Update to the Anthem Blue Cross Professional Manual mailed summer 2015
As you may be aware the Audit
section of our 2015 Professional Manual
contained language about Anthem’s Pre-Payment Review Program
. Anthem mailed an update to this section of the 2015 Professional Manual
which reflects an expansion of the Program. The expansion part of the program will be effective November 1, 2015
. “Click here
” for a description of the expanded program.
Contracted California providers who have questions about this expansion, may send email inquiries to:
Note: The above email addresses are reserved for Contracted providers. If you are not an Anthem participating provider, please call the phone number on the back of the member’s ID card for service. Thank you.
Submit Inpatient and Outpatient precertification requests online with Interactive Care Reviewer – and now inquire on a previously submitted case!
The Interactive Care Reviewer (ICR) offers a streamlined precertification process, using cutting-edge IBM Watson™ technology. Available to ordering and servicing physicians and facilities requesting inpatient and outpatient medical and behavioral health services* for many members covered by Anthem Blue Cross – and now you also can inquire to find information on a precert previously submitted via phone, fax, ICR or other online tool.
Access ICR and much more through the Availity Web Portal at www.availity.com
To learn more about ICR, register for a FREE webinar here
Self-Service and Support
Log in to access Dental Prime and Dental Complete eligibility, plan information, dollar amounts used and claim status; submit and view claims online; and sign up for or update Electronic Fund Transfer (EFT) and Electronic Remittance Advice (ERA). EFT and ERA registration available in CA.
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