California
Provider Communications

July 2021 Anthem Blue Cross Provider News - California

Title	Category
Clinical quality in practice: CME webinar series	Administrative
Timely receipt of the primary payer’s EOB can help reduce timely filing denials for secondary claims	Administrative
Proper coding for in-home monitoring can make a measurable difference for INR	Administrative
Medical practices – are you keeping something from us	Administrative
Another mark of the pandemic: An increase in childhood obesity More potato chips, sugary drinks and less physical activity are key contributors	Administrative
How to enroll in electronic fund transfer for faster remittance	Digital Tools
Electronic claim response files	Digital Tools
Interactive Care Reviewer (ICR): New search option for cases submitted through ICR	Digital Tools
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
Certain specialty medication precertification requests may require additional documentation	Pharmacy
New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing	Medi-Cal Managed Care
Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patients	Medi-Cal Managed Care
Coding spotlight: Mental disorders in childhood	Medi-Cal Managed Care
What matters most: Improving the patient experience	Medi-Cal Managed Care
Resources to support your diverse patient panel	Medi-Cal Managed Care
Infusion step therapy retraction notice	Medi-Cal Managed Care
Specialty pharmacy prior authorization retraction notice	Medi-Cal Managed Care
February 2021 medical policies and utilization management guidelines update	Medi-Cal Managed Care
Prior authorization requirement changes effective September 1, 2021 – UM AROW 1327	Medi-Cal Managed Care
Certain specialty medication precertification requests may require additional documentation	Medi-Cal Managed Care
Let’s vaccinate Help increase your vaccination rates and close gaps-in-care with these tools and strategies	Medi-Cal Managed Care
Prior authorization requirement changes effective October 1, 2021 – UM AROW 1837	Medi-Cal Managed Care
March 2021 medical drug benefit clinical criteria updates	Medi-Cal Managed Care
New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing	Medicare
Let’s vaccinate Help increase your vaccination rates and close gaps-in-care with these tools and strategies	Medicare
Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428	Medicare
March 2021 Medical drug benefit clinical criteria updates	Medicare
Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patients	Medicare
New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing	Cal MediConnect
Let’s vaccinate Help increase your vaccination rates and close gaps-in-care with these tools and strategies	Cal MediConnect
March 2021 Medical drug benefit clinical criteria updates	Cal MediConnect
Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patients	Cal MediConnect

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California
Provider Communications

July 2021 Anthem Blue Cross Provider News - California

Clinical quality in practice: CME webinar series

Timely receipt of the primary payer’s EOB can help reduce timely filing denials for secondary claims

Proper coding for in-home monitoring can make a measurable difference for INR

Medical practices – are you keeping something from us

Another mark of the pandemic: An increase in childhood obesity

How to enroll in electronic fund transfer for faster remittance

Electronic claim response files

Interactive Care Reviewer (ICR): New search option for cases submitted through ICR

Overlapping service areas

Where and how to submit BlueCard claims

BlueCard® program quick tips

Practice status: open or closed

Certain specialty medication precertification requests may require additional documentation

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patients

Coding spotlight: Mental disorders in childhood

What matters most: Improving the patient experience

Resources to support your diverse patient panel

Infusion step therapy retraction notice

Specialty pharmacy prior authorization retraction notice

February 2021 medical policies and utilization management guidelines update

Prior authorization requirement changes effective September 1, 2021 – UM AROW 1327

Certain specialty medication precertification requests may require additional documentation

Let’s vaccinate

Prior authorization requirement changes effective October 1, 2021 – UM AROW 1837

March 2021 medical drug benefit clinical criteria updates

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

Let’s vaccinate

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

March 2021 Medical drug benefit clinical criteria updates

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patients

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

Let’s vaccinate

March 2021 Medical drug benefit clinical criteria updates

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patients

CaliforniaProvider Communications

July 2021 Anthem Blue Cross Provider News - California

California
Provider Communications