California
Provider Communications

December 2019 Anthem Blue Cross Provider News - California

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Title Category

An overview of our medical necessity review process

Medical Policy & Clinical Guidelines

Anthem Blue Cross provider directory and provider data updates

Administrative

Anthem Blue Cross works to simplify Payment Recovery Process for National Accounts membership

Administrative

Anthem Blue Cross’ Language Assistance Program: No interpreter? No problem!

Behavioral Health

Anthem Blue Cross’ Language Assistance Program: No interpreter? No problem!

Administrative

Anthem’s member rights and responsibilities

Behavioral Health

Appropriate 911/Emergency care procedures

Medical Policy & Clinical Guidelines

Aspire Health for Medicare members in need of palliative care

Medicare

Behavioral Health providers serve Individual plans on and off exchange for 2020

Behavioral Health

Behavioral Health timely access regulations and language assistance program

Behavioral Health

BlueCard® Program quick tips

Behavioral Health

Case Management Program

Medical Policy & Clinical Guidelines

Clinical Practice and Preventive Health Guidelines available on anthem.com/ca

Medical Policy & Clinical Guidelines

Clinical practice and preventive health guidelines available on the web

Behavioral Health

CMS reminder: expedited/urgent requests

Medicare

Coding spotlight: provider’s guide to coding behavioral and emotional disorders

Medi-Cal Managed Care

Coding tip for Psychological and Neuropsychological testing

Behavioral Health

Commercial Behavioral Health provider data updates

Behavioral Health

Contracted provider claim escalation process

Administrative

Contracted provider dispute resolution

Behavioral Health

Coordination of Benefits for a Federal Employee Program® member

Federal Employee Plan (FEP)

Coordination of Care

Medical Policy & Clinical Guidelines

Easily update provider demographics with the online Provider Maintenance form

Administrative

Forms make practice changes easy

Behavioral Health

Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updates

Medicare

Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updates

Medi-Cal Managed Care

Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updates

Cal MediConnect

Group Retiree PPO program announcement

Medicare

Individual on and off exchange plans: 2020 benefit year update

Administrative

Medical drug benefit Clinical Criteria updates

Medi-Cal Managed Care

Medical drug Clinical Criteria updates

Medi-Cal Managed Care

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

Administrative

Members Rights and Responsibilities

Administrative

Misrouted protected health information

Behavioral Health

MMP CMS reminder: expedited/urgent requests

Cal MediConnect

MMP Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updates

Cal MediConnect

Network leasing arrangements

Administrative

Network leasing arrangements are online

Behavioral Health

Network Relations teams aren’t the same – where to go with questions

Behavioral Health

New Professional Reimbursement Policies - Durable Medical Equipment: Rent to purchase and Durable Medical Equipment Modifiers

Reimbursement Policies

Overlapping service areas

Behavioral Health

Pharmacy information available on anthem.com/ca

Pharmacy

Pharmacy information available online

Behavioral Health

Physical therapists and radiology providers – welcome to the future of Workers’ Compensation

Administrative

Practice status - open or closed

Behavioral Health

Prior authorization requirements for E0784, K0553 and K0554

Medicare

Prior authorization requirements for E0784, K0553 and K0554

Cal MediConnect

Provider Education seminars, webinars, workshops and more!

Administrative

Release of medical records

Behavioral Health

Reminder: Changes to timely filing requirements

Administrative

Retrieve your Anthem Blue Cross Patient’s HEDIS care gaps through Patient360 located on the Availity Portal

Administrative

Service area benefit changes

Medicare

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

Administrative

Stay “in the know” at no charge!

Behavioral Health

System updates for 2020 - Professional

Reimbursement Policies

Where and how to submit BlueCard® claims

Behavioral Health
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