Missouri
Provider Communications

Articles Recent

Title Publication Category Date

Site of Care* medical necessity reviews for a wide range of surgical procedures beginning January 1, 2021

Bullets: can't select the full list and move bullets. The indent function is grayed out. When you select in front of an individual line you can indent and get a second, third, etc level of bullet. Except for the first bullet. THat one is fixed.

Bullets seem to line up correctly on PDF.
Digital Tools Test 2 - Word Count Limit is 65 - Digital Tools - MO Products & Programs May 18, 2021

Request referrals for Empire Individual Network Plan through Interactive Care Reviewer

Digital Tools Test 2 - Word Count Limit is 65 - Digital Tools - MO Administrative May 18, 2021

Clinical Criteria updates for specialty pharmacy are available

CHanged footer font and saved. Changed it again and saved. Did not change the article order in the publication: passed
Digital Tools Test 2 - Word Count Limit is 65 - Digital Tools - MO Medical Policy & Clinical Guidelines May 18, 2021

Test Digital Tools

Digital Tools Test 2 - Word Count Limit is 65 - Digital Tools - MO Digital Tools May 18, 2021

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

Clinical Laboratory Improvements Amendments for Anthem*

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

Anthem SOAP Notes/Health Assessments for 2019 calendar year are due February 15, 2020

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

Shine Light on Depression

February 2020 Anthem Provider News - Missouri Behavioral Health Feb 1, 2020

Anthem to update formulary lists for commercial health plan pharmacy benefit

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

Medical Policy and Clinical Guideline Updates - February 2020*

February 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Feb 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines*

February 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Feb 1, 2020

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines*

February 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Feb 1, 2020

Medicare News - February 2020

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

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

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

Reimbursement Policy Update: Modifier 62: Co-Surgeons

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

Medicare News -- January 2020

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

Postponed -- Review of professional claims with emergency room level 5 E/M codes

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

Postponed: Review of professional claims with emergency room level 5 E/M codes

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

Availity: Upcoming retirement planned for legacy Medical Attachment submission tool

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

Let Us Help You Accomplish Your 2020 “To-Do List” Early - EDI Migration

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

The New Year brings New ID Cards for many Anthem members

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

Receive and respond to post pay audit medical record requests via Availity beginning February 10, 2020

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

New Musculoskeletal and Pain Management Solution Effective for Select National ASO Accounts January 1, 2020

January 2020 Anthem Provider News - Missouri Products & Programs Jan 1, 2020

Important Update: Milliman Care Guideline (MCG), 23rd Edition, ORG: W0163 Pelvic Organ Prolapse Repair*

January 2020 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Jan 1, 2020

Outpatient Facility Edit Implementation*

January 2020 Anthem Provider News - Missouri Reimbursement Policies Jan 1, 2020

2020 FEP® Benefit information available online

January 2020 Anthem Provider News - Missouri Federal Employee Plan (FEP) Jan 1, 2020

Introducing ConcertoHealth

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

Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

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

Electric Boat offers Medicare Advantage options

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

2020 Medicare risk adjustment provider trainings

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

Medicare preferred continuous glucose monitors

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

August 2019 Medical drug benefit Clinical Criteria updates

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

September 2019 Medical drug benefit Clinical Criteria updates

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

Help protect your patients by providing medical ID protection - best practices

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

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

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

Pharmacy information available at anthem.com

December 2019 Anthem Provider News - Missouri Pharmacy Dec 1, 2019

Verifying and updating your provider information

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

Anthem works to simplify payment recovery process for National Accounts membership

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

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

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

Case management program

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

Coordination of care

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

Important information about utilization management

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

Members’ rights and responsibilities

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

Clinical practice and preventive health guidelines available

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

Reminder: New AIM Rehabilitative Program effective November 1, 2019

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

Coding tip for psychological and neuropsychological testing

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

New Reimbursement Policies: Durable Medical Equipment, Rent to Purchase Durable Medical Equipment, and Modifiers (Professional)

December 2019 Anthem Provider News - Missouri Reimbursement Policies Dec 1, 2019

System updates for 2020 (Professional)

December 2019 Anthem Provider News - Missouri Reimbursement Policies Dec 1, 2019

Coordination of benefits for an FEP® member

December 2019 Anthem Provider News - Missouri Federal Employee Plan (FEP) Dec 1, 2019

Medicare News -- December 2019

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

Provider training series

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

Medical drug Clinical Criteria updates

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

Reminder to Medicare Advantage providers

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

Additional improvements coming to anthem.com

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

Appropriate coding helps provide a comprehensive picture of patients’ health

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

REMINDER: new AIM Rehabilitative Program effective November 1, 2019

November 2019 Anthem Provider News - Missouri Products & Programs Nov 1, 2019

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

November 2019 Anthem Provider News - Missouri Pharmacy Nov 1, 2019

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

November 2019 Anthem Provider News - Missouri Pharmacy Nov 1, 2019

Medical Policy and Clinical Guidelines Updates -- November 2019*

November 2019 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Nov 1, 2019

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

November 2019 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Radiation Therapy Clinical Appropriateness Guideline*

November 2019 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Spine Surgery Clinical Appropriateness Guideline*

November 2019 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Nov 1, 2019

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline*

November 2019 Anthem Provider News - Missouri Medical Policy & Clinical Guidelines Nov 1, 2019

Medicare News -- November 2019

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

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

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

CMS reminder: expedited/urgent requests

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

Enhanced search and download options allow easy access to information at your fingertips

Oct. 9, 2019 Anthem Provider News - Missouri Administrative Oct 9, 2019

National Accounts 2020 Pre-certification list

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

Pharmacy information available at anthem.com

October 2019 Anthem Provider News - Missouri Pharmacy Oct 1, 2019

Reimbursement Policy update: Place of Service- Professional

October 2019 Anthem Provider News - Missouri Reimbursement Policies Oct 1, 2019

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

October 2019 Anthem Provider News - Missouri Federal Employee Plan (FEP) Oct 1, 2019

Pre-certification information for the Federal Employee Program

October 2019 Anthem Provider News - Missouri Federal Employee Plan (FEP) Oct 1, 2019

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

October 2019 Anthem Provider News - Missouri Products & Programs Oct 1, 2019

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

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

Anthem launches additional changes to anthem.com

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

Important update to Anthem’s commercial drug lists

October 2019 Anthem Provider News - Missouri Pharmacy Oct 1, 2019

Anthem specialty pharmacy medical step therapy drug list- clarification

October 2019 Anthem Provider News - Missouri Pharmacy Oct 1, 2019

US Antibiotic Awareness Week is November 11-18, 2019

October 2019 Anthem Provider News - Missouri Federal Employee Plan (FEP) Oct 1, 2019

Medicare News -- October 2019

October 2019 Anthem Provider News - Missouri Medicare Oct 1, 2019

Aspire Telehealth Palliative Care program

October 2019 Anthem Provider News - Missouri Medicare Oct 1, 2019

June 2019 Medical Policies and Clinical Utilization Management Guidelines update

October 2019 Anthem Provider News - Missouri Medicare Oct 1, 2019

Update: 2019 risk adjustment provider trainings

October 2019 Anthem Provider News - Missouri Medicare Oct 1, 2019

Medicare preferred continuous glucose monitors

October 2019 Anthem Provider News - Missouri Medicare Oct 1, 2019

Medical drug Clinical Criteria updates

October 2019 Anthem Provider News - Missouri Medicare Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Anthem Provider News - Missouri Medicare Oct 1, 2019

Reminder: Changes to timely filing requirements coming in October

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

Provider Transparency Update

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

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

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

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

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

Claims requiring additional documentation facility reimbursement policy update

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

PCP after-hours access requirements

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

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

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

Access requirements for behavioral health care services

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

Clinical Guideline Updates -- September 2019*

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

New Reimbursement Policies: Maternity Services and Multiple Delivery - Professional*

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

New Reimbursement Policy: Intensity Modulated Radiation Therapy Planning and Delivery - Professional*

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

Claim editing update for Excludes1 notes

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

Medicare News -- September 2019

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

Coming soon: Electronic attachments

September 2019 Anthem Provider News - Missouri Medicare Sep 1, 2019
Page 1 of 4 Next Page