California
Provider Communications

Articles Month: July 2021

Title	Publication	Category	Date
Clinical quality in practice: CME webinar series	July 2021 Anthem Blue Cross Provider News - California	Administrative	Jul 1, 2021
Timely receipt of the primary payer’s EOB can help reduce timely filing denials for secondary claims	July 2021 Anthem Blue Cross Provider News - California	Administrative	Jul 1, 2021
Proper coding for in-home monitoring can make a measurable difference for INR	July 2021 Anthem Blue Cross Provider News - California	Administrative	Jul 1, 2021
Medical practices – are you keeping something from us	July 2021 Anthem Blue Cross Provider News - California	Administrative	Jul 1, 2021
Another mark of the pandemic: An increase in childhood obesity More potato chips, sugary drinks and less physical activity are key contributors	July 2021 Anthem Blue Cross Provider News - California	Administrative	Jul 1, 2021
How to enroll in electronic fund transfer for faster remittance	July 2021 Anthem Blue Cross Provider News - California	Digital Tools	Jul 1, 2021
Electronic claim response files	July 2021 Anthem Blue Cross Provider News - California	Digital Tools	Jul 1, 2021
Interactive Care Reviewer (ICR): New search option for cases submitted through ICR	July 2021 Anthem Blue Cross Provider News - California	Digital Tools	Jul 1, 2021
Overlapping service areas	July 2021 Anthem Blue Cross Provider News - California	Behavioral Health	Jul 1, 2021
Where and how to submit BlueCard claims	July 2021 Anthem Blue Cross Provider News - California	Behavioral Health	Jul 1, 2021
BlueCard® program quick tips	July 2021 Anthem Blue Cross Provider News - California	Behavioral Health	Jul 1, 2021
Practice status: open or closed	July 2021 Anthem Blue Cross Provider News - California	Behavioral Health	Jul 1, 2021
Certain specialty medication precertification requests may require additional documentation	July 2021 Anthem Blue Cross Provider News - California	Pharmacy	Jul 1, 2021
New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing	July 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2021
Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patients	July 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2021
Coding spotlight: Mental disorders in childhood	July 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2021
What matters most: Improving the patient experience	July 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2021
Resources to support your diverse patient panel	July 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2021
Infusion step therapy retraction notice	July 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2021
Specialty pharmacy prior authorization retraction notice	July 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2021
February 2021 medical policies and utilization management guidelines update	July 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2021
Prior authorization requirement changes effective September 1, 2021 – UM AROW 1327	July 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2021
Certain specialty medication precertification requests may require additional documentation	July 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2021
Let’s vaccinate Help increase your vaccination rates and close gaps-in-care with these tools and strategies	July 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2021
Prior authorization requirement changes effective October 1, 2021 – UM AROW 1837	July 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2021
March 2021 medical drug benefit clinical criteria updates	July 2021 Anthem Blue Cross Provider News - California	Medi-Cal Managed Care	Jul 1, 2021
New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing	July 2021 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2021
Let’s vaccinate Help increase your vaccination rates and close gaps-in-care with these tools and strategies	July 2021 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2021
Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428	July 2021 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2021
March 2021 Medical drug benefit clinical criteria updates	July 2021 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2021
Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patients	July 2021 Anthem Blue Cross Provider News - California	Medicare	Jul 1, 2021
New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing	July 2021 Anthem Blue Cross Provider News - California	Cal MediConnect	Jul 1, 2021
Let’s vaccinate Help increase your vaccination rates and close gaps-in-care with these tools and strategies	July 2021 Anthem Blue Cross Provider News - California	Cal MediConnect	Jul 1, 2021
March 2021 Medical drug benefit clinical criteria updates	July 2021 Anthem Blue Cross Provider News - California	Cal MediConnect	Jul 1, 2021
Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patients	July 2021 Anthem Blue Cross Provider News - California	Cal MediConnect	Jul 1, 2021

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California
Provider Communications

Articles Month: July 2021

Clinical quality in practice: CME webinar series

Timely receipt of the primary payer’s EOB can help reduce timely filing denials for secondary claims

Proper coding for in-home monitoring can make a measurable difference for INR

Medical practices – are you keeping something from us

Another mark of the pandemic: An increase in childhood obesity

How to enroll in electronic fund transfer for faster remittance

Electronic claim response files

Interactive Care Reviewer (ICR): New search option for cases submitted through ICR

Overlapping service areas

Where and how to submit BlueCard claims

BlueCard® program quick tips

Practice status: open or closed

Certain specialty medication precertification requests may require additional documentation

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patients

Coding spotlight: Mental disorders in childhood

What matters most: Improving the patient experience

Resources to support your diverse patient panel

Infusion step therapy retraction notice

Specialty pharmacy prior authorization retraction notice

February 2021 medical policies and utilization management guidelines update

Prior authorization requirement changes effective September 1, 2021 – UM AROW 1327

Certain specialty medication precertification requests may require additional documentation

Let’s vaccinate

Prior authorization requirement changes effective October 1, 2021 – UM AROW 1837

March 2021 medical drug benefit clinical criteria updates

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

Let’s vaccinate

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

March 2021 Medical drug benefit clinical criteria updates

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patients

New reimbursement policy – Modifier 90: Reference (outside) laboratory and pass-through billing

Let’s vaccinate

March 2021 Medical drug benefit clinical criteria updates

Attention facilities: Sending admission, discharge and transfer data to Anthem Blue Cross results in improved care management for patients

CaliforniaProvider Communications

Articles Month: July 2021

California
Provider Communications