CommercialDecember 1, 2019

December 2019 Anthem Blue Cross Provider News - California

Administrative

AdministrativeCommercialNovember 30, 2019

Anthem Blue Cross provider directory and provider data updates

AdministrativeCommercialNovember 30, 2019

Sign-up now for our Provider News today at no charge!

AdministrativeCommercialNovember 30, 2019

Network leasing arrangements

AdministrativeCommercialNovember 30, 2019

Provider Education seminars, webinars, workshops and more!

AdministrativeCommercialNovember 30, 2019

Reminder: Changes to timely filing requirements

AdministrativeCommercialNovember 30, 2019

Individual on and off exchange plans: 2020 benefit year update

AdministrativeCommercialNovember 30, 2019

Members Rights and Responsibilities

AdministrativeCommercialNovember 30, 2019

Contracted provider claim escalation process

Behavioral Health

Behavioral HealthCommercialNovember 30, 2019

Overlapping service areas

Behavioral HealthCommercialNovember 30, 2019

Coding tip for Psychological and Neuropsychological testing

Behavioral HealthCommercialNovember 30, 2019

Contracted provider dispute resolution

Behavioral HealthCommercialNovember 30, 2019

Network Relations teams aren’t the same – where to go with questions

Behavioral HealthCommercialNovember 30, 2019

Commercial Behavioral Health provider data updates

Behavioral HealthCommercialNovember 30, 2019

Practice status - open or closed

Behavioral HealthCommercialNovember 30, 2019

Forms make practice changes easy

Behavioral HealthCommercialNovember 30, 2019

Network leasing arrangements are online

Behavioral HealthCommercialNovember 30, 2019

Stay “in the know” at no charge!

Behavioral HealthCommercialNovember 30, 2019

Misrouted protected health information

Behavioral HealthCommercialNovember 30, 2019

BlueCard® Program quick tips

Behavioral HealthCommercialNovember 30, 2019

Where and how to submit BlueCard® claims

Behavioral HealthCommercialNovember 30, 2019

Behavioral Health timely access regulations and language assistance program

Behavioral HealthCommercialNovember 30, 2019

Clinical practice and preventive health guidelines available on the web

Behavioral HealthCommercialNovember 30, 2019

Anthem’s member rights and responsibilities

Behavioral HealthCommercialNovember 30, 2019

Release of medical records

Behavioral HealthCommercialNovember 30, 2019

Pharmacy information available online

Policy Updates

Medical Policy & Clinical GuidelinesCommercialNovember 30, 2019

An overview of our medical necessity review process

Medical Policy & Clinical GuidelinesCommercialNovember 30, 2019

Case Management Program

Medical Policy & Clinical GuidelinesCommercialNovember 30, 2019

Clinical Practice and Preventive Health Guidelines available on anthem.com/ca

Medical Policy & Clinical GuidelinesCommercialNovember 30, 2019

Coordination of Care

Medical Policy & Clinical GuidelinesCommercialNovember 30, 2019

Appropriate 911/Emergency care procedures

Reimbursement PoliciesCommercialNovember 30, 2019

System updates for 2020 - Professional

Products & Programs

Federal Employee Program (FEP)CommercialNovember 30, 2019

Coordination of Benefits for a Federal Employee Program® member

PharmacyCommercialNovember 30, 2019

Pharmacy information available on anthem.com/ca

State & Federal

State & FederalMedicare AdvantageNovember 30, 2019

CMS reminder: expedited/urgent requests

State & FederalMedicare AdvantageNovember 30, 2019

Service area benefit changes

State & FederalMedicare AdvantageNovember 30, 2019

Group Retiree PPO program announcement

State & FederalMedicare AdvantageNovember 30, 2019

Aspire Health for Medicare members in need of palliative care

State & FederalMedicare AdvantageNovember 30, 2019

Prior authorization requirements for E0784, K0553 and K0554

State & FederalMedicaidNovember 30, 2019

Medical drug Clinical Criteria updates

State & FederalMedicaidNovember 30, 2019

Medical drug benefit Clinical Criteria updates

State & FederalMMP (Medicare-Medicaid Plan)November 30, 2019

MMP CMS reminder: expedited/urgent requests

State & FederalMMP (Medicare-Medicaid Plan)November 30, 2019

Prior authorization requirements for E0784, K0553 and K0554