Anthem Blue Cross (Anthem) offers an extensive library of training, interpreter resources and continuing education opportunities. We will add presentations, videos and other training resources as they become available.
The provider manual provides key information regarding the quality improvement program, utilization management (UM), quality standards for providers, claims appeals, reimbursement policies and more.
A clinician’s tool for identifying risky substance use behaviors and providing appropriate intervention.
Screening, brief intervention, and referral to treatment, commonly referred to as SBIRT, is an evidence-based, comprehensive, integrated approach to the delivery of early intervention and treatment services to people with substance misuse and those at risk of developing disorders. The goal of SBIRT is to reduce and prevent related health consequences, disease, accidents, and injuries. Risky substance use is a health issue that often goes undetected; providers can help by incorporating this evidence-based tool that is demonstrated to be valid and reliable in identifying individuals with problem use or at risk for a substance use disorder (SUD).
If you wish to print SBIRT educational materials, please review the links to obtain a downloadable flier and brochure. For any further discussions regarding SBIRT, please contact your Provider Experience or Provider Relations consultant.
Many of the tools you need — eligibility and benefits inquiry, claims submission, claims status inquiry, and authorizations — can be accessed from your Availity account. You can find instructions for locating and using these tools on the Learn about Availity page.
Patient panels are growing more diverse and needs are becoming more complex. It is important for providers to have the knowledge, resources, and tools to offer culturally competent care. Anthem wants to help by offering the following comprehensive trainings and resources, as we all work together to achieve health equity.
The My Diverse Patient website offers learning experiences, techniques, and helps you to provide the individualized care every patient deserves regardless of their diverse backgrounds.
What Matters Most: Improving the Patient Experience is an online course for providers and office staff that addresses gaps in care and offers approaches to communication with patients. This course is available at no cost and is eligible for one CME credit by the American Academy of Family Physicians.
See Anthem Blue Cross Medi-Cal’s most recent report on health disparities seen across our member population as well as the action plan for these health disparities in the coming year.
A comprehensive resource to help providers and office staff increase effective communication by enhancing knowledge of the values, beliefs, and needs of diverse patients.
Engaging a qualified interpreter improves effective communication between you and your patient. The interpreter services guide below outlines the interpreter services available to providers and staff through Anthem, in addition to practical tips for communicating with both interpreters and patients who speak limited English. This includes a page in 12 languages to help you say: One moment please while I call an interpreter. This service is free.
During business hours, members and providers may call our Customer Care Center at 1-800-407-4627. After hours, call MedCall at 1-800-224-0336. When you call for an interpreter, be prepared to:
For members with hearing loss or speech impairment:
During business hours, call the Anthem TTY line at 1-888-757-6034.
This poster includes scripts for the below message in 17 different languages: