California
Provider Communications

Articles Month: December 2018

Title Publication Category Date

HEDIS 2018: Commercial results are in

December 2018 Anthem Blue Cross Provider Newsletter - California Policy Updates Dec 1, 2018

Restructure of AIM advanced imaging clinical appropriateness guidelines

December 2018 Anthem Blue Cross Provider Newsletter - California Medical Policy & Clinical Guidelines Dec 1, 2018

Update to AIM clinical appropriateness guidelines

December 2018 Anthem Blue Cross Provider Newsletter - California Medical Policy & Clinical Guidelines Dec 1, 2018

Important reminder: Professional reimbursement policy update Scope of License

December 2018 Anthem Blue Cross Provider Newsletter - California Reimbursement Policies Dec 1, 2018

Misrouted protected health information

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

Anthem works to help ensure appropriate billing of E&M services

December 2018 Anthem Blue Cross Provider Newsletter - California Reimbursement Policies Dec 1, 2018

Claims system updates for 2019: Professional

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

Coding tip: Claims processed with Modifier 79 should be reported by the same health care professional

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

Coordination of benefits for an Federal Employee Plan member

December 2018 Anthem Blue Cross Provider Newsletter - California Federal Employee Plan (FEP) Dec 1, 2018

Benefit change for Infliximab for Federal Employee Program

December 2018 Anthem Blue Cross Provider Newsletter - California Federal Employee Plan (FEP) Dec 1, 2018

2019 FEP Benefit information available online

December 2018 Anthem Blue Cross Provider Newsletter - California Federal Employee Plan (FEP) Dec 1, 2018

New Medicare Advantage provider service phone number beginning January 1, 2019

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

2019 Medicare Advantage individual benefits and formularies

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

CMS Medicare Preclusion list effective April 1, 2019

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

When and how to initiate Medicare Advantage reopenings

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

Individual Medicare plans move compound drugs off formulary beginning January 1, 2019

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

Medicare Part B drugs may include Step Therapy beginning January 1, 2019

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

Los Angeles Unified School District offers Medicare Advantage option

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

Keep up with Medicare news

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

Quarterly pharmacy formulary change

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

Claims requiring additional documentation

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

Coding spotlight: Substance use disorders and smoking

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

Prior authorization requirements for subcutaneous implantable defibrillator system

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

Need up to date pharmacy information?

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

Practitioners’ rights during credentialing process

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

Updated prior authorization form for providers

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

Electronic data interchange gateway update

December 2018 Anthem Blue Cross Provider Newsletter - California Medi-Cal Managed Care Dec 1, 2018

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

Timely access regulations and language assistance program

December 2018 Anthem Blue Cross Provider Newsletter - California Products & Programs Dec 1, 2018

Case management program

December 2018 Anthem Blue Cross Provider Newsletter - California Products & Programs Dec 1, 2018

Coordination of care

December 2018 Anthem Blue Cross Provider Newsletter - California Products & Programs Dec 1, 2018

ConditionCare program benefits patients and physicians

December 2018 Anthem Blue Cross Provider Newsletter - California Products & Programs Dec 1, 2018

Introducing the new Clinical Criteria page for injectable, infused or implanted drugs

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

Pharmacy information available on anthem.com/ca

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

Hospital recognition: NTSV C-Section Rates

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

Availity to serve as EDI entry point for electronic submissions

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

Integrated Care Model for plans purchased on the health insurance marketplace benefits patients and physicians

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

Anthem Blue Cross accepts electronic prior authorization requests for prescription medications online

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

Anthem Blue Cross works to simplify payment recovery process for National Accounts membership

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

Interactive Care Reviewer

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

Individual on and off exchange plans: 2019 benefit year update

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

Workers’ Compensation Physicians Acknowledgments required by California Code of Regulations §9767.5.1 Medical Provider Networks

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

Contracted provider claim escalation process

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

Provider Education seminars, webinars, workshops and more!

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

Anthem Blue Cross provider directory and provider data updates

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

Easily update provider demographics with the online Provider Maintenance Form

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

Sign-up now for our Network eUPDATE today – it’s free!

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

Network leasing arrangements

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

Clinical practice and preventive health guidelines available online

December 2018 Anthem Blue Cross Provider Newsletter - California Policy Updates Dec 1, 2018

Members’ rights and responsibilities

December 2018 Anthem Blue Cross Provider Newsletter - California Policy Updates Dec 1, 2018

Vaginal birth after cesarean certified shared decision making aid available on the web

December 2018 Anthem Blue Cross Provider Newsletter - California Policy Updates Dec 1, 2018

An overview of our medical necessity review process

December 2018 Anthem Blue Cross Provider Newsletter - California Policy Updates Dec 1, 2018
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