CommercialDecember 1, 2020
December 2020 Anthem Blue Cross Provider News - California
Administrative
CommercialDecember 1, 2020
Easily update provider demographics with the online Provider Maintenance FormCommercialDecember 1, 2020
Provider Education seminars, webinars, workshops and more!CommercialDecember 1, 2020
Stay “in the know” at no charge!CommercialDecember 1, 2020
Network leasing arrangementsCommercialDecember 1, 2020
Anthem Blue Cross provider directory and provider data updatesCommercialDecember 1, 2020
Access to claim denial information is now self-serviceThrough predictive analytics, health care teams can now receive real-time solutions to claim denials
CommercialDecember 1, 2020
New Anthem High Performance/Blue High Performance – effective January 2021CommercialDecember 1, 2020
Anthem and Quest Diagnostics form strategic relationshipCommercialDecember 1, 2020
Anthem Blue Cross continues to offer EPO and HMO individual on and off exchange products for 2021CommercialDecember 1, 2020
Air Ambulance providersCommercialDecember 1, 2020
Anthem Blue Cross makes going digital easy with the Provider Digital Engagement SupplementCommercialDecember 1, 2020
2019 After Hours and Provider Appointment Availability Survey ResultsCommercialDecember 1, 2020
PCP after-hours access requirementsCommercialDecember 1, 2020
2-minute videos to engage patients about preventive careCommercialDecember 1, 2020
An overview of our medical necessity review processCommercialDecember 1, 2020
Members’ rights and responsibilitiesCommercialDecember 1, 2020
Appropriate 911/Emergency care proceduresBehavioral Health
CommercialDecember 1, 2020
2019 After Hours and PAAS survey resultsCommercialDecember 1, 2020
Commercial Behavioral Health provider data updatesCommercialDecember 1, 2020
Where and how to submit BlueCard® claimsCommercialDecember 1, 2020
BlueCard Program quick tipsCommercialDecember 1, 2020
Network relations teams aren’t the same, where to go with questionsCommercialDecember 1, 2020
Overlapping services areasCommercialDecember 1, 2020
Contracted provider dispute resolutionCommercialDecember 1, 2020
Practice status: Open or closedCommercialDecember 1, 2020
Forms make practice changes easyPolicy Updates
CommercialDecember 1, 2020
Anthem Blue Cross expands hospice policyCommercialDecember 1, 2020
Clinical practice and preventive health guidelines available on anthem.com/caCommercialDecember 1, 2020
Coordination of careCommercialDecember 1, 2020
Case management programCommercialDecember 1, 2020
Changes to reimbursement for ambulatory surgery centersCommercialDecember 1, 2020
Reminder: Professional reimbursement policies updates, effective January 1, 2021CommercialDecember 1, 2020
Professional reimbursement policy update: Bundled services and suppliesProducts & Programs
CommercialDecember 1, 2020
Transition to AIM Rehabilitative services clinical appropriateness guidelinesCommercialDecember 1, 2020
CORRECTION: Changes to utilization requirements for Avsola, Renflexis and Inflectra for CalPERS PPO members only!CommercialDecember 1, 2020
AIM IVR changes for non-oncology medical specialty drug reviews effective on January 1, 2021CommercialDecember 1, 2020
Medical Specialty Pharmacy (MSP) drug list, effective December 1, 2020CommercialDecember 1, 2020
Pharmacy information available on anthem.com/caState & Federal
MedicaidDecember 1, 2020
Transition to AIM Specialty Health Rehabilitative Services Clinical Appropriateness GuidelinesMedicaidDecember 1, 2020
Digital transactions cut administrative tasks in halfMedicaidDecember 1, 2020
Reimbursement policy update: Split-care surgical modifiersMedicaidDecember 1, 2020
CAHPS education for providersMedicaidDecember 1, 2020
Notifications on the Availity PortalMedicaidDecember 1, 2020
Transition to AIM Small Joint guidelinesMedicaidDecember 1, 2020
Anti-VEGF Medical Step Therapy noticeMedicaidDecember 1, 2020
Resources to support your pregnant and postpartum patients and their familiesMedicaidDecember 1, 2020
Clinical laboratory improvement amendments number – additional informationMedicaidDecember 1, 2020
Sign up to receive email from Anthem Blue CrossMedicare AdvantageDecember 1, 2020
Digital transactions cut administrative tasks in halfMedicare AdvantageDecember 1, 2020
Medicare Advantage group retiree member eligibility, Alpha Prefix FAQMedicare AdvantageDecember 1, 2020
2021 Medicare Advantage individual benefits and formulariesMedicare AdvantageDecember 1, 2020
Transition to AIM Small Joint guidelinesMMP (Medicare-Medicaid Plan)December 1, 2020
Transition to AIM Specialty Health Rehabilitative Services Clinical Appropriateness GuidelinesMMP (Medicare-Medicaid Plan)December 1, 2020
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