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

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

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

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

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

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

Pharmacy information available on anthem.com/ca

August 2021 Anthem Blue Cross Provider News - California Pharmacy 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

Register now for our August CME webinars!

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

Reimbursement policy update: Claims requiring additional documentation (facility)

August 2021 Anthem Blue Cross Provider News - California Reimbursement Policies 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 non-oncology medications beginning August 1, 2021

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

Specialty dose rounding program for certain oncology medications

August 2021 Anthem Blue Cross Provider News - California Pharmacy 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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