California
Provider Communications

September 2020 Anthem Blue Cross Provider News - California

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Title Category

Anthem Blue Cross cost transparency

Administrative

Anthem Blue Cross provider directory and provider data updates

Administrative

Commercial Risk Adjustment reporting update: 2020 Prospective Program continues

Administrative

Easily update provider demographics with the online Provider Maintenance Form

Administrative

EDI Gateway Migration deadline is September 15, 2020

Administrative

Enhanced medical records submission process to support claims processing

Administrative

Important updates to Anthem Blue Cross’ formulary lists for commercial health plan pharmacy benefit

Pharmacy

Medical drug benefit Clinical Criteria updates

Medi-Cal Managed Care

Medical drug benefit Clinical Criteria updates

Medicare

Medical policies and clinical utilization management guidelines update

Medi-Cal Managed Care

Network leasing arrangements

Administrative

New provider directory indicators for medication assisted treatment (MAT) providers

Administrative

Patient360 adds Care Gap alert feedback for medical providers

Administrative

Predictive Analytics guide proactive support to patients undergoing chemo, resulting in lowered admissions

Products & Programs

Provider Education seminars, webinars, workshops and more!

Administrative

Provider transparency update

Administrative

Receive and respond to medical record requests for post pay audit via Change Healthcare’s Assurance Attach Assist Module

Administrative

Stay “in the know” at no charge!

Administrative

Transition to AIM Specialty Health rehabilitative services clinical appropriateness guidelines

Cal MediConnect

What matters most online training course: Improving patient experience

Medi-Cal Managed Care
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