CommercialDecember 1, 2020

December 2020 Anthem Blue Cross Provider News - California

Administrative

AdministrativeCommercialDecember 1, 2020

Provider Education seminars, webinars, workshops and more!

AdministrativeCommercialDecember 1, 2020

Stay “in the know” at no charge!

AdministrativeCommercialDecember 1, 2020

Network leasing arrangements

AdministrativeCommercialDecember 1, 2020

Anthem Blue Cross provider directory and provider data updates

AdministrativeCommercialDecember 1, 2020

Access to claim denial information is now self-service

Through predictive analytics, health care teams can now receive real-time solutions to claim denials

AdministrativeCommercialDecember 1, 2020

Anthem and Quest Diagnostics form strategic relationship

AdministrativeCommercialDecember 1, 2020

Air Ambulance providers

AdministrativeCommercialDecember 1, 2020

2019 After Hours and Provider Appointment Availability Survey Results

AdministrativeCommercialDecember 1, 2020

PCP after-hours access requirements

AdministrativeCommercialDecember 1, 2020

2-minute videos to engage patients about preventive care

AdministrativeCommercialDecember 1, 2020

An overview of our medical necessity review process

AdministrativeCommercialDecember 1, 2020

Members’ rights and responsibilities

AdministrativeCommercialDecember 1, 2020

Appropriate 911/Emergency care procedures

Behavioral Health

Behavioral HealthCommercialDecember 1, 2020

2019 After Hours and PAAS survey results

Behavioral HealthCommercialDecember 1, 2020

Commercial Behavioral Health provider data updates

Behavioral HealthCommercialDecember 1, 2020

Where and how to submit BlueCard® claims

Behavioral HealthCommercialDecember 1, 2020

BlueCard Program quick tips

Behavioral HealthCommercialDecember 1, 2020

Network relations teams aren’t the same, where to go with questions

Behavioral HealthCommercialDecember 1, 2020

Overlapping services areas

Behavioral HealthCommercialDecember 1, 2020

Contracted provider dispute resolution

Behavioral HealthCommercialDecember 1, 2020

Practice status: Open or closed

Behavioral HealthCommercialDecember 1, 2020

Forms make practice changes easy

Policy Updates

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2020

Anthem Blue Cross expands hospice policy

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2020

Clinical practice and preventive health guidelines available on anthem.com/ca

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2020

Coordination of care

Medical Policy & Clinical GuidelinesCommercialDecember 1, 2020

Case management program

Reimbursement PoliciesCommercialDecember 1, 2020

Changes to reimbursement for ambulatory surgery centers

Reimbursement PoliciesCommercialDecember 1, 2020

Reminder: Professional reimbursement policies updates, effective January 1, 2021

Reimbursement PoliciesCommercialDecember 1, 2020

Professional reimbursement policy update: Bundled services and supplies

State & Federal

State & FederalMedicaidDecember 1, 2020

Digital transactions cut administrative tasks in half

State & FederalMedicaidDecember 1, 2020

Reimbursement policy update: Split-care surgical modifiers
Policy 11-005, effective 03/01/21

State & FederalMedicaidDecember 1, 2020

CAHPS education for providers

State & FederalMedicaidDecember 1, 2020

Notifications on the Availity Portal

State & FederalMedicaidDecember 1, 2020

Transition to AIM Small Joint guidelines

State & FederalMedicaidDecember 1, 2020

Anti-VEGF Medical Step Therapy notice

State & FederalMedicaidDecember 1, 2020

Sign up to receive email from Anthem Blue Cross

State & FederalMedicare AdvantageDecember 1, 2020

Digital transactions cut administrative tasks in half

State & FederalMedicare AdvantageDecember 1, 2020

Medicare Advantage group retiree member eligibility, Alpha Prefix FAQ

State & FederalMedicare AdvantageDecember 1, 2020

2021 Medicare Advantage individual benefits and formularies

State & FederalMedicare AdvantageDecember 1, 2020

Transition to AIM Small Joint guidelines

State & FederalMMP (Medicare-Medicaid Plan)December 1, 2020

Transition to AIM Specialty Health Rehabilitative Services Clinical Appropriateness Guidelines

State & FederalMMP (Medicare-Medicaid Plan)December 1, 2020

Transition to AIM Small Joint guidelines