California
Provider Communications

May 2019 Anthem Blue Cross Provider Newsletter - California

Title	Category
Pharmacy information available on anthem.com/ca	Pharmacy
Member grievance process and forms must be made available upon request at provider offices	Administrative
Anthem Blue Cross contracted ambulance providers	Administrative
Anthem Blue Cross Commercial Risk Adjustment reporting update: Health Assessment requests for 2019: Alternative reporting engagement	Administrative
Electronic Member ID Cards – Easy online access on the Availity Portal	Administrative
Service type expansion – what’s new New Service Types added in Eligibility and Benefits	Administrative
Attention! Availity launches changes to our Medical Attachment submission tool	Administrative
Let’s Vaccinate	Administrative
Workers’ Compensation Physicians Acknowledgments required by California Code of Regulations	Administrative
Expedited grievances	Administrative
Contracted provider claim escalation process	Administrative
Provider Education seminars, webinars, workshops and more!	Administrative
Anthem Blue Cross provider directory and provider data updates	Administrative
Easily update provider demographics with the online Provider Maintenance Form	Administrative
Sign-up now for our Network eUPDATE today – it’s free!	Administrative
Network leasing arrangements	Administrative
Clinical practice and preventive health guidelines available online	Policy Updates
Update: Drug Screen Testing (professional)	Reimbursement Policies
Fall prevention tips	Medicare
Medical records request for risk adjustment	Medicare
Medicare Advantage reimbursement policy provider bulletin	Medicare
Partial hospitalization services	Medicare
New incentive program reimbursement for select CPT Category II codes	Medicare
Prior authorization requirements for DME repair and portable oxygen concentrator	Medicare
Update: Evaluation and management with Modifier 25	Medicare
Keep up with Medicare news	Medicare
Clinical criteria updates	Medi-Cal Managed Care
Electronic claim payment reconsideration	Medi-Cal Managed Care
Latest updates to Electronic Data Interchange Gateway migration	Medi-Cal Managed Care
Medical records request for risk adjustment	Cal MediConnect
Update: Evaluation and management with Modifier 25	Cal MediConnect
MMP Prior authorization requirements for DME repair and portable oxygen concentrator	Cal MediConnect

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California
Provider Communications

May 2019 Anthem Blue Cross Provider Newsletter - California

Pharmacy information available on anthem.com/ca

Member grievance process and forms must be made available upon request at provider offices

Anthem Blue Cross contracted ambulance providers

Anthem Blue Cross Commercial Risk Adjustment reporting update: Health Assessment requests for 2019: Alternative reporting engagement

Electronic Member ID Cards – Easy online access on the Availity Portal

Service type expansion – what’s new

Attention! Availity launches changes to our Medical Attachment submission tool

Let’s Vaccinate

Workers’ Compensation Physicians Acknowledgments required by California Code of Regulations

Expedited grievances

Contracted provider claim escalation process

Provider Education seminars, webinars, workshops and more!

Anthem Blue Cross provider directory and provider data updates

Easily update provider demographics with the online Provider Maintenance Form

Sign-up now for our Network eUPDATE today – it’s free!

Network leasing arrangements

Clinical practice and preventive health guidelines available online

Update: Drug Screen Testing (professional)

Fall prevention tips

Medical records request for risk adjustment

Medicare Advantage reimbursement policy provider bulletin

Partial hospitalization services

New incentive program reimbursement for select CPT Category II codes

Prior authorization requirements for DME repair and portable oxygen concentrator

Update: Evaluation and management with Modifier 25

Keep up with Medicare news

Clinical criteria updates

Electronic claim payment reconsideration

Latest updates to Electronic Data Interchange Gateway migration

Medical records request for risk adjustment

Update: Evaluation and management with Modifier 25

MMP Prior authorization requirements for DME repair and portable oxygen concentrator

CaliforniaProvider Communications

May 2019 Anthem Blue Cross Provider Newsletter - California

California
Provider Communications