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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