CommercialJuly 1, 2021
July 2021 Anthem Blue Cross Provider News - California
Administrative
CommercialJuly 1, 2021
Timely receipt of the primary payer’s EOB can help reduce timely filing denials for secondary claimsCommercialJuly 1, 2021
Proper coding for in-home monitoring can make a measurable difference for INRCommercialJuly 1, 2021
Medical practices – are you keeping something from usCommercialJuly 1, 2021
Another mark of the pandemic: An increase in childhood obesityCommercialJuly 1, 2021
Clinical quality in practice: CME webinar seriesCommercialJuly 1, 2021
How to enroll in electronic fund transfer for faster remittanceCommercialJuly 1, 2021
Electronic claim response filesCommercialJuly 1, 2021
Interactive Care Reviewer (ICR): New search option for cases submitted through ICRBehavioral Health
CommercialJuly 1, 2021
Where and how to submit BlueCard claimsCommercialJuly 1, 2021
Overlapping service areasCommercialJuly 1, 2021
BlueCard® program quick tipsCommercialJuly 1, 2021
Practice status: open or closedProducts & Programs
State & Federal
Medicare AdvantageJuly 1, 2021
New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billingMedicaidJuly 1, 2021
Infusion step therapy retraction noticeMedicaidJuly 1, 2021
Specialty pharmacy prior authorization retraction noticeMedicaidJuly 1, 2021
February 2021 medical policies and utilization management guidelines updateMedicaidJuly 1, 2021
Prior authorization requirement changes effective September 1, 2021 – UM AROW 1327MedicaidJuly 1, 2021
Certain specialty medication precertification requests may require additional documentationMedicaidJuly 1, 2021
Let’s vaccinateMedicaidJuly 1, 2021
Prior authorization requirement changes effective October 1, 2021 – UM AROW 1837MedicaidJuly 1, 2021
March 2021 medical drug benefit clinical criteria updatesMedicaidJuly 1, 2021
Resources to support your diverse patient panelMedicare AdvantageJuly 1, 2021
Let’s vaccinateHelp increase your vaccination rates and close gaps-in-care with these tools and strategies
Medicare AdvantageJuly 1, 2021
Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428Medicare AdvantageJuly 1, 2021
March 2021 Medical drug benefit clinical criteria updatesMedicare AdvantageJuly 1, 2021
Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patientsJuly 1, 2021
New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billingJuly 1, 2021
Let’s vaccinateMedicaidJuly 1, 2021
New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billingMedicaidJuly 1, 2021
Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patientsMedicaidJuly 1, 2021
Coding spotlight: Mental disorders in childhoodMedicaidJuly 1, 2021
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