CommercialAugust 1, 2019
August 2019 Anthem Blue Cross Provider News - California
Administrative
CommercialAugust 1, 2019
Misrouted protected health informationCommercialAugust 1, 2019
Network leasing arrangementsCommercialAugust 1, 2019
Sign-up now for our Provider News today at no charge!CommercialAugust 1, 2019
Easily update provider demographics with the online Provider Maintenance FormCommercialAugust 1, 2019
Anthem Blue Cross provider directory and provider data updatesCommercialAugust 1, 2019
Provider Education seminars, webinars, workshops and more!CommercialAugust 1, 2019
Contracted provider claim escalation processCommercialAugust 1, 2019
Workers’ Compensation acknowledgments requiredCommercialAugust 1, 2019
Verify BlueCard member eligibility and coverageCommercialAugust 1, 2019
Help with claim issue resolutionProducts & Programs
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Clinical criteria and prior authorization updates for specialty pharmacy are availableCommercialAugust 1, 2019
Pharmacy information available on anthem.com/caState & Federal
MedicaidAugust 1, 2019
Unspecified diagnosis code updateMedicare AdvantageAugust 1, 2019
Prepayment clinical validation review processMedicare AdvantageAugust 1, 2019
Update to emergency department: Level of E&M services reimbursement policyMedicare AdvantageAugust 1, 2019
Unspecified diagnosis code updateMedicare AdvantageAugust 1, 2019
Keep up with Medicare newsMedicaidAugust 1, 2019
Pharmacy management informationMedicaidAugust 1, 2019
Use the Provider Maintenance Form to update your informationMedicaidAugust 1, 2019
Clinical criteria updatesMedicaidAugust 1, 2019
New reimbursement policy: Drug screen testingMedicare AdvantageAugust 1, 2019
Emergency department: Level of Evaluation and Management ServicesMedicaidAugust 1, 2019
Prior authorization requirements for hyperbaric oxygen and supervision of hyperbaric oxygen therapyMedicaidAugust 1, 2019
January 2019 medical policies and clinical utilization management guidelines updateMedicaidAugust 1, 2019
Prepayment clinical validation review processAugust 1, 2019
New service types added to AvailityAugust 1, 2019
Prepayment clinical validation review processAugust 1, 2019
Unspecified diagnosis code updateAugust 1, 2019
New reimbursement policy: drug screen testingMedicare AdvantageAugust 1, 2019
Special needs plans, provider training requiredMedicare AdvantageAugust 1, 2019
AIM Specialty Health programs may require documentationMedicare AdvantageAugust 1, 2019
New service types added to AvailityMedicare AdvantageAugust 1, 2019
Drug screen testing (Policy 19-001, effective 10/01/19)To view this publication online:
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