Anthem BlueCross of California
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Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements
View requirements for Local Plan and BlueCard Out-of-Area members.
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Anthem Blue Cross : Supplemental Education Materials (SEMs)
Supplemental Education Materials (SEMs)
Click on the desired title. The SEM will display in pdf format, which can be printed or saved to your computer.
NOTE: These SEMs are updated periodically. The revision date of the document is included in the link name. Please make sure you have the most current version.
Anthem Blue Cross Provider Contacts – February 2015
CA Contract Support (Network Relations) – February 2015.
ProviderAccess Navigation – February 2015
Medical Management Review Process – February 2015
IVR and FAX Back – February 2015
RA-Overpayment Adjustments – February 2015
EOB-Overpayment Adjustments – February 2015
Overpayment Recovery Notification Process – February 2015
Out-of-Area (BlueCard) – April 2015
Provider Dispute Resolution – February 2015
Provider Network Education Web Page – February 2015
Key Steps to Provider Dispute Resolution – February 2015
Timely Filing Acceptable Forms of Proof – February 2015
On-Line Provider Remits Inquiry – February 2015
Medical Referral & Prior Authorization Process – February 2015
Registering an Availity User for Anthem Services - April 2014
OptiNet® Assessment Tool for Sleep Management Frequently Asked Questions (FAQs) - September 2012
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Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association.