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November 2021 Anthem Blue Cross Provider News - California

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Title Category

Provider claim payment disputes for Anthem Blue Cross’ Commercial lines of business

Administrative

Provider transparency update

Administrative

Anthem Blue Cross cost transparency

Administrative

Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claims

Administrative

Update regarding annual wellness visits for ACA-compliant health plans

Administrative

Time to prepare for HEDIS® medical record review

Administrative

Reducing the burden of medical record review and improving health outcomes with HEDIS® ECDS reporting

Administrative

CME credits available in 2021 for a variety of clinical quality webinars – register now!

Administrative

Join Anthem Blue Cross in talking about racism and its impact on health and earn continuing education credits!

Administrative

Avoid claim denials: VYNE medical attachment program has expired

Advise clearinghouses we no longer accept attachments through this vendor to avoid claim denials.

 Administrative

Be antibiotics aware: Protect your patient

Administrative

Surprisingly easy ways to help patients quit smoking cigarettes

Administrative

Change in coverage for continuous glucose monitors for some fully insured groups

Administrative

Against medical advice (AMA) discharge physician tracking tool

Digital Tools

EnrollSafe is available: Our new electronic funds transfer enrollment portal for Anthem Blue Cross providers

EnrollSafe replaces CAQH Enrollhub effective November 1, 2021

 Digital Tools

Important update on Botox® for Anthem Blue Cross members

Pharmacy

BlueHPN to expand in California for 2022

Products & Programs

Discharges against medical advice

Medi-Cal Managed Care

4 things you can do to encourage cancer screenings for your women patients

Medi-Cal Managed Care

Electronic data interchange process

Medi-Cal Managed Care

Claims editing update for ICD-10-CM Excludes 1 notes

Medi-Cal Managed Care

Clinical criteria updates

Medi-Cal Managed Care

Unspecified diagnosis reminder

Medi-Cal Managed Care

Pharmacy services to be fee-for-service benefit

Medi-Cal Managed Care

New York City Medicare Advantage announcement

Medicare

Updates to AIM Specialty Health cardiology clinical appropriateness guidelines

Medicare

Clinical criteria updates

Medicare

Anthem Blue Cross offering Advance Medical Directives program for 2022

Medicare

Anthem Blue Cross Medicare Advantage FFS HMO network guidance

Medicare

Electronic data interchange process

Medicare

Keep up with Medicare news – November 2021

Medicare

Claims editing update for ICD-10-CME Excludes 1 notes

Cal MediConnect

Clinical criteria updates

Cal MediConnect

Keep up with Cal MediConnect news November 2021

Cal MediConnect
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