California
Provider Communications

December 2019 Anthem Blue Cross Provider News - California

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Title	Category
Where and how to submit BlueCard® claims	Behavioral Health
System updates for 2020 - Professional	Reimbursement Policies
Stay “in the know” at no charge!	Behavioral Health
Sign-up now for our Provider News today at no charge!	Administrative
Service area benefit changes	Medicare
Retrieve your Anthem Blue Cross Patient’s HEDIS care gaps through Patient360 located on the Availity Portal	Administrative
Reminder: Changes to timely filing requirements	Administrative
Release of medical records	Behavioral Health
Provider Education seminars, webinars, workshops and more!	Administrative
Prior authorization requirements for E0784, K0553 and K0554	Medicare
Prior authorization requirements for E0784, K0553 and K0554	Cal MediConnect
Practice status - open or closed	Behavioral Health
Physical therapists and radiology providers – welcome to the future of Workers’ Compensation	Administrative
Pharmacy information available online	Behavioral Health
Pharmacy information available on anthem.com/ca	Pharmacy
Overlapping service areas	Behavioral Health
New Professional Reimbursement Policies - Durable Medical Equipment: Rent to purchase and Durable Medical Equipment Modifiers	Reimbursement Policies
Network Relations teams aren’t the same – where to go with questions	Behavioral Health
Network leasing arrangements are online	Behavioral Health
Network leasing arrangements	Administrative
MMP Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updates	Cal MediConnect
MMP CMS reminder: expedited/urgent requests	Cal MediConnect
Misrouted protected health information	Behavioral Health
Members Rights and Responsibilities	Administrative
Member grievance process and forms must be made available upon request at provider office	Administrative
Medical drug Clinical Criteria updates	Medi-Cal Managed Care
Medical drug benefit Clinical Criteria updates	Medi-Cal Managed Care
Individual on and off exchange plans: 2020 benefit year update	Administrative
Group Retiree PPO program announcement	Medicare
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
Forms make practice changes easy	Behavioral Health
Easily update provider demographics with the online Provider Maintenance form	Administrative
Coordination of Care	Medical Policy & Clinical Guidelines
Coordination of Benefits for a Federal Employee Program® member	Federal Employee Plan (FEP)
Contracted provider dispute resolution	Behavioral Health
Contracted provider claim escalation process	Administrative
Commercial Behavioral Health provider data updates	Behavioral Health
Coding tip for Psychological and Neuropsychological testing	Behavioral Health
Coding spotlight: provider’s guide to coding behavioral and emotional disorders	Medi-Cal Managed Care
CMS reminder: expedited/urgent requests	Medicare
Clinical practice and preventive health guidelines available on the web	Behavioral Health
Clinical Practice and Preventive Health Guidelines available on anthem.com/ca	Medical Policy & Clinical Guidelines
Case Management Program	Medical Policy & Clinical Guidelines
BlueCard® Program quick tips	Behavioral Health
Behavioral Health timely access regulations and language assistance program	Behavioral Health
Behavioral Health providers serve Individual plans on and off exchange for 2020	Behavioral Health
Aspire Health for Medicare members in need of palliative care	Medicare
Appropriate 911/Emergency care procedures	Medical Policy & Clinical Guidelines
Anthem’s member rights and responsibilities	Behavioral Health
Anthem Blue Cross’ Language Assistance Program: No interpreter? No problem!	Behavioral Health
Anthem Blue Cross’ Language Assistance Program: No interpreter? No problem!	Administrative
Anthem Blue Cross works to simplify Payment Recovery Process for National Accounts membership	Administrative
Anthem Blue Cross provider directory and provider data updates	Administrative
An overview of our medical necessity review process	Medical Policy & Clinical Guidelines

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