California
Provider Communications

December 2020 Anthem Blue Cross Provider News - California

Download as PDF

Title Category

Access to claim denial information is now self-service

Through predictive analytics, health care teams can now receive real-time solutions to claim denials

Administrative

New Anthem High Performance/Blue High Performance – effective January 2021

Administrative

Anthem and Quest Diagnostics form strategic relationship

Administrative

Anthem Blue Cross continues to offer EPO and HMO individual on and off exchange products for 2021

Administrative

Air Ambulance providers

Administrative

Anthem Blue Cross makes going digital easy with the Provider Digital Engagement Supplement

Administrative

2019 After Hours and Provider Appointment Availability Survey Results

Administrative

PCP after-hours access requirements

Administrative

2-minute videos to engage patients about preventive care

Administrative

An overview of our medical necessity review process

Administrative

Members’ rights and responsibilities

Administrative

Appropriate 911/Emergency care procedures

Administrative

Anthem Blue Cross provider directory and provider data updates

Administrative

Easily update provider demographics with the online Provider Maintenance Form

Administrative

Provider Education seminars, webinars, workshops and more!

Administrative

Stay “in the know” at no charge!

Administrative

Network leasing arrangements

Administrative

Commercial Behavioral Health provider data updates

Behavioral Health

Where and how to submit BlueCard® claims

Behavioral Health

BlueCard Program quick tips

Behavioral Health

Network relations teams aren’t the same, where to go with questions

Behavioral Health

Overlapping services areas

Behavioral Health

Contracted provider dispute resolution

Behavioral Health

Practice status: Open or closed

Behavioral Health

Forms make practice changes easy

Behavioral Health

Member grievance process and forms must be made available upon request at behavioral health provider offices

Behavioral Health

2019 After Hours and PAAS survey results

Behavioral Health

Transition to AIM Specialty Health Rehabilitative Services Clinical Appropriateness Guidelines

Cal MediConnect

Transition to AIM Small Joint guidelines

Cal MediConnect

Digital transactions cut administrative tasks in half

Medi-Cal Managed Care

Reimbursement policy update: Split-care surgical modifiers

Policy 11-005, effective 03/01/21
Medi-Cal Managed Care

Transition to AIM Specialty Health Rehabilitative Services Clinical Appropriateness Guidelines

Medi-Cal Managed Care

CAHPS education for providers

Medi-Cal Managed Care

Notifications on the Availity Portal

Medi-Cal Managed Care

Transition to AIM Small Joint guidelines

Medi-Cal Managed Care

Anti-VEGF Medical Step Therapy notice

Medi-Cal Managed Care

Resources to support your pregnant and postpartum patients and their families

Medi-Cal Managed Care

Clinical laboratory improvement amendments number – additional information

Medi-Cal Managed Care

Sign up to receive email from Anthem Blue Cross

Medi-Cal Managed Care

Anthem Blue Cross expands hospice policy

Medical Policy & Clinical Guidelines

Clinical practice and preventive health guidelines available on anthem.com/ca

Medical Policy & Clinical Guidelines

Coordination of care

Medical Policy & Clinical Guidelines

Case management program

Medical Policy & Clinical Guidelines

Digital transactions cut administrative tasks in half

Medicare

Medicare Advantage group retiree member eligibility, Alpha Prefix FAQ

Medicare

2021 Medicare Advantage individual benefits and formularies

Medicare

Transition to AIM Small Joint guidelines

Medicare

CORRECTION: Changes to utilization requirements for Avsola, Renflexis and Inflectra for CalPERS PPO members only!

Pharmacy

AIM IVR changes for non-oncology medical specialty drug reviews effective on January 1, 2021

Pharmacy

Medical Specialty Pharmacy (MSP) drug list, effective December 1, 2020

Pharmacy

Pharmacy information available on anthem.com/ca

Pharmacy

Transition to AIM Rehabilitative services clinical appropriateness guidelines

Products & Programs

Changes to reimbursement for ambulatory surgery centers

Reimbursement Policies

Reminder: Professional reimbursement policies updates, effective January 1, 2021

Reimbursement Policies

Professional reimbursement policy update: Bundled services and supplies

Reimbursement Policies
Page 1 of 1