December 1, 2021
December 2021 Anthem Blue Cross Provider News - California
Filter By: AllCommercial
Administrative
CommercialDecember 1, 2021
Update: Anthem Blue Cross to implement provider claim payment dispute process for Commercial lines of business has been delayedCommercialDecember 1, 2021
Professional system updates for 2022CommercialDecember 1, 2021
Outpatient system updates for 2022CommercialDecember 1, 2021
Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to dateCommercialDecember 1, 2021
2022 EPO and HMO individual on and off exchange products, and the expansion of EPO in new regionsCommercialDecember 1, 2021
Importance of PCP after-hours messagingCommercialDecember 1, 2021
Once-a-year testing is critically important to providing quality diabetes careCommercialDecember 1, 2021
Physicians and clinical care teams: Study finds imaging for lower back pain does not improve outcomesCommercialDecember 1, 2021
Chlamydia is asymptomatic. Only through screening will we know for sureCommercialDecember 1, 2021
Case Management ProgramCommercialDecember 1, 2021
Contract compliance with accessibility standards for Appointment Availability and Emergency Care instructions After Hours CareCommercialDecember 1, 2021
Member rights and responsibilitiesCommercialDecember 1, 2021
Coordination of careCommercialDecember 1, 2021
Clinical practice and preventive health guidelines available on anthem.com/caCommercialDecember 1, 2021
Medical necessity review process overviewCommercialDecember 1, 2021
Appropriate 911/emergency care proceduresCommercialDecember 1, 2021
Submitting prior authorizations is getting easierAnthem Blue Cross is transitioning to the Availity Authorization app
CommercialDecember 1, 2021
Provider directory and provider data updatesCommercialDecember 1, 2021
Provider educationCommercialDecember 1, 2021
Network leasing arrangementsCommercialDecember 1, 2021
Is prior authorization required?CommercialDecember 1, 2021
Reminder: EnrollSafe is available – electronic funds transfer enrollment portal for Anthem Blue Cross providersEnrollSafe replaced CAQH Enrollhub effective November 1, 2021
Behavioral Health
CommercialDecember 1, 2021
Keep your contact information currentCommercialDecember 1, 2021
Contract compliance with accessibility standards for Appointment Availability and Emergency Care instructions After Hours CareCommercialDecember 1, 2021
Overlapping service areasCommercialDecember 1, 2021
Where and how to submit BlueCard® claimsCommercialDecember 1, 2021
BlueCard Program quick tipsCommercialDecember 1, 2021
Practice status: Open or closedCommercialDecember 1, 2021
Pharmacy information available on Anthem.com/caPolicy Updates
CommercialDecember 1, 2021
RETRACTION: Inpatient Facility Transfers – reimbursement policy (facility)CommercialDecember 1, 2021
Reimbursement policy update: Virtual Visits - professional and facilityProducts & Programs
CommercialDecember 1, 2021
Benefit plan updates effective January 1, 2022State & Federal
MedicaidDecember 1, 2021
Good news: Non-payment remittance advice enhancements are hereMedicaidDecember 1, 2021
Policy update: Drug screen testingPolicy update: Drug screen testing, effective March 1, 2022
MedicaidDecember 1, 2021
Submitting prior authorizations is getting easierMedicare AdvantageDecember 1, 2021
Policy update: Drug screen testingPolicy update: Drug screen testing, effective March 1, 2022
Medicare AdvantageDecember 1, 2021
Updates to AIM Specialty Health Advanced imaging clinical appropriateness guidelinesMedicare AdvantageDecember 1, 2021
2022 Medicare Advantage services area and benefit updatesMedicare AdvantageDecember 1, 2021
Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodiesMedicare AdvantageDecember 1, 2021
Submitting prior authorizations is getting easierMedicare AdvantageDecember 1, 2021
Keep up with Medicare news – December 2021- Updates to AIM Specialty Health musculoskeletal interventional pain management clinical appropriateness guideline
- Medical drug benefit Clinical Criteria updates
- Protocol for providers serving members with hearing aid coverage administered by Hearing Care Solutions
- New York City Medicare Advantage announcement
- Medical Policies and Clinical Utilization Management Guidelines update
- Medical Policies and Clinical Utilization Management Guidelines update
December 1, 2021
Policy update: Drug screen testingPolicy update: Drug screen testing, effective March 1, 2022
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