California
Provider Communications

May 2019 Anthem Blue Cross Provider Newsletter - California

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Title Category

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

Administrative

Anthem Blue Cross contracted ambulance providers

Administrative

Anthem Blue Cross provider directory and provider data updates

Administrative

Attention! Availity launches changes to our Medical Attachment submission tool

Administrative

Clinical criteria updates

Medi-Cal Managed Care

Clinical practice and preventive health guidelines available online

Policy Updates

Contracted provider claim escalation process

Administrative

Easily update provider demographics with the online Provider Maintenance Form

Administrative

Electronic claim payment reconsideration

Medi-Cal Managed Care

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

Administrative

Expedited grievances

Administrative

Fall prevention tips

Medicare

Keep up with Medicare news

Medicare

Latest updates to Electronic Data Interchange Gateway migration

Medi-Cal Managed Care

Let’s Vaccinate

Administrative

Medical records request for risk adjustment

Medicare

Medical records request for risk adjustment

Cal MediConnect

Medicare Advantage reimbursement policy provider bulletin

Medicare

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

Administrative

MMP Prior authorization requirements for DME repair and portable oxygen concentrator

Cal MediConnect

Network leasing arrangements

Administrative

New incentive program reimbursement for select CPT Category II codes

Medicare

Partial hospitalization services

Medicare

Pharmacy information available on anthem.com/ca

Pharmacy

Prior authorization requirements for DME repair and portable oxygen concentrator

Medicare

Provider Education seminars, webinars, workshops and more!

Administrative

Service type expansion – what’s new

New Service Types added in Eligibility and Benefits
Administrative

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

Administrative

Update: Drug Screen Testing (professional)

Reimbursement Policies

Update: Evaluation and management with Modifier 25

Medicare

Update: Evaluation and management with Modifier 25

Cal MediConnect

Workers’ Compensation Physicians Acknowledgments required by California Code of Regulations

Administrative
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