California
Provider Communications

June 2019 Anthem Blue Cross Provider Newsletter - California

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Title Category

Anthem Blue Cross launches additional changes to anthem.com/ca for Q2

Administrative

NEW! Request clinical appeals through Interactive Care Reviewer

Administrative

Interactive Care Reviewer – a more efficient way to obtain immediate authorizations

Administrative

Commercial Risk Adjustment, retrospective program begins

Administrative

New ICR Immediate Decision list posted on Availity Payer Spaces

Administrative

Commercial Risk Adjustment, retrospective program begins

Administrative

Coming in September! Electronic attachments

Administrative

Workers’ Compensation acknowledgments required

Administrative

Medical treatment utilization schedule updates for Workers’ Compensation

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

Network leasing arrangements

Administrative

2019 Utilization management affirmative statement concerning utilization management decisions

Cal MediConnect

Reimbursement policy update: Professional anesthesia services

Policy 06-019, effective 09/01/2019
Cal MediConnect

Partial hospitalization services

Cal MediConnect

Submitting corrected claims

Cal MediConnect

Why do patients stop taking their prescribed medications and what can you do to help them?

Medi-Cal Managed Care

Billing instructions of A and B codes for medical supplies

Medi-Cal Managed Care

Complex case management program

Medi-Cal Managed Care

Important information about utilization management

Medi-Cal Managed Care

Members’ rights and responsibilities statement

Medi-Cal Managed Care

2019 Utilization management affirmative statement concerning utilization management decisions

Medi-Cal Managed Care

Update: Sepsis coding

Medical Policy & Clinical Guidelines

Why do patients stop taking their prescribed medications and what can you do to help them?

Medicare

Keep up with Medicare news

Medicare

Anthem Blue Cross announces changes in medical non-oncology specialty drug reviews effective June 15, 2019

Pharmacy

Pharmacy information available on anthem.com/ca

Pharmacy

Clinical practice and preventive health guidelines available online

Policy Updates

Timely access regulations and language assistance program

Products & Programs

Reimbursement Policy Update – Scope of License (professional)

Reimbursement Policies
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