California
Provider Communications

Articles Category: State & Federal > Cal MediConnect

Title Publication Category Date

Home health billing guidelines for contracted providers

July 2019 Anthem Blue Cross Provider News - California Cal MediConnect Jul 1, 2019

Sepsis diagnosis coding and billing reminder

July 2019 Anthem Blue Cross Provider News - California Cal MediConnect Jul 1, 2019

2019 Utilization management affirmative statement concerning utilization management decisions

June 2019 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Jun 1, 2019

Reimbursement policy update: Professional anesthesia services

Policy 06-019, effective 09/01/2019
June 2019 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Jun 1, 2019

Partial hospitalization services

June 2019 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Jun 1, 2019

Submitting corrected claims

June 2019 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Jun 1, 2019

Medical records request for risk adjustment

May 2019 Anthem Blue Cross Provider Newsletter - California Cal MediConnect May 1, 2019

Update: Evaluation and management with Modifier 25

May 2019 Anthem Blue Cross Provider Newsletter - California Cal MediConnect May 1, 2019

MMP Prior authorization requirements for DME repair and portable oxygen concentrator

May 2019 Anthem Blue Cross Provider Newsletter - California Cal MediConnect May 1, 2019

Claims requiring additional documentation

December 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Dec 1, 2018

Short and long acting narcotics regulatory changes and limits to days’ supplies

December 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Dec 1, 2018

Prior authorization requirements for Part B drug Nivestym

December 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Dec 1, 2018

Electronic data interchange gateway update

December 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Dec 1, 2018

MediConnect Plan network update

December 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Dec 1, 2018

Prior authorization requirements for Part B drugs: Retacrit (epoetin alfa-epbx), Damoctocog and llumya (tildrakizumab)

October 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Oct 1, 2018

Short and long acting narcotics regulatory changes and limits to days’ supplies

October 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Oct 1, 2018

Prior authorization requirments for Part B drugs: Moxetumomab Pasudotox, Cemiplimab and Fulphila (pegfilgrastim-jmbd)

October 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Oct 1, 2018

Prior authorization requirements for Azedra (iobenguane l 131) and Poteligeo (mogamulizumab)

August 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Aug 16, 2018

Electronic data interchange migration to Availity

August 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Aug 16, 2018

Reimbursement policy update; Medical recalls, policy 06-111 – effective November 1, 2018

August 2018 Anthem Blue Cross Provider Newsletter - California Cal MediConnect Aug 16, 2018
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