CommercialSeptember 1, 2019

September 2019 Anthem Blue Cross Provider News - California

Administrative

AdministrativeCommercialSeptember 1, 2019

Reminder: Changes to timely filing requirements coming in October

AdministrativeCommercialSeptember 1, 2019

Network leasing arrangements

AdministrativeCommercialSeptember 1, 2019

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AdministrativeCommercialSeptember 1, 2019

Anthem Blue Cross provider directory and provider data updates

AdministrativeCommercialSeptember 1, 2019

Provider Education seminars, webinars, workshops and more!

AdministrativeCommercialSeptember 1, 2019

Contracted provider claim escalation process

AdministrativeCommercialSeptember 1, 2019

Workers’ Compensation acknowledgments required

AdministrativeCommercialSeptember 1, 2019

Provider transparency update

Policy Updates

Medical Policy & Clinical GuidelinesCommercialSeptember 1, 2019

New Clinical Guideline: Pneumatic Compression Devices, effective December 1, 2019

Reimbursement PoliciesCommercialSeptember 1, 2019

Claims requiring additional documentation facility reimbursement policy update

Reimbursement PoliciesCommercialSeptember 1, 2019

Claim editing update for Excludes1 notes

State & Federal

State & FederalMMP (Medicare-Medicaid Plan)September 1, 2019

Changes to prior authorization requirements

State & FederalMMP (Medicare-Medicaid Plan)September 1, 2019

Pharmacy benefit manager change to IngenioRx

State & FederalMMP (Medicare-Medicaid Plan)September 1, 2019

Reimbursement policy update, Modifier 62: Co-Surgeons
(Policy 06-010, effective 01/01/2020)

State & FederalMedicaidSeptember 1, 2019

High-Risk OB case management program

State & FederalMedicaidSeptember 1, 2019

Medical drug clinical criteria updates

State & FederalMedicaidSeptember 1, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

State & FederalMedicaidSeptember 1, 2019

Prior authorization changes

State & FederalMedicare AdvantageSeptember 1, 2019

Keep up with Medicare news

State & FederalMedicare AdvantageSeptember 1, 2019

Pharmacy benefit manager change to IngenioRx

State & FederalMedicare AdvantageSeptember 1, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

State & FederalMedicare AdvantageSeptember 1, 2019

Clinical criteria updates

State & FederalMedicare AdvantageSeptember 1, 2019

Coming soon, electronic attachments