California
Provider Communications

April 2019 Anthem Blue Cross Provider Newsletter - California

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Title Category

New look to Claim Status and Secure Messaging on the Availity Portal (for California)

Administrative

Now available Anthem Blue Cross’ new Digital Enrollment application

Administrative

Anthem Blue Cross Commercial Risk Adjustment (CRA) reporting update: Accurate coding helps provide a comprehensive picture of patients’ health and services provided

Administrative

Workers’ Compensation Physicians Acknowledgments required by California Code of Regulations

Administrative

Contracted provider claim escalation process

Administrative

Provider Education seminars, webinars, workshops and more!

Administrative

Anthem Blue Cross provider directory and provider data updates

Administrative

Easily update provider demographics with the online Provider Maintenance Form

Administrative

Sign-up now for our Network eUPDATE today – it’s free!

Administrative

Network leasing arrangements

Administrative

Misrouted protected health information

Administrative

Reimbursement policy update, Modifier 22: Increased procedural service

Medi-Cal Managed Care

November 2018 Medical Policies and Clinical Utilization Management Guidelines update

Medi-Cal Managed Care

Practitioners’ rights during credentialing process

Medi-Cal Managed Care

Provider surveys

Medi-Cal Managed Care

Diabetes prevention program

Medi-Cal Managed Care

Tobacco cessation requirements for Medi-Cal Managed Care (Medi-Cal) providers

Medi-Cal Managed Care

Medical necessity review for appropriate level of care

Medi-Cal Managed Care

Appointment access standards

Medi-Cal Managed Care

Regulatory updates

Medi-Cal Managed Care

Clinical Criteria updates

Medi-Cal Managed Care

Nicotine replacement products

Medi-Cal Managed Care

Health education classes and Language assistance programs

Medi-Cal Managed Care

Update: New prior authorization for Physical, Occupational and Speech Therapy Services will begin May 1, 2019

Medical Policy & Clinical Guidelines

Treatment guidelines for Medical Treatment Utilization Schedule update, effective April 18, 2019

Medical Policy & Clinical Guidelines

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

Medicare

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

Medicare

Medicare preferred PPO plan available to Laborers Health and Welfare Trust Fund for Northern California retirees

Medicare

Electronic claim payment reconsideration

Medicare

Keep up with Medicare news

Medicare

Pharmacy information available on anthem.com/ca

Pharmacy

Clinical practice and preventive health guidelines available online

Policy Updates
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