California
Provider Communications

June 2021 Anthem Blue Cross Provider News - California

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Title Category

Anthem Blue Cross provider directory and provider data updates

Administrative

Anthem Blue Cross to enhance claim edits for outpatient facility claims

Reimbursement Policies

Anthem Blue Cross working with Optum to collect medical records for risk adjustment

Medicare

Aspire Health for members in need of palliative care

Medi-Cal Managed Care

CG care guidelines 25th edition

Cal MediConnect

Complex case management program

Medi-Cal Managed Care

DEXA bone scan criteria for the Federal Employee Program

Federal Employee Plan (FEP)

Digital solution options with Availity

Digital Tools

Don’t miss this: Timely access regulations and language assistance program

Administrative

Essential information you need to submit EDI corrected claims

Digital Tools

Important information about utilization management

Medi-Cal Managed Care

Interactive Care Reviewer’s new copy feature decreases time to submit authorization request

Digital Tools

Keep your contact information current

Administrative

Keeping up with routine vaccination during COVID-19

Medi-Cal Managed Care

Let’s Vaccinate

Help increase your vaccination rates and close gaps-in-care with these tools and strategies.
Products & Programs

MCG care guidelines 25th edition

Medi-Cal Managed Care

Medical drug benefit clinical criteria updates

Medicare

Medical drug benefit clinical criteria updates

Cal MediConnect

Medical policies and clinical utilization management guidelines update

Medicare

Medical policies and clinical utilization management guidelines update

Cal MediConnect

Member grievance and appeals process

Medi-Cal Managed Care

Members’ rights and responsibilities statement

Medi-Cal Managed Care

Network leasing arrangements

Administrative

Pharmacy information available on anthem.com/ca

Pharmacy

Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study finds

Administrative

Policy reminder: Inpatient readmissions

Medicare

Prior authorization updates for specialty pharmacy

Medi-Cal Managed Care

Provider education

Administrative

Provider education program survey: Your voice counts

Medi-Cal Managed Care

Regular check-ins with your clearinghouse could affect timely filing

Administrative

Reminders for Medicare Advantage group retiree PPO plans and national access plus FAQ

Medicare

Two great learning resources on one secure portal

Digital Tools

Updates to the AIM advanced imaging clinical appropriateness guidelines

Medicare
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