California
Provider Communications

Articles

Title Publication Category Date

Prior authorization requirement changes effective October 1, 2021 – UM AROW 1907

August 2021 Anthem Blue Cross Provider News - California Medicare Aug 1, 2021

Infliximab Step Therapy – effective July 15, 2021

August 2021 Anthem Blue Cross Provider News - California Medicare Aug 1, 2021

Help for members impacted by wildfires in California

Help for members impacted by wildfires in California Administrative Jul 30, 2021

Register for upcoming August CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

Motivating Patients to Adhere to Cervical Cancer Prevention and Screening Recommendations
Tuesday, August 3, 2021, 12:00 p.m. ET

10 Best Practices for Improving Pharmacy Quality Measures
Thursday, August 12, 2021, 1:00 p.m. or 3:00 p.m. ET

6 Ways to Improve Risk Adjustment Documentation Accuracy
Tuesday, August 17, 2021, 12:00 p.m. or 3:00 p.m. ET

Register Now!


Clinical Quality CME Webinar Series Continues - California Administrative Jul 29, 2021

Clinical quality in practice: CME webinar series

July 2021 Anthem Blue Cross Provider News - California Administrative Jul 1, 2021

Timely receipt of the primary payer’s EOB can help reduce timely filing denials for secondary claims

July 2021 Anthem Blue Cross Provider News - California Administrative Jul 1, 2021

Proper coding for in-home monitoring can make a measurable difference for INR

July 2021 Anthem Blue Cross Provider News - California Administrative Jul 1, 2021

Medical practices – are you keeping something from us

July 2021 Anthem Blue Cross Provider News - California Administrative Jul 1, 2021

Another mark of the pandemic: An increase in childhood obesity

More potato chips, sugary drinks and less physical activity are key contributors
July 2021 Anthem Blue Cross Provider News - California Administrative Jul 1, 2021

How to enroll in electronic fund transfer for faster remittance

July 2021 Anthem Blue Cross Provider News - California Digital Tools Jul 1, 2021

Electronic claim response files

July 2021 Anthem Blue Cross Provider News - California Digital Tools Jul 1, 2021

Interactive Care Reviewer (ICR): New search option for cases submitted through ICR

July 2021 Anthem Blue Cross Provider News - California Digital Tools Jul 1, 2021

Overlapping service areas

July 2021 Anthem Blue Cross Provider News - California Behavioral Health Jul 1, 2021

Where and how to submit BlueCard claims

July 2021 Anthem Blue Cross Provider News - California Behavioral Health Jul 1, 2021

BlueCard® program quick tips

July 2021 Anthem Blue Cross Provider News - California Behavioral Health Jul 1, 2021

Practice status: open or closed

July 2021 Anthem Blue Cross Provider News - California Behavioral Health Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Blue Cross Provider News - California Pharmacy Jul 1, 2021

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patients

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Coding spotlight: Mental disorders in childhood

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

What matters most: Improving the patient experience

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Resources to support your diverse patient panel

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Infusion step therapy retraction notice

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Specialty pharmacy prior authorization retraction notice

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

February 2021 medical policies and utilization management guidelines update

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Prior authorization requirement changes effective September 1, 2021 – UM AROW 1327

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Certain specialty medication precertification requests may require additional documentation

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Let’s vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies
July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

Prior authorization requirement changes effective October 1, 2021 – UM AROW 1837

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

March 2021 medical drug benefit clinical criteria updates

July 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jul 1, 2021

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

July 2021 Anthem Blue Cross Provider News - California Medicare Jul 1, 2021

Let’s vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies

July 2021 Anthem Blue Cross Provider News - California Medicare Jul 1, 2021

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

July 2021 Anthem Blue Cross Provider News - California Medicare Jul 1, 2021

March 2021 Medical drug benefit clinical criteria updates

July 2021 Anthem Blue Cross Provider News - California Medicare Jul 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patients

July 2021 Anthem Blue Cross Provider News - California Medicare Jul 1, 2021

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

July 2021 Anthem Blue Cross Provider News - California Cal MediConnect Jul 1, 2021

Let’s vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies
July 2021 Anthem Blue Cross Provider News - California Cal MediConnect Jul 1, 2021

March 2021 Medical drug benefit clinical criteria updates

July 2021 Anthem Blue Cross Provider News - California Cal MediConnect Jul 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patients

July 2021 Anthem Blue Cross Provider News - California Cal MediConnect Jul 1, 2021

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators Administrative Jun 25, 2021

Let’s Vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
June 2021 Anthem Blue Cross Provider News - California Products & Programs Jun 1, 2021

Pharmacy information available on anthem.com/ca

June 2021 Anthem Blue Cross Provider News - California Pharmacy Jun 1, 2021

Regular check-ins with your clearinghouse could affect timely filing

June 2021 Anthem Blue Cross Provider News - California Administrative Jun 1, 2021

Two great learning resources on one secure portal

June 2021 Anthem Blue Cross Provider News - California Digital Tools Jun 1, 2021

Digital solution options with Availity

June 2021 Anthem Blue Cross Provider News - California Digital Tools Jun 1, 2021

Interactive Care Reviewer’s new copy feature decreases time to submit authorization request

June 2021 Anthem Blue Cross Provider News - California Digital Tools Jun 1, 2021

Don’t miss this: Timely access regulations and language assistance program

June 2021 Anthem Blue Cross Provider News - California Administrative Jun 1, 2021

Essential information you need to submit EDI corrected claims

June 2021 Anthem Blue Cross Provider News - California Digital Tools Jun 1, 2021

Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study finds

June 2021 Anthem Blue Cross Provider News - California Administrative Jun 1, 2021

Anthem Blue Cross provider directory and provider data updates

June 2021 Anthem Blue Cross Provider News - California Administrative Jun 1, 2021

Keep your contact information current

June 2021 Anthem Blue Cross Provider News - California Administrative Jun 1, 2021

Provider education

June 2021 Anthem Blue Cross Provider News - California Administrative Jun 1, 2021

Network leasing arrangements

June 2021 Anthem Blue Cross Provider News - California Administrative Jun 1, 2021

Anthem Blue Cross to enhance claim edits for outpatient facility claims

June 2021 Anthem Blue Cross Provider News - California Reimbursement Policies Jun 1, 2021

DEXA bone scan criteria for the Federal Employee Program

June 2021 Anthem Blue Cross Provider News - California Federal Employee Plan (FEP) Jun 1, 2021

Provider education program survey: Your voice counts

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

MCG care guidelines 25th edition

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Prior authorization updates for specialty pharmacy

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Keeping up with routine vaccination during COVID-19

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Aspire Health for members in need of palliative care

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Member grievance and appeals process

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Complex case management program

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Important information about utilization management

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Members’ rights and responsibilities statement

June 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care Jun 1, 2021

Policy reminder: Inpatient readmissions

June 2021 Anthem Blue Cross Provider News - California Medicare Jun 1, 2021

Updates to the AIM advanced imaging clinical appropriateness guidelines

June 2021 Anthem Blue Cross Provider News - California Medicare Jun 1, 2021

Anthem Blue Cross working with Optum to collect medical records for risk adjustment

June 2021 Anthem Blue Cross Provider News - California Medicare Jun 1, 2021

Medical drug benefit clinical criteria updates

June 2021 Anthem Blue Cross Provider News - California Medicare Jun 1, 2021

Medical policies and clinical utilization management guidelines update

June 2021 Anthem Blue Cross Provider News - California Medicare Jun 1, 2021

Reminders for Medicare Advantage group retiree PPO plans and national access plus FAQ

June 2021 Anthem Blue Cross Provider News - California Medicare Jun 1, 2021

Medical drug benefit clinical criteria updates

June 2021 Anthem Blue Cross Provider News - California Cal MediConnect Jun 1, 2021

Medical policies and clinical utilization management guidelines update

June 2021 Anthem Blue Cross Provider News - California Cal MediConnect Jun 1, 2021

CG care guidelines 25th edition

June 2021 Anthem Blue Cross Provider News - California Cal MediConnect Jun 1, 2021

Register for upcoming CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

5 Strategies to Improve Your Quality Measures - June 10th, 12 p.m. or 3 p.m. ET
7 Ways to Enhance Your Patients’ Experience - June 17th, 12 p.m. or 3 p.m. ET

Register now!



Clinical Quality CME Webinar Series - California Administrative May 27, 2021

Register today for the In Pursuit of Racial Equity: Deconstructing Bias forum hosted by Anthem Blue Cross and Motivo on June 9, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem Blue Cross professionals about racial equity and implicit bias. 

Deconstructing Bias Forum Invitation for California providers Administrative May 21, 2021

Modification to voluntary Cancer Care Quality Program, enhanced reimbursement to begin July 1, 2021

May 2021 Anthem Blue Cross Provider News - California Products & Programs May 1, 2021

Reimbursement policy update: Claims Requiring Additional Documentation (facility)

May 2021 Anthem Blue Cross Provider News - California Reimbursement Policies May 1, 2021

The Industry Health Network

May 2021 Anthem Blue Cross Provider News - California Administrative May 1, 2021

Appointment Scheduler application

Digital online scheduling feature now available in the Availity portal.
May 2021 Anthem Blue Cross Provider News - California Administrative May 1, 2021

Electronic solutions at your fingertips

May 2021 Anthem Blue Cross Provider News - California Administrative May 1, 2021

2021 Affirmative Statement regarding utilization management decisions

May 2021 Anthem Blue Cross Provider News - California Administrative May 1, 2021

A helpful and complete guide to covered well-child visits

May 2021 Anthem Blue Cross Provider News - California Administrative May 1, 2021

May is National High Blood Pressure education month

A WISEWOMAN™ knows that improving blood pressure is good for the heart.

May 2021 Anthem Blue Cross Provider News - California Administrative May 1, 2021

Resources to support diverse patients and communities

May 2021 Anthem Blue Cross Provider News - California Administrative May 1, 2021

Send larger digital attachments through Availity

We’ve expanded our file size to 100 megabytes.
May 2021 Anthem Blue Cross Provider News - California Administrative May 1, 2021

Referring to network DME providers for negative pressure wound therapy helps members save on out-of-pocket costs

May 2021 Anthem Blue Cross Provider News - California Administrative May 1, 2021

Member grievance process and forms must be made available upon request at provider office

May 2021 Anthem Blue Cross Provider News - California Administrative May 1, 2021

Anthem Blue Cross provider directory and provider data updates

May 2021 Anthem Blue Cross Provider News - California Administrative May 1, 2021

Easily update provider demographics with the online Provider Maintenance form

May 2021 Anthem Blue Cross Provider News - California Administrative May 1, 2021

Network leasing arrangements

May 2021 Anthem Blue Cross Provider News - California Administrative May 1, 2021

Update to AIM Specialty Health Oncologic Imaging Clinical appropriateness guideline

May 2021 Anthem Blue Cross Provider News - California Medical Policy & Clinical Guidelines May 1, 2021

Facility reimbursement policy reminder: Readmission

May 2021 Anthem Blue Cross Provider News - California Reimbursement Policies May 1, 2021

Professional reimbursement policy update: Frequency Editing

May 2021 Anthem Blue Cross Provider News - California Reimbursement Policies May 1, 2021

Continuing medical education / continuing education unit opportunities

May 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2021

Metabolic monitoring and diabetes screening measures for those on antipsychotics medications

May 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2021

2020 Anthem Blue Cross population needs assessment

May 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2021

Coding spotlight: Tips and best practices for compliance

May 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2021

Educational presentations and materials for physicians and medical providers

May 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2021

Other health insurance verification

May 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2021

Member grievance and appeals process

May 2021 Anthem Blue Cross Provider News - California Medi-Cal Managed Care May 1, 2021
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