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Provider Manual - Anthem

Provider ManualMedi-Cal Managed CareMajor Risk Medical Insurance Program CABC-CD-PM-028102-23 Anthem BLUE CROSS Provider Manual The master copy of this document is available online. Hard copies are for information purposes only and are not subject to document control. ii SEPTEMBER 2023 TABLE OF CONTENTS 1 | INTRODUCTION .. 2 WELCOME .. 2 USING THIS Manual .. 2 2 | QUICK REFERENCE .. 5 WEBSITES AND COMMUNITY RESOURCES .. 5 ONLINE TOOLS FOR PROVIDERS .. 5 HEALTH EDUCATION AND CULTURAL AND LINGUISTIC NEEDS .. 6 MEDICAL APPOINTMENT STANDARDS .. 6 CONTACT INFORMATION .. 7 COVERED SERVICES GRID .. 12 3 | MEMBER ELIGIBILITY .. 22 VERIFYING ELIGIBILITY .. 22 ENROLLMENT/DISENROLLMENT .. 24 MEMBER-INITIATED PCP CHANGES .. 24 MEMBER TRANSFERS TO OTHER PLANS.

The Provider Manual, as part of your Provider Agreement and related Addendums, may be updated at any time and is subject to change. In the event of an inconsistency between information contained in the manual and the Agreement between you or your facility and Anthem Blue Cross, the Agreement shall govern.

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