California
Provider Communications

Member grievance and appeals attestation requirement

Participating providers are required to acknowledge (annually) that Member Grievance and Appeals forms, a description of grievance procedures, and assistance in filing grievances are readily available at each contracted provider location(s).

Telehealth visits can impact after-hospitalization follow-up care for mental illness

Reductions in missed appointments are significant.

Clearing up-coding confusion for retinal eye exams (DRE)

Register now for our August CME webinars!

Schedule appointments online through Availity

Specialty dose rounding program for certain oncology medications

Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021

Anthem Blue Cross to update formulary lists for commercial health plan pharmacy benefit, October 1, 2021

Immune globulin adjusted body weight dosing program beginning August 1, 2021

Pharmacy information available on anthem.com/ca

Reimbursement policy update: Claims requiring additional documentation (facility)

Preventing claims denials: Shingles vaccine

Know best: Shingles vaccinations are a Medicare Part D benefit whether administered in your office or in the pharmacy.

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

Infliximab Step Therapy – effective July 15, 2021