California
Provider Communications

Articles Month: April 2019

Title	Publication	Category	Date
Anthem Blue Cross Commercial Risk Adjustment (CRA) reporting update: Accurate coding helps provide a comprehensive picture of patients’ health and services provided	April 2019 Anthem Blue Cross Provider Newsletter - California	Administrative	Apr 1, 2019
Anthem Blue Cross provider directory and provider data updates	April 2019 Anthem Blue Cross Provider Newsletter - California	Administrative	Apr 1, 2019
Appointment access standards	April 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Apr 1, 2019
Clinical Criteria updates	April 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Apr 1, 2019
Clinical practice and preventive health guidelines available online	April 2019 Anthem Blue Cross Provider Newsletter - California	Policy Updates	Apr 1, 2019
Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members	April 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Apr 1, 2019
Contracted provider claim escalation process	April 2019 Anthem Blue Cross Provider Newsletter - California	Administrative	Apr 1, 2019
Diabetes prevention program	April 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Apr 1, 2019
Easily update provider demographics with the online Provider Maintenance Form	April 2019 Anthem Blue Cross Provider Newsletter - California	Administrative	Apr 1, 2019
Electronic claim payment reconsideration	April 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Apr 1, 2019
Health education classes and Language assistance programs	April 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Apr 1, 2019
Keep up with Medicare news	April 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Apr 1, 2019
Measles Telebriefing for Healthcare Community Briefing Invitation : Please join the call today at 3:00 p.m. Public Health leadership and subject matter experts will discuss what happens when exposures occur, measles immunization efforts, and preventive measures.	April 29, 2019: Anthem Blue Cross eUPDATE - California	Administrative	Apr 29, 2019
Medical necessity review for appropriate level of care	April 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Apr 1, 2019
Medicare preferred PPO plan available to Laborers Health and Welfare Trust Fund for Northern California retirees	April 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Apr 1, 2019
Member Grievance Forms Availability Requirements for Providers	April 8, 2019: Anthem Blue Cross eUPDATE - California	Administrative	Apr 8, 2019
Misrouted protected health information	April 2019 Anthem Blue Cross Provider Newsletter - California	Administrative	Apr 1, 2019
Network leasing arrangements	April 2019 Anthem Blue Cross Provider Newsletter - California	Administrative	Apr 1, 2019
New look to Claim Status and Secure Messaging on the Availity Portal (for California)	April 2019 Anthem Blue Cross Provider Newsletter - California	Administrative	Apr 1, 2019
Nicotine replacement products	April 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Apr 1, 2019
November 2018 Medical Policies and Clinical Utilization Management Guidelines update	April 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Apr 1, 2019
Now available Anthem Blue Cross’ new Digital Enrollment application	April 2019 Anthem Blue Cross Provider Newsletter - California	Administrative	Apr 1, 2019
Pharmacy information available on anthem.com/ca	April 2019 Anthem Blue Cross Provider Newsletter - California	Pharmacy	Apr 1, 2019
Practitioners’ rights during credentialing process	April 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Apr 1, 2019
Provider Education seminars, webinars, workshops and more!	April 2019 Anthem Blue Cross Provider Newsletter - California	Administrative	Apr 1, 2019
Provider surveys	April 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Apr 1, 2019
Regulatory updates	April 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Apr 1, 2019
Reimbursement policy update, Modifier 22: Increased procedural service	April 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Apr 1, 2019
Sign-up now for our Network eUPDATE today – it’s free!	April 2019 Anthem Blue Cross Provider Newsletter - California	Administrative	Apr 1, 2019
Tobacco cessation requirements for Medi-Cal Managed Care (Medi-Cal) providers	April 2019 Anthem Blue Cross Provider Newsletter - California	Medi-Cal Managed Care	Apr 1, 2019
Treatment guidelines for Medical Treatment Utilization Schedule update, effective April 18, 2019	April 2019 Anthem Blue Cross Provider Newsletter - California	Medical Policy & Clinical Guidelines	Apr 1, 2019
Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred	April 2019 Anthem Blue Cross Provider Newsletter - California	Medicare	Apr 1, 2019
Update: New prior authorization for Physical, Occupational and Speech Therapy Services will begin May 1, 2019	April 2019 Anthem Blue Cross Provider Newsletter - California	Medical Policy & Clinical Guidelines	Apr 1, 2019
Workers’ Compensation Physicians Acknowledgments required by California Code of Regulations	April 2019 Anthem Blue Cross Provider Newsletter - California	Administrative	Apr 1, 2019

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California
Provider Communications

Articles Month: April 2019

Anthem Blue Cross Commercial Risk Adjustment (CRA) reporting update: Accurate coding helps provide a comprehensive picture of patients’ health and services provided

Anthem Blue Cross provider directory and provider data updates

Appointment access standards

Clinical Criteria updates

Clinical practice and preventive health guidelines available online

Coming soon: Reimbursement for select HEDIS-related CPT II codes for Medicare Advantage members

Contracted provider claim escalation process

Diabetes prevention program

Easily update provider demographics with the online Provider Maintenance Form

Electronic claim payment reconsideration

Health education classes and Language assistance programs

Keep up with Medicare news

Measles Telebriefing for Healthcare Community

Medical necessity review for appropriate level of care

Medicare preferred PPO plan available to Laborers Health and Welfare Trust Fund for Northern California retirees

Member Grievance Forms Availability Requirements for Providers

Misrouted protected health information

Network leasing arrangements

New look to Claim Status and Secure Messaging on the Availity Portal (for California)

Nicotine replacement products

November 2018 Medical Policies and Clinical Utilization Management Guidelines update

Now available Anthem Blue Cross’ new Digital Enrollment application

Pharmacy information available on anthem.com/ca

Practitioners’ rights during credentialing process

Provider Education seminars, webinars, workshops and more!

Provider surveys

Regulatory updates

Reimbursement policy update, Modifier 22: Increased procedural service

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

Tobacco cessation requirements for Medi-Cal Managed Care (Medi-Cal) providers

Treatment guidelines for Medical Treatment Utilization Schedule update, effective April 18, 2019

Update regarding evaluation and management with modifier 25 same day as procedure when a prior E/M for the same or similar service has occurred

Update: New prior authorization for Physical, Occupational and Speech Therapy Services will begin May 1, 2019

Workers’ Compensation Physicians Acknowledgments required by California Code of Regulations

CaliforniaProvider Communications

Articles Month: April 2019

California
Provider Communications