Georgia
Provider Communications

Provider Spotlight

May 19, 2020

A special thank you to Care Providers

Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.

May 19, 2020

JL testing if a highlight appears when a return is hit in exerpt

This is line one. 

This is line two. 

No highlights between.

May 19, 2020

JL testing font sizes defaulting to the same size when copy/paste from word

Please note, inclusion of NDC code on your claim will help expedite claim processing of drugs billed with a Not Otherwise Classified (NOC) code.

To access the Clinical Criteria information please click here.


Articles Recent

Title Publication Category Date

A special thank you to Care Providers

Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.
A special thank you to Care Providers Administrative May 19, 2020

JL testing if a highlight appears when a return is hit in exerpt

This is line one. 

This is line two. 

No highlights between.
N/A Administrative May 19, 2020

JL Rich text test

Anthem’s prior authorization clinical review of non-oncology specialty pharmacy drugs will be managed by Anthem’s medical specialty drug review team. Review of specialty pharmacy drugs for oncology indications will be managed by AIM Specialty Health® (AIM), a separate company and are shown in italics in the table below.
JL testing Lex links Administrative May 19, 2020

JL testing font sizes defaulting to the same size when copy/paste from word

Please note, inclusion of NDC code on your claim will help expedite claim processing of drugs billed with a Not Otherwise Classified (NOC) code.

To access the Clinical Criteria information please click here.

JL testing Lex links Administrative May 19, 2020

JL Testing Hyperlink color copy/paste from word

AIM Specialty Health, a separate company, is a nationally recognized leader delivering specialty benefits management on behalf of Anthem for certain health plan members. Determine if preapproval is needed for a Georgia Anthem member by visiting the “Medical Policy and Clinical UM Guidelines” page on our provider website or by calling the preapproval phone number printed on the back of the member’s ID card. To submit your request for any of the services below, contact AIM online via AIM’s ProviderPortal at aimspecialtyhealth.com/goweb. From the drop-down menu, select GA. You may also call AIM toll-free at 866-714-1103, Monday – Friday, 8:00 a.m. – 6:00 p.m. ET. 

N/A Administrative May 19, 2020

JL test to link to LEX article

Find more information from our prevous article here.
JL testing Lex links Administrative May 19, 2020

Important COVID-19 update: Prior authorization and other policy adjustments - CLONE

Thank you for your unwavering commitment and dedication to serving the patients in your care.  As the men and women at the forefront of the COVID-19 pandemic, we recognize and appreciate the efforts and sacrifices you are making across the country in the battle to defeat the virus.  We know that many of you are working long hours and are away from your families during this challenging time.  To support you, we’re working to ease your administrative burden, as you continue to focus on providing much needed health care to patients diagnosed with COVID-19.  To that end, Anthem is suspending select prior authorization rules. Unless otherwise required under state and federal mandates, Anthem health plans will suspend select prior authorization requirements, cost sharing and claims review, and handling protocols.   

N/A Administrative May 19, 2020

Test article #1

TEST COVID-19 Information - Georgia Administrative Apr 14, 2020

Test article #2 for visible draft

TEST COVID-19 Information - Georgia Administrative Apr 14, 2020

Updated COVID-19 Medicare Information

N/A Medicare Apr 9, 2020

Test new excerpt functionality - UPDATED

This is an excerpt with a link in it.
N/A Administrative Mar 26, 2020

TESTING Updated COVID-19 Medicare Information

For the latest COVID-19 Medicare information, please check Important Medicare Advantage Updates .
N/A Medicare Mar 25, 2020

Shine Light on Depression

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

Georgia preapproval list change notification 2/1/2020

February 2020 Anthem Provider News - Georgia Policy Updates Feb 1, 2020

Reimbursement policy update: Modifier 62: Co-surgeons

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

Clinical laboratory improvements amendments for Anthem

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

Georgia medical policy and clinical guideline updates 2/1/2020

February 2020 Anthem Provider News - Georgia Policy Updates Feb 1, 2020

Anthem clinical criteria updates for specialty pharmacy are available

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

Anthem to update formulary lists for commercial health plan pharmacy benefit

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

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

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

Anthem SOAP notes/health assessments for 2019 calendar year are due February 15, 2020

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

Outpatient facility edit implementation

January 2020 Anthem Provider News - Georgia Policy Updates Jan 1, 2020

Medical drug benefit Clinical Criteria updates

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

Electric Boat offers Medicare Advantage options

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

Pelvic Organ Prolapse Repair clinical guideline update

January 2020 Anthem Provider News - Georgia Policy Updates Jan 1, 2020

The New Year brings new ID cards for many Anthem members

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

2020 Federal Employee Program benefit information available online

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

Healthcare Quality Patient Assessment Form and Patient Assessment Form

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

Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

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

EDI migration: Let Anthem help you accomplish your 2020 “to do list” early

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

Best practices to help protect your patients by providing medical ID protection

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

Upcoming retirement planned for legacy Medical Attachment submission tool on Availity

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

New Musculoskeletal and Pain Management Solution effective for select national ASO accounts January 1, 2020

January 2020 Anthem Provider News - Georgia Products & Programs Jan 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

Availity providers can now receive and respond to medical record requests for post pay audit on February 10, 2020

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

Verifying and updating your provider information

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

Coding tip for psychological and neuropsychological testing

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

System updates for 2020 (Professional)

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

New Digital Provider Enrollment tool added to Availity for Georgia

December 2019 Anthem Provider News - Georgia Administrative Dec 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

CORRECTION: New AIM Musculoskeletal Program will begin "December 2, 2019"

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

New Durable Medical Equipment reimbursement policies: Rent to Purchase and Modifiers (Professional)

December 2019 Anthem Provider News - Georgia Policy Updates Dec 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement (APM ID 0037943)

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

Reminder to Medicare Advantage providers

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

CMS reminder: expedited/urgent requests

November 2019 GA Provider News Medicare Nov 1, 2019

Additional improvements coming to anthem.com

November 2019 GA Provider News Administrative Nov 1, 2019

Georgia preapproval list change notification 11/1/2019

November 2019 GA Provider News Policy Updates Nov 1, 2019

Georgia Anthem provider Town Hall dates in Atlanta and Savannah

November 2019 GA Provider News Administrative Nov 1, 2019

Georgia medical policy and clinical guideline updates 11/1/2019

November 2019 GA Provider News Policy Updates Nov 1, 2019

Updates to AIM Spine Surgery Clinical Appropriateness Guideline

November 2019 GA Provider News Policy Updates Nov 1, 2019

Reminder: new AIM Rehabilitative Program effective November 1, 2019

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

Updates to AIM Radiation Therapy Clinical Appropriateness Guideline

November 2019 GA Provider News Policy Updates Nov 1, 2019

CORRECTION: New AIM Musculoskeletal Program will begin "December 1, 2019"

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

Remaining members will transition to new PBM, IngenioRx, on January 1, 2020

November 2019 GA Provider News Pharmacy Nov 1, 2019

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

November 2019 GA Provider News Policy Updates Nov 1, 2019

Anthem appropriate coding helps provide a comprehensive picture of patients’ health

November 2019 GA Provider News Administrative Nov 1, 2019

Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness Guideline

November 2019 GA Provider News Policy Updates Nov 1, 2019

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

November 2019 GA Provider News Pharmacy Nov 1, 2019

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

November 2019 GA Provider News Medicare Nov 1, 2019

Enhanced search and download options allow easy access to provider information from Anthem

Get the latest critical information from Anthem that impacts providers Administrative Oct 8, 2019

Medical drug Clinical Criteria updates

October 2019 Provider News Medicare Oct 1, 2019

Aspire Telehealth Palliative Care program

October 2019 Provider News Medicare Oct 1, 2019

National Accounts 2020 precertification list

October 2019 Provider News Administrative Oct 1, 2019

Medicare preferred continuous glucose monitors

October 2019 Provider News Medicare Oct 1, 2019

Update: 2019 risk adjustment provider training

October 2019 Provider News Medicare Oct 1, 2019

Anthem launches additional changes to anthem.com

October 2019 Provider News Administrative Oct 1, 2019

Place of Service Reimbursement Policy update (Professional)

October 2019 Provider News Reimbursement Policies Oct 1, 2019

Update: new AIM Rehabilitative Program will begin November 1, 2019

October 2019 Provider News Products & Programs Oct 1, 2019

Article title: US Antibiotic Awareness Week is November 11-18, 2019

October 2019 Provider News Administrative Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Provider News Medicare Oct 1, 2019

Anthem specialty pharmacy medical step therapy drug list clarification

October 2019 Provider News Pharmacy Oct 1, 2019

Precertification request turnaround times for the Federal Employee Program

October 2019 Provider News Administrative Oct 1, 2019

Observation Services or Hours Billing reimbursement policy update (Facility)

October 2019 Provider News Reimbursement Policies Oct 1, 2019

Anthem Commercial Risk Adjustment (CRA) reporting update: Retrospective Program continues

October 2019 Provider News Administrative Oct 1, 2019

Federal Employee Program® Specialty Pharmacy Clinical Site-of-Care prior authorization review

October 2019 Provider News Pharmacy Oct 1, 2019

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

October 2019 Provider News Administrative Oct 1, 2019

Clinical criteria updates

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

Coming soon: electronic attachments

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

Claim editing update for Excludes1 notes

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

Changes to prior authorization requirements

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

Pharmacy benefit manager change to IngenioRx

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

Primary care provider after-hours access requirements

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

WellStar is out-of-network for Anthem Pathway members

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

Access requirements for Behavioral Healthcare services

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

Customizations to the 23rd edition of the MCG care guidelines

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

Anthem’s Georgia preapproval list change notification 9/1/2019

September 2019 Anthem Provider News - Georgia Policy Updates Sep 2, 2019

Reminder: Changes to timely filing requirements coming in October

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

New app offers better digital health care support to members on September 1st

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

New reimbursement policy: Maternity Services and Multiple Delivery (Professional)

September 2019 Anthem Provider News - Georgia Reimbursement Policies Sep 2, 2019

Reimbursement policy update: claims requiring additional documentation (Facility)

September 2019 Anthem Provider News - Georgia Reimbursement Policies Sep 2, 2019

New reimbursement policy: Intensity Modulated Radiation Therapy Planning and Delivery (Professional)

September 2019 Anthem Provider News - Georgia Reimbursement Policies Sep 2, 2019

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

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

Anthem’s contract with Northeast Georgia Health System set to expire September 30, 2019 if no agreement is reached

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

Provider Manuals on anthem.com

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

Unspecified diagnosis code update

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

New service types added to Availity

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

New Drug Screen Testing reimbursement policy

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

Prepayment clinical validation review process

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

Provider training required for special needs plans

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

National Drug Code requirement on outpatient claims

August 2019 Anthem Provider News - Georgia Pharmacy Aug 1, 2019
Page 1 of 4 Next Page