California
Provider Communications

June 2021 Anthem Blue Cross Provider News - California

Title	Category
Updates to the AIM advanced imaging clinical appropriateness guidelines	Medicare
Two great learning resources on one secure portal	Digital Tools
Reminders for Medicare Advantage group retiree PPO plans and national access plus FAQ	Medicare
Regular check-ins with your clearinghouse could affect timely filing	Administrative
Provider education program survey: Your voice counts	Medi-Cal Managed Care
Provider education	Administrative
Prior authorization updates for specialty pharmacy	Medi-Cal Managed Care
Policy reminder: Inpatient readmissions	Medicare
Physicians and clinical care teams: Imaging for lower back pain does not improve outcomes, study finds	Administrative
Pharmacy information available on anthem.com/ca	Pharmacy
Network leasing arrangements	Administrative
Members’ rights and responsibilities statement	Medi-Cal Managed Care
Member grievance and appeals process	Medi-Cal Managed Care
Medical policies and clinical utilization management guidelines update	Medicare
Medical policies and clinical utilization management guidelines update	Cal MediConnect
Medical drug benefit clinical criteria updates	Medicare
Medical drug benefit clinical criteria updates	Cal MediConnect
MCG care guidelines 25th edition	Medi-Cal Managed Care
Let’s Vaccinate Help increase your vaccination rates and close gaps-in-care with these tools and strategies.	Products & Programs
Keeping up with routine vaccination during COVID-19	Medi-Cal Managed Care
Keep your contact information current	Administrative
Interactive Care Reviewer’s new copy feature decreases time to submit authorization request	Digital Tools
Important information about utilization management	Medi-Cal Managed Care
Essential information you need to submit EDI corrected claims	Digital Tools
Don’t miss this: Timely access regulations and language assistance program	Administrative
Digital solution options with Availity	Digital Tools
DEXA bone scan criteria for the Federal Employee Program	Federal Employee Plan (FEP)
Complex case management program	Medi-Cal Managed Care
CG care guidelines 25th edition	Cal MediConnect
Aspire Health for members in need of palliative care	Medi-Cal Managed Care
Anthem Blue Cross working with Optum to collect medical records for risk adjustment	Medicare
Anthem Blue Cross to enhance claim edits for outpatient facility claims	Reimbursement Policies
Anthem Blue Cross provider directory and provider data updates	Administrative

Page 1 of 1

Articles by Publication

Articles by Category

Articles by Date

California
Provider Communications

June 2021 Anthem Blue Cross Provider News - California

Updates to the AIM advanced imaging clinical appropriateness guidelines

Two great learning resources on one secure portal

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

Regular check-ins with your clearinghouse could affect timely filing

Provider education program survey: Your voice counts

Provider education

Prior authorization updates for specialty pharmacy

Policy reminder: Inpatient readmissions

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

Pharmacy information available on anthem.com/ca

Network leasing arrangements

Members’ rights and responsibilities statement

Member grievance and appeals process

Medical policies and clinical utilization management guidelines update

Medical policies and clinical utilization management guidelines update

Medical drug benefit clinical criteria updates

Medical drug benefit clinical criteria updates

MCG care guidelines 25th edition

Let’s Vaccinate

Keeping up with routine vaccination during COVID-19

Keep your contact information current

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

Important information about utilization management

Essential information you need to submit EDI corrected claims

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

Digital solution options with Availity

DEXA bone scan criteria for the Federal Employee Program

Complex case management program

CG care guidelines 25th edition

Aspire Health for members in need of palliative care

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

Anthem Blue Cross to enhance claim edits for outpatient facility claims

Anthem Blue Cross provider directory and provider data updates

CaliforniaProvider Communications

June 2021 Anthem Blue Cross Provider News - California

California
Provider Communications