California
Provider Communications

January 2020 Anthem Blue Cross Provider News - California

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Title Category

2020 FEP® Benefit information available online

Federal Employee Plan (FEP)

2020 Prenatal ultrasound diagnosis code update

Medi-Cal Managed Care

A note from our Medical Director – J. Moussai, M.D.

Behavioral Health

An exclusive invitation for providers to subscribe to the Anthem Marketplace for Workers’ Compensation

Join the movement today!
Administrative

Anthem Blue Cross provider directory and provider data updates

Administrative

California 2020 Medicare Advantage plan changes

Medicare

California Smokers’ Helpline launches dedicated quit Vaping line!

Medi-Cal Managed Care

City of Marietta offers Medicare Advantage option

Medicare

City of San Jose, California moves to Medicare Advantage plan under Anthem Blue Cross

Medicare

Coding spotlight – provider’s guide to coding respiratory diseases

Medi-Cal Managed Care

Contract compliance with accessibility standards for Emergency Care instructions After Hours Care

Behavioral Health

Contracted provider claim escalation process

Administrative

Easily update provider demographics with the online Provider Maintenance Form

Administrative

Healthcare Quality Patient Assessment form and Patient Assessment form

Medicare

Help protect your patients by providing medical ID protection – best practices

Medicare

Help protect your patients by providing medical ID protection – best practices

Cal MediConnect

Improving the patient experience

Medi-Cal Managed Care

Introducing two new Medicare Advantage special needs plans for 2020

Medicare

Let us help you accomplish your 2020 “To do List” early – EDI migration

Administrative

Medical drug benefit Clinical Criteria updates

Medicare

Medical drug benefit Clinical Criteria updates

Medi-Cal Managed Care

Medical drug benefit Clinical Criteria updates

Medi-Cal Managed Care

Medical drug benefit Clinical Criteria updates

Cal MediConnect

Medical policies and Clinical Utilization Management Guidelines update

Medicare

Medical Policies and Clinical Utilization Management guidelines update

Medi-Cal Managed Care

Medical Policies and Clinical Utilization Management Guidelines update

Cal MediConnect

Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

Medicare

Medicare preferred continuous glucose monitors

Medicare

Network leasing arrangements

Administrative

New Musculoskeletal and Pain Management Solution – effective for select National ASO accounts January 1, 2020

Administrative

Pharmacy benefit manager change to IngenioRx

Medicare

Pharmacy benefit manager changes to IngenioRx

Cal MediConnect

Prior authorization requirements for E0784, K0553 and K0554

Medicare

Provider Education seminars, webinars, workshops and more!

Administrative

Receive and respond to post pay audit medical record requests via Availity beginning February 10, 2020

Administrative

Reminder to Anthem Blue Cross Cal MediConnect plan (Medicare-Medicaid Plan) providers

Cal MediConnect

Reminder to Medicare Advantage providers

Medicare

Reminder: Company requires National Drug Code for professional and facility outpatient claims effective January 1, 2020

Administrative

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

Medicare

Stay “in the know” at no charge!

Administrative

The New Year brings new ID cards for many Anthem Blue Cross members

Administrative

Upcoming retirement planned for legacy Medical Attachment submission tool

Administrative

Verifying and updating your provider information

Medi-Cal Managed Care
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