California
Provider Communications

Articles Month: August 2021

Title Publication Category Date

Action required: member grievance and appeals attestation

Anthem Blue Cross’ (Anthem) participating providers are REQUIRED to acknowledge (annually) that member grievance and appeals forms, a description of grievance procedures, and assistance in filing grievances are readily available at each contracted provider location(s).

Member Grievance and Appeals Attestation Requirement Administrative Aug 25, 2021

Important update: Help for members impacted by wildfires in California

Important update: Help for members impacted by wildfires in California Administrative Aug 12, 2021

Clearing up-coding confusion for retinal eye exams (DRE)

New language for two-year compliance (3072F).
August 2021 Anthem Blue Cross Provider News - California Administrative Aug 1, 2021

Register now for our August CME webinars!

August 2021 Anthem Blue Cross Provider News - California Administrative Aug 1, 2021

Schedule appointments online through Availity

August 2021 Anthem Blue Cross Provider News - California Digital Tools Aug 1, 2021

Specialty dose rounding program for certain oncology medications

August 2021 Anthem Blue Cross Provider News - California Pharmacy Aug 1, 2021

Specialty dose rounding program for certain non-oncology medications beginning August 1, 2021

August 2021 Anthem Blue Cross Provider News - California Pharmacy Aug 1, 2021

Anthem Blue Cross to update formulary lists for commercial health plan pharmacy benefit, October 1, 2021

August 2021 Anthem Blue Cross Provider News - California Pharmacy Aug 1, 2021

Immune globulin adjusted body weight dosing program beginning August 1, 2021

August 2021 Anthem Blue Cross Provider News - California Pharmacy Aug 1, 2021

Pharmacy information available on anthem.com/ca

August 2021 Anthem Blue Cross Provider News - California Pharmacy Aug 1, 2021

Reimbursement policy update: Claims requiring additional documentation (facility)

August 2021 Anthem Blue Cross Provider News - California Reimbursement Policies Aug 1, 2021

Preventing claims denials: Shingles vaccine

Know best: Shingles vaccinations are a Medicare Part D benefit whether administered in your office or in the pharmacy.

August 2021 Anthem Blue Cross Provider News - California Medicare Aug 1, 2021

Prior authorization requirement changes effective October 1, 2021 – UM AROW 1907

August 2021 Anthem Blue Cross Provider News - California Medicare Aug 1, 2021

Infliximab Step Therapy – effective July 15, 2021

August 2021 Anthem Blue Cross Provider News - California Medicare Aug 1, 2021

Member grievance and appeals attestation requirement

Participating providers are required to acknowledge (annually) that Member Grievance and Appeals forms, a description of grievance procedures, and assistance in filing grievances are readily available at each contracted provider location(s).

August 2021 Anthem Blue Cross Provider News - California Administrative Aug 1, 2021

Telehealth visits can impact after-hospitalization follow-up care for mental illness

Reductions in missed appointments are significant.

August 2021 Anthem Blue Cross Provider News - California Administrative Aug 1, 2021
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