ProviderAccess Login
Access our secured site.
Not registered? Register Now


Login
Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements
View requirements for Local Plan and BlueCard Out-of-Area members.

Enter

Find a Doctor
Search our online provider directory when you need a doctor, hospital or other health care provider.


Network Update

PW_000501

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!

 
After Hours Reminder
Importance of submitting Provider changes timely
Medical chart reviews for members with plans on or off the exchange due by April 1, 2017
Updated Escalation Contact List
Medicare Advantage Updates

Coding patient services reminders

Preventive service procedure codes updated for 2017

CMS releases new coding guidelines for 3D mammography

Comply with clinical information requests

New G codes for home health agencies

New place of service code 02 for telehealth services

Keep up with Medicare news

Health Care Reform Updates and notifications
 
SOAP Notes/Health Assessments requested by Inovalon for 2016 calendar year must be submitted by February 10, 2017
Members managed by OrthoNet available online through Availity Web Portal
Reminder: ProviderAccess Web Portal Retirement Delayed
Use the Interactive Care Reviewer via the Availity Web Portal to submit your requests for Behavioral Health services today!
Member satisfaction with Behavioral Health outpatient services
Commercial HEDIS® 2017 starts early February
Blood Pressure Monitor Benefits for Federal Employees
Free provider training and CME credit – Moving toward equity in asthma care
Practitioners’ rights during the credentialing process
Blue Physician Recognition and Physician Quality Measurement programs to sunset
Update to Claims Processing Edits and Professional Reimbursement Policies
Clinical Practice and Preventive Health Guidelines Available online
Pharmacy information available on anthem.com
Medicare Advantage Updates

Update to Claims Processing Edits and Professional Reimbursement Policies

New CMS requirement – hospitals must use Medicare Outpatient Observation Notice (MOON) form

Retrospective medical record review program launches

Radiation therapy services – contact AIM for delivery, Anthem for planning

Keep up with Medicare news

Health Care Reform Updates and notifications

Preventive care services covered with no member cost-share (updated December 2016)

 
Drug fee schedule update
Provider Solutions contact updates
Updated Escalation Contact List
Updated Alpha Prefix Reference List
ProviderAccess Retirement delayed: Still encouraged to transition to the Availity Web Portal Now
Use the Interactive Care Reviewer (ICR) to submit and check the precert status for many of your Anthem patients today!
Clinical Practice and Preventive Health Guidelines Available on the Web
Reminder: Provide Anthem with advance written notice when acquiring, being acquired by, or merging / assigning with another provider
Reminder: Webinars by Inovalon help you complete SOAP Notes for 2016 calendar year by February 10, 2017
Update to Claims Processing Edits and Professional Reimbursement Policies
Clinical Practice and Preventive Health Guidelines available online
Medicare Advantage Updates

Claim adjustments may change member cost share

Payment reduction for X-rays taken using film

Claims for tetanus vaccinations

Individual MA members should use Hearing Care Solutions

Include NPI in surgical procedure bills

Transitional Care Management (TCM) Services

Keep up with Medicare news

Health Care Reform Updates and notifications
 
 
©2005-2017 copyright of Anthem Insurance Companies, Inc.

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