California
Provider Communications

September 2019 Anthem Blue Cross Provider News - California

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Title Category

Anthem Blue Cross launches Sydney on September 1; new app offers better digital health care support to members

Administrative

Anthem Blue Cross provider directory and provider data updates

Administrative

Anthem Blue Cross’ Language Assistance Program: No interpreter? No problem!

Administrative

Changes to prior authorization requirements

Cal MediConnect

Claim editing update for Excludes1 notes

Reimbursement Policies

Claims requiring additional documentation facility reimbursement policy update

Reimbursement Policies

Clinical criteria updates

Medicare

Coming soon, electronic attachments

Medicare

Contracted provider claim escalation process

Administrative

Customizations to the 23rd edition of the MCG Care Guidelines

Medicare

Customizations to the 23rd edition of the MCG Care Guidelines

Medi-Cal Managed Care

Easily update provider demographics with the online Provider Maintenance Form

Administrative

High-Risk OB case management program

Medi-Cal Managed Care

Keep up with Medicare news

Medicare

Medical drug clinical criteria updates

Medi-Cal Managed Care

Network leasing arrangements

Administrative

New Clinical Guideline: Pneumatic Compression Devices, effective December 1, 2019

Medical Policy & Clinical Guidelines

Pharmacy benefit manager change to IngenioRx

Medicare

Pharmacy benefit manager change to IngenioRx

Cal MediConnect

Prior authorization changes

Medi-Cal Managed Care

Provider Education seminars, webinars, workshops and more!

Administrative

Provider transparency update

Administrative

Reimbursement policy update, Modifier 62: Co-Surgeons

(Policy 06-010, effective 01/01/2020)
Cal MediConnect

Reminder: Changes to timely filing requirements coming in October

Administrative

Sign-up now for our Provider News today at no charge!

Administrative

Workers’ Compensation acknowledgments required

Administrative
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