California
Provider Communications

September 2020 Anthem Blue Cross Provider News - California

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Title	Category
Predictive Analytics guide proactive support to patients undergoing chemo, resulting in lowered admissions	Products & Programs
Important updates to Anthem Blue Cross’ formulary lists for commercial health plan pharmacy benefit	Pharmacy
New provider directory indicators for medication assisted treatment (MAT) providers	Administrative
Enhanced medical records submission process to support claims processing	Administrative
Receive and respond to medical record requests for post pay audit via Change Healthcare’s Assurance Attach Assist Module	Administrative
Anthem Blue Cross cost transparency	Administrative
Provider transparency update	Administrative
EDI Gateway Migration deadline is September 15, 2020	Administrative
Patient360 adds Care Gap alert feedback for medical providers	Administrative
Commercial Risk Adjustment reporting update: 2020 Prospective Program continues	Administrative
Provider Education seminars, webinars, workshops and more!	Administrative
Stay “in the know” at no charge!	Administrative
Anthem Blue Cross provider directory and provider data updates	Administrative
Easily update provider demographics with the online Provider Maintenance Form	Administrative
Network leasing arrangements	Administrative
What matters most online training course: Improving patient experience	Medi-Cal Managed Care
Medical drug benefit Clinical Criteria updates	Medi-Cal Managed Care
Medical policies and clinical utilization management guidelines update	Medi-Cal Managed Care
Medical drug benefit Clinical Criteria updates	Medicare
Transition to AIM Specialty Health rehabilitative services clinical appropriateness guidelines	Cal MediConnect

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