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Network Update

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Network Update is an Anthem Blue Cross and Blue Shield newsletter sent to our Colorado network providers each month. Start receiving Network Update and all Anthem network communications via email, click Anthem Network eUpdate Registration Form to sign up TODAY!

Please work with your ProviderAccess Users to get them transitioned to the Availity Web Portal
Availity upcoming workshops in Colorado
User Profiles and HIPAA compliance reminder
Update to Claims Processing Edits and Professional Reimbursement Policies
MyHealth Advantage works with you to help your patients
Medicare Advantage Updates

Anthem encourages Medicare Advantage members to stay up-to-date on preventive care

Annual surveys ask members to rate their quality of care and their Medicare Advantage health plan

Adult BMI and HEDIS - please record exact number, not range

Update: Medicare Advantage Specialty Pharmacy Unit phone option

BCBSA Initiative Helps Insure Timely and Accurate Payment for Secondary Payer Medicare Claims - REMINDER of Duplicate Claims Handling for Medicare Crossover

Health Care Reform Updates (including Health Insurance Exchange)
 
Drug fee schedule update
Updated CMS 1500 claim form version 02/12 to be accepted beginning January 6, 2014
Member eligibility, benefits and claims status inquiry functions moving exclusively to the Availity Web Portal from ProviderAccess
ICD-10: It’s Time to Test with Anthem
Reminder: Surveys for the 2013 Anthem Quality-In-Sights® Primary Care Incentive Program due no later than February 28, 2014
Update to Claims Processing Edits and Professional Reimbursement Policies
Reminder: new additional Applied Behavioral Analyst HCPCS codes effective January 1, 2014
HEDIS® 2014: it’s time to show our quality!
Clinical Practice and Preventive Health Guidelines available on the web!
Pharmacy information available on anthem.com
Future Moms promotes healthy pregnancies and healthy babies
Medicare Advantage Updates

CPT II codes can help reduce administrative burden

Speaking the language of ICD-10 - Part 3

2014 House Call Program Available at No Out-of-Pocket Cost to Medicare Advantage Members

Health Care Reform Updates (including Health Insurance Exchange)

Provider Checklist: The Health Insurance Marketplace is here. Are you ready?

 
 
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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Com pany. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi"), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare"), which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem Web sites constitutes your agreement with our Terms of Use