December 22, 2020
CMA's Center for Economic Services has published updated profiles on each of the major payors in California.
CMA has learned that the contract between Hill Physicians Medical Group and Anthem Blue Cross will be terminated for th...
December 03, 2020
The Anthem Blue Cross High Performance/Blue High Performance Network (Blue HPN ® ) will become effective January 1, 202...
November 19, 2020
In September 2020, Anthem Blue Cross sent notices to affected physicians and hospitals advising that it would begin req...
July 16, 2020
Anthem Blue Cross has said it will not delay implementation of its new policy requiring specialty pharmacy medications ...
August 05, 2019
All claims submitted on or after October 1, 2019, will be subject to the new 90 day filing requirement.
June 24, 2019
CMA along with other state and specialty societies continue to voice concerns with the recent implementation of the Ant...
May 08, 2019
Anthem will be increasing payment for the more commonly billed Evaluation and Management (E/M) services.
April 10, 2019
According to a notice issued to approximately half of its PPO network, the plan will be increasing payment for the more...
April 05, 2019
This transition affects approximately 2,000 patients covered by Western Health Advantage or SCAN Health Plan.
March 13, 2019
Modifier 25 allows separate payment for a significant, separately identifiable E&M service provided on the same day as a...
January 30, 2019
New ID cards containing the new ID number were mailed to all affected members in late December.
January 14, 2019
The new UHC policy—originally scheduled for implementation on Jan. 1—requires prior authorization for advanced imaging ...
December 12, 2018
On January 1, 2019, Blue Shield of California will complete the integration of Care1st Health Plan into its operations,...
December 11, 2018
The California Medical Association has learned that Anthem Blue Cross is correcting a system error that has resulted in...
October 30, 2018
Effective January 1, 2019, UnitedHealthcare (UHC) will require prior authorization for certain advanced imaging procedu...
October 18, 2018
Beginning November 12 and running through December 10, 2018, TRICARE will initiate its first ever open enrollment perio...
October 09, 2018
The California Medical Association (CMA) has confirmed that Inland Empire Health Plan (IEHP) completed its contract ter...
October 01, 2018
CMA's Center for Economic Services is publishing updated profiles on each of the major payors in California.
September 11, 2018
This problem prevented providers from properly reconciling the amount Health Net is responsible for or the patient cost...
UnitedHealthcare announced in its September 2018 Network Bulletin that it will begin retiring fax numbers utilized for ...
September 10, 2018
As previously reported, Health Net Federal Services (HNFS) has experienced implementation issues since taking over as t...
August 23, 2018
Looking to increase its presence in the Medi-Cal and Medicare Advantage marketplace by 2021, UnitedHealthcare (UHC) Com...
August 05, 2018
Not long ago, health insurance companies limited access to insurance and quality health care for millions of California...
August 03, 2018
UnitedHealthcare (UHC) recently released its latest Premium Designation assessment results to California physicians on ...
UnitedHealthcare (UHC) will implement its Smart Edits program for professional claims for all of its commercial, Medica...
August 02, 2018
Today, the California Medical Association (CMA) applauded the finding of the California Department of Insurance that ...
Opt in to receive updates on the latest health care news, legislation, and more.