Members will have access to a personalized health team which includes a physician, a registered nurse and other healthcare practitioners as needed. Anthem's program focuses on enhanced care coordination by emphasizing coordinated, evidenced-based care delivered by a health care team focused on members who suffer from multiple chronic conditions such as diabetes, asthma, high blood pressure as well as heart and joint diseases. The new program will be available to fully insured PPO members at no additional cost, with self-funded offerings to follow. This program is specifically designed to help improve the health of members affected by chronic conditions and improve the value of the care delivered.
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* Availity, LLC is an independent company providing administrative support services on behalf of Anthem Blue Cross.Anthem Blue Cross has expanded its ACO model and network with the introduction of a program focused on enhanced care coordination in collaboration with well organized, high quality provider organizations in California. Should you desire to provide an internet website link on Anthem’s website where this cost information will be displayed, which provides a response to the cost information being displayed, please provide us this link within 30 days of receiving the cost information from us.
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Should you wish to review the methodology, you may request a copy by sending an email request to your Anthem contract support manager. Costs will be made available to our participating providers no less than 30 days before they become available to our members on /ca in the transparency tools such as Anthem Care Comparison.
BLUE CROSS ANTHEM CALIFORNIA PROFESSIONAL
Īs a reminder, Anthem provider costs are now available in a secure section of the Availity Provider Portal.* Authorized representatives of participating facilities and professional practices can log in to Availity at and register to view the costs for their facility or practice. Please look for more information in our provider newsletters posted to /ca.
BLUE CROSS ANTHEM CALIFORNIA UPDATE
As indicated in the correspondence, BCBS Axis (formerly NCCT) cost data is updated twice annually the most recent update completed in May 2022, and the next update scheduled for November 2022.
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The treatment categories for which costs are displayed and the methodology are defined by the Blue Cross Blue Shield Association. In our prior correspondence, we also enclosed a summary of the methodology used to generate the cost information housed in the National Consumer Cost Tool (NCCT), the source data used to display costs in Find Care. Transparency tools such as Anthem’s Find Care tool and others are available to members on and allow members to estimate their out-of-pocket impact and view the estimated costs for many procedures. As an Anthem Blue Cross (Anthem) participating provider, you may have received our prior correspondence, or read the articles in our provider newsletter, Provider News on Anthem Cost Transparency.