Apr 1, 2022

Routine Obstetrical Services update (professional)

October 2018 BCBSGa Provider Newsletter Reimbursement Policies Oct 1, 2018

Review of Reimbursement Policies – Professional

June 2018 BCBSGa Provider Newsletter Policy Updates Jun 14, 2018

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

Anthem June 2019 Provider News - Georgia Medicare Jun 1, 2019

Retrieve your Anthem Patient’s HEDIS® care gaps through Patient360 located on the Availity Portal

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

RETRACTION: Inpatient Facility Transfers reimbursement policy (facility)

December 2021 Anthem Provider News - Georgia Reimbursement Policies Dec 1, 2021

Retraction for reimbursement policy: Sexually Transmitted Infections (Professional)

July 2022 Anthem Provider News - Georgia Reimbursement Policies Jul 1, 2022

Restructure of AIM advanced imaging clinical appropriateness guidelines

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

Resources to support diverse patients and communities

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

Resources to support diverse patients and communities

May 2022 Anthem Provider News - Georgia Administrative May 1, 2022

Resources to support diverse patients and communities

August 2020 Anthem Provider News - Georgia Products & Programs Aug 1, 2020

Request an appeal using Interactive Care Reviewer (ICR)

December 2018 BCBSGa Provider Newsletter Administrative Dec 1, 2018

Reminders for Medicare Advantage group retiree PPO plans and national access plus FAQ

Medicare Advantage
June 2021 Anthem Provider News - Georgia Medicare Jun 1, 2021

REMINDER: Updated AIM rehabilitative program effective August 1, 2021 for site of service reviews

July 2021 Anthem Provider News - Georgia Products & Programs Jul 1, 2021

Reminder: Updated AIM Musculoskeletal Program site of care reviews effective November 1, 2021

October 2021 Anthem Provider News - Georgia Products & Programs Oct 1, 2021

REMINDER: Post-service reviews using AIM

November 2020 Anthem Provider News - Georgia Administrative Nov 1, 2020

REMINDER: New AIM Rehabilitative Program effective November 1, 2019

December 2019 Anthem Provider News - Georgia Products & Programs Dec 1, 2019

Reminder: new AIM Rehabilitative Program effective November 1, 2019

November 2019 GA Provider News Products & Programs Nov 1, 2019

Reminder: Mid-level practitioners are required to file using their NPI

March 2020 Anthem Provider News - Georgia Medicare Mar 1, 2020

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

January 2020 Anthem Provider News - Georgia Medicare Jan 1, 2020

Reminder: inpatient/outpatient commercial claim denials

August 2022 Anthem Provider News - Georgia Administrative Aug 1, 2022

REMINDER: Expansion of AIM Musculoskeletal Program effective November 1, 2020

October 2020 Anthem Provider News - Georgia Products & Programs Oct 1, 2020

Reminder: EnrollSafe is available: electronic funds transfer enrollment portal for Anthem Blue Cross and Blue Shield providers

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

Reminder: Changes to timely filing requirements coming in October

September 2019 Anthem Provider News - Georgia Administrative Sep 2, 2019

Reminder: changes to the process for medical non-oncology specialty drug reviews effective June 15, 2019

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

Reminder: BCBSGa accepts prior authorization requests for prescription medications online

June 2018 BCBSGa Provider Newsletter Pharmacy Jun 14, 2018

Reminder: Anthem follows Original Medicare policies

February 2019 Anthem Provider Newsletter - Georgia Medicare Feb 1, 2019

Reminder: AIM prior authorization phone number change for Medicare

Medicare Advantage
September 2022 Anthem Provider News - Georgia Medicare Sep 1, 2022

REMINDER: EnrollSafe, the new electronic funds transfer enrollment portal for Anthem providers is replacing CAQH Enrollhub effective November 1, 2021

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

Reminder – Miscellaneous durable medical equipment billing guidelines

June 2018 BCBSGa Provider Newsletter Administrative Jun 14, 2018
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