California
Provider Communications

August 2019 Anthem Blue Cross Provider News - California

Download as PDF

Title Category

Clinical criteria and prior authorization updates for specialty pharmacy are available

Pharmacy

Pharmacy information available on anthem.com/ca

Pharmacy

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

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
Page 1 of 1