California
Provider Communications

December 2021 Anthem Blue Cross Provider News - California

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Title Category

Update: Anthem Blue Cross to implement provider claim payment dispute process for Commercial lines of business has been delayed

Administrative

Professional system updates for 2022

Administrative

Outpatient system updates for 2022

Administrative

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

Administrative

2022 EPO and HMO individual on and off exchange products, and the expansion of EPO in new regions

Administrative

Importance of PCP after-hours messaging

Administrative

Once-a-year testing is critically important to providing quality diabetes care

Administrative

Physicians and clinical care teams: Study finds imaging for lower back pain does not improve outcomes

Administrative

Chlamydia is asymptomatic. Only through screening will we know for sure

Administrative

Case Management Program

Administrative

Contract compliance with accessibility standards for Appointment Availability and Emergency Care instructions After Hours Care

Administrative

Member rights and responsibilities

Administrative

Coordination of care

Administrative

Clinical practice and preventive health guidelines available on anthem.com/ca

Administrative

Medical necessity review process overview

Administrative

Appropriate 911/emergency care procedures

Administrative

Submitting prior authorizations is getting easier

Anthem Blue Cross is transitioning to the Availity Authorization app

Administrative

Provider directory and provider data updates

Administrative

Provider education

Administrative

Network leasing arrangements

Administrative

Is prior authorization required?

Answering your questions about the new Availity Authorization App
Digital Tools

Reminder: EnrollSafe is available – electronic funds transfer enrollment portal for Anthem Blue Cross providers

EnrollSafe replaced CAQH Enrollhub effective November 1, 2021

Digital Tools

RETRACTION: Inpatient Facility Transfers – reimbursement policy (facility)

Reimbursement Policies

Reimbursement policy update: Virtual Visits - professional and facility

Reimbursement Policies

Keep your contact information current

Behavioral Health

Contract compliance with accessibility standards for Appointment Availability and Emergency Care instructions After Hours Care

Behavioral Health

Overlapping service areas

Behavioral Health

Where and how to submit BlueCard® claims

Behavioral Health

BlueCard Program quick tips

Behavioral Health

Practice status: Open or closed

Behavioral Health

Pharmacy information available on Anthem.com/ca

Behavioral Health

Reminder: EnrollSafe is available: electronic funds transfer enrollment portal for Anthem Blue Cross providers

Behavioral Health

Benefit plan updates effective January 1, 2022

CalPERS

Provider Notification of Benefit Change for CalPERS PPO Members‐ bevacizumab (Avastin), epoetin alfa (Epogen and Procrit), filgrastim (Neupogen), pegfilgrastim (Neulasta), rituximab (Rituxan), and trastuzumab (Herceptin)

CalPERS

Good news: Non-payment remittance advice enhancements are here

Medi-Cal Managed Care

Policy update: Drug screen testing

Policy update: Drug screen testing, effective March 1, 2022

Medi-Cal Managed Care

Submitting prior authorizations is getting easier

Medi-Cal Managed Care

Keep up with Medi-Cal news – December 2021

Medi-Cal Managed Care

Policy update: Drug screen testing

Policy update: Drug screen testing, effective March 1, 2022

Medicare

Updates to AIM Specialty Health Advanced imaging clinical appropriateness guidelines

Medicare

2022 Medicare Advantage services area and benefit updates

Medicare

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

Medicare

Submitting prior authorizations is getting easier

Medicare

Keep up with Medicare news – December 2021

Medicare

Policy update: Drug screen testing

Policy update: Drug screen testing, effective March 1, 2022

Cal MediConnect

Keep up with Cal MediConnect news - December 2021

Cal MediConnect
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