California
Provider Communications

August 2020 Anthem Blue Cross Provider News - California

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Title Category

2020 Medicare risk adjustment provider trainings

Medicare

AIM Musculoskeletal program expansion

Medicare

Anthem Blue Cross electronic attachments - X12 275 5010

Administrative

Anthem Blue Cross provider directory and provider data updates

Administrative

Anthem Blue Cross to update formulary lists for commercial health plan pharmacy benefit

Pharmacy

Appropriate coding helps provide a comprehensive picture of patients’ health

Administrative

Coming soon: Enhance your prior authorization and inpatient admission and discharge notification via electronic and digital self-service for 2020

Administrative

Did you know? Referral requirements for students with University of California Student Health Insurance Plan (UC SHIP) coverage

Administrative

Easily update provider demographics with the online Provider Maintenance Form

Administrative

Electronic claims submission: Clinical Laboratory Improvement Amendments (CLIA)

Administrative

Facility Reimbursement Policy Update – claims requiring additional documentation

Reimbursement Policies

Medical drug benefit Clinical Criteria updates

Medi-Cal Managed Care

Medical drug benefit Clinical Criteria updates

Medicare

Medical drug benefit Clinical Criteria updates

Cal MediConnect

Medical Provider Network: Physician Acknowledgements for Workers’ Compensation required by California

Administrative

Medical record standards

Medical Policy & Clinical Guidelines

Migrate your EDI transactions to Availity today

Administrative

Network leasing arrangements

Administrative

New MCG Care Guidelines 24th edition

Medi-Cal Managed Care

New MCG Care Guidelines 24th edition

Medicare

New MCG Care Guidelines 24th edition

Cal MediConnect

Pharmacy information available on anthem.com/ca

Pharmacy

Provider Contract and Fee Schedule Notifications coming soon!

Administrative

Provider data update

Medicare

Provider Education seminars, webinars, workshops and more!

Administrative

Regulatory updates

Medi-Cal Managed Care

Resources to support diverse patients and communities

Administrative

Submit behavioral health authorizations via our online Interactive Care Reviewer tool

Medi-Cal Managed Care

Submit behavioral health authorizations via our online Interactive Care Reviewer tool

Medicare

Submit behavioral health authorizations via our online Interactive Care Reviewer tool

Cal MediConnect

Updates to AIM musculoskeletal program clinical appropriateness guidelines

Cal MediConnect

Waived copays, deductibles and coinsurance for CCM, complex CCM and TCM

Medicare
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