California
Provider Communications

May 2021 Anthem Blue Cross Provider News - California

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Title Category

2020 Anthem Blue Cross population needs assessment

Medi-Cal Managed Care

2021 Affirmative Statement regarding utilization management decisions

Administrative

A helpful and complete guide to covered well-child visits

Administrative

Access to care standards

Medi-Cal Managed Care

Anthem Blue Cross provider directory and provider data updates

Administrative

Anthem Blue Cross working with Optum to collect medical records for Medicare Risk Adjustment

Medicare

Appointment Scheduler application

Digital online scheduling feature now available in the Availity portal.
Administrative

Coding spotlight: Tips and best practices for compliance

Medi-Cal Managed Care

Continuing medical education / continuing education unit opportunities

Medi-Cal Managed Care

Easily update provider demographics with the online Provider Maintenance form

Administrative

Educational presentations and materials for physicians and medical providers

Medi-Cal Managed Care

Electronic solutions at your fingertips

Administrative

Facility reimbursement policy reminder: Readmission

Reimbursement Policies

Helping our members

Medicare

Helping our members

Cal MediConnect

Maximizing efficient, high quality COVID-19 screenings

Medicare

May is National High Blood Pressure education month

A WISEWOMAN™ knows that improving blood pressure is good for the heart.

Administrative

Member grievance and appeals process

Medi-Cal Managed Care

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

Administrative

Metabolic monitoring and diabetes screening measures for those on antipsychotics medications

Medi-Cal Managed Care

Modification to voluntary Cancer Care Quality Program, enhanced reimbursement to begin July 1, 2021

Products & Programs

Network leasing arrangements

Administrative

Other health insurance verification

Medi-Cal Managed Care

Professional reimbursement policy update: Frequency Editing

Reimbursement Policies

Referring to network DME providers for negative pressure wound therapy helps members save on out-of-pocket costs

Administrative

Reimbursement policy update: Claims Requiring Additional Documentation (facility)

Reimbursement Policies

Resources to support diverse patients and communities

Administrative

Send larger digital attachments through Availity

We’ve expanded our file size to 100 megabytes.
Administrative

Sign up to receive email from Anthem Blue Cross

Medi-Cal Managed Care

The Industry Health Network

Administrative

Update to AIM Specialty Health Oncologic Imaging Clinical appropriateness guideline

Medical Policy & Clinical Guidelines

Updates to the AIM Specialty Health musculoskeletal program clinical appropriateness

Medicare
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