CommercialDecember 1, 2019
December 2019 Anthem Blue Cross Provider News - California
Administrative
CommercialNovember 30, 2019
Anthem Blue Cross provider directory and provider data updatesCommercialNovember 30, 2019
Easily update provider demographics with the online Provider Maintenance formCommercialNovember 30, 2019
Anthem Blue Cross’ Language Assistance Program: No interpreter? No problem!CommercialNovember 30, 2019
Sign-up now for our Provider News today at no charge!CommercialNovember 30, 2019
Network leasing arrangementsCommercialNovember 30, 2019
Provider Education seminars, webinars, workshops and more!CommercialNovember 30, 2019
Reminder: Changes to timely filing requirementsCommercialNovember 30, 2019
Physical therapists and radiology providers – welcome to the future of Workers’ CompensationCommercialNovember 30, 2019
Retrieve your Anthem Blue Cross Patient’s HEDIS care gaps through Patient360 located on the Availity PortalCommercialNovember 30, 2019
Individual on and off exchange plans: 2020 benefit year updateCommercialNovember 30, 2019
Member grievance process and forms must be made available upon request at provider officeCommercialNovember 30, 2019
Members Rights and ResponsibilitiesCommercialNovember 30, 2019
Anthem Blue Cross works to simplify Payment Recovery Process for National Accounts membershipCommercialNovember 30, 2019
Contracted provider claim escalation processBehavioral Health
CommercialNovember 30, 2019
Overlapping service areasCommercialNovember 30, 2019
Coding tip for Psychological and Neuropsychological testingCommercialNovember 30, 2019
Anthem Blue Cross’ Language Assistance Program: No interpreter? No problem!CommercialNovember 30, 2019
Behavioral Health providers serve Individual plans on and off exchange for 2020CommercialNovember 30, 2019
Contracted provider dispute resolutionCommercialNovember 30, 2019
Network Relations teams aren’t the same – where to go with questionsCommercialNovember 30, 2019
Commercial Behavioral Health provider data updatesCommercialNovember 30, 2019
Practice status - open or closedCommercialNovember 30, 2019
Forms make practice changes easyCommercialNovember 30, 2019
Network leasing arrangements are onlineCommercialNovember 30, 2019
Stay “in the know” at no charge!CommercialNovember 30, 2019
Misrouted protected health informationCommercialNovember 30, 2019
BlueCard® Program quick tipsCommercialNovember 30, 2019
Where and how to submit BlueCard® claimsCommercialNovember 30, 2019
Behavioral Health timely access regulations and language assistance programCommercialNovember 30, 2019
Clinical practice and preventive health guidelines available on the webCommercialNovember 30, 2019
Anthem’s member rights and responsibilitiesCommercialNovember 30, 2019
Release of medical recordsCommercialNovember 30, 2019
Pharmacy information available onlinePolicy Updates
CommercialNovember 30, 2019
An overview of our medical necessity review processCommercialNovember 30, 2019
Case Management ProgramCommercialNovember 30, 2019
Clinical Practice and Preventive Health Guidelines available on anthem.com/caCommercialNovember 30, 2019
Coordination of CareCommercialNovember 30, 2019
Appropriate 911/Emergency care proceduresCommercialNovember 30, 2019
New Professional Reimbursement Policies - Durable Medical Equipment: Rent to purchase and Durable Medical Equipment ModifiersCommercialNovember 30, 2019
System updates for 2020 - ProfessionalProducts & Programs
CommercialNovember 30, 2019
Coordination of Benefits for a Federal Employee Program® memberCommercialNovember 30, 2019
Pharmacy information available on anthem.com/caState & Federal
Medicare AdvantageNovember 30, 2019
CMS reminder: expedited/urgent requestsMedicare AdvantageNovember 30, 2019
Service area benefit changesMedicare AdvantageNovember 30, 2019
Group Retiree PPO program announcementMedicare AdvantageNovember 30, 2019
Aspire Health for Medicare members in need of palliative careMedicare AdvantageNovember 30, 2019
Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updatesMedicare AdvantageNovember 30, 2019
Prior authorization requirements for E0784, K0553 and K0554MedicaidNovember 30, 2019
Medical drug Clinical Criteria updatesMedicaidNovember 30, 2019
Coding spotlight: provider’s guide to coding behavioral and emotional disordersMedicaidNovember 30, 2019
Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updatesMedicaidNovember 30, 2019
Medical drug benefit Clinical Criteria updatesMMP (Medicare-Medicaid Plan)November 30, 2019
MMP CMS reminder: expedited/urgent requestsMMP (Medicare-Medicaid Plan)November 30, 2019
Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updatesMMP (Medicare-Medicaid Plan)November 30, 2019
Prior authorization requirements for E0784, K0553 and K0554MMP (Medicare-Medicaid Plan)November 30, 2019
MMP Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updatesTo view this publication online:
Or scan this QR code with your phone