California
Provider Communications

August 2019 Anthem Blue Cross Provider News - California

Title	Category
Clinical criteria and prior authorization updates for specialty pharmacy are available	Pharmacy
Pharmacy information available on anthem.com/ca	Pharmacy
Help with claim issue resolution	Administrative
Verify BlueCard member eligibility and coverage	Administrative
Workers’ Compensation acknowledgments required	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
Sign-up now for our Provider News today at no charge!	Administrative
Network leasing arrangements	Administrative
Misrouted protected health information	Administrative
Drug screen testing (Policy 19-001, effective 10/01/19)	Medicare
New service types added to Availity	Medicare
AIM Specialty Health programs may require documentation	Medicare
Special needs plans, provider training required	Medicare
Emergency department: Level of Evaluation and Management Services	Medicare
Prepayment clinical validation review process	Medicare
Update to emergency department: Level of E&M services reimbursement policy	Medicare
Unspecified diagnosis code update	Medicare
Keep up with Medicare news	Medicare
Pharmacy management information	Medi-Cal Managed Care
Use the Provider Maintenance Form to update your information	Medi-Cal Managed Care
Clinical criteria updates	Medi-Cal Managed Care
New reimbursement policy: Drug screen testing	Medi-Cal Managed Care
Unspecified diagnosis code update	Medi-Cal Managed Care
Prior authorization requirements for hyperbaric oxygen and supervision of hyperbaric oxygen therapy	Medi-Cal Managed Care
January 2019 medical policies and clinical utilization management guidelines update	Medi-Cal Managed Care
Prepayment clinical validation review process	Medi-Cal Managed Care
New service types added to Availity	Cal MediConnect
Prepayment clinical validation review process	Cal MediConnect
Unspecified diagnosis code update	Cal MediConnect
New reimbursement policy: drug screen testing	Cal MediConnect

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California
Provider Communications

August 2019 Anthem Blue Cross Provider News - California

Clinical criteria and prior authorization updates for specialty pharmacy are available

Pharmacy information available on anthem.com/ca

Help with claim issue resolution

Verify BlueCard member eligibility and coverage

Workers’ Compensation acknowledgments required

Contracted provider claim escalation process

Provider Education seminars, webinars, workshops and more!

Anthem Blue Cross provider directory and provider data updates

Easily update provider demographics with the online Provider Maintenance Form

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

Network leasing arrangements

Misrouted protected health information

Drug screen testing (Policy 19-001, effective 10/01/19)

New service types added to Availity

AIM Specialty Health programs may require documentation

Special needs plans, provider training required

Emergency department: Level of Evaluation and Management Services

Prepayment clinical validation review process

Update to emergency department: Level of E&M services reimbursement policy

Unspecified diagnosis code update

Keep up with Medicare news

Pharmacy management information

Use the Provider Maintenance Form to update your information

Clinical criteria updates

New reimbursement policy: Drug screen testing

Unspecified diagnosis code update

Prior authorization requirements for hyperbaric oxygen and supervision of hyperbaric oxygen therapy

January 2019 medical policies and clinical utilization management guidelines update

Prepayment clinical validation review process

New service types added to Availity

Prepayment clinical validation review process

Unspecified diagnosis code update

New reimbursement policy: drug screen testing

CaliforniaProvider Communications

August 2019 Anthem Blue Cross Provider News - California

California
Provider Communications