Transcription of Provider Manual - Anthem
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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.
programs unless the provider is under contract with Anthem Blue Cross to provide services in one or more of these programs. Providers are only required to follow the standards in this manual that are applicable to the program in which the member is currently enrolled. UPDATES AND CHANGES The Provider Manual, as part of your Provider
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