California
Provider Communications

Reimbursement policy clarification: Claims Requiring Additional Documentation - facility

Pharmacy information available on anthem.com/ca

Information about 2021 special needs plans

New policy: Sexually transmitted infections testing, effective January 2022 - professional

HEDIS® medical record submission made easier with our remote EMR access service

New medical step therapy requirements

Get your payments faster when you sign up for electronic funds transfer

Keep up with Medicare news – October 2021

• May 2021 Medical Policies and Utilization Management Guidelines update

• 2021 affirmative statement concerning utilization management decisions

Diabetes testing and screening HEDIS measures

New policy: Sexually transmitted infections testing, effective January 1, 2022 - professional

Get your payments faster when you sign up for electronic funds transfer

Keep up with Medi-Cal news – October 2021

• 2021 affirmative statement concerning utilization management decisions

• May 2021 Medical Policies and Utilization Management Guidelines update

REMINDER: EnrollSafe, the new electronic funds transfer enrollment portal for Anthem Blue Cross providers – replacing CAQH Enrollhub effective November 1, 2021

New policy: Sexually transmitted infections testing, effective January 2022 - professional

New specialty pharmacy medical step therapy requirements

Get your payments faster when you sign up for electronic funds transfer

Keep up with Cal MediConnect news October 2021

• May 2021 Medical Policies and Utilization Management Guidelines update

• 2021 affirmative statement concerning utilization management decisions

Federal Price Transparency and Consolidated Appropriations Act phase in new mandates beginning January 1, 2022

Clarification: Anthem’s enhanced claim edits for outpatient facility claims

For 2022, Anthem Blue Cross continues to offer EPO and HMO Individual on and off exchange products, and is excited to announce the expansion of the EPO offerings to new regions

Your recommendation is key to encouraging cancer screenings for your female patients

Good news! Non-payment remittance advice enhancements coming soon

Looking to earn continuing medical education credits? Register for these on-demand webinars

Clinical appeals

Are you talking to ALL of your patients about breast cancer screenings?

African American and Hispanic women have higher risk of death from breast cancer than their White counterparts.¹

Network leasing arrangements

Provider education

Provider directory and provider data updates

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