Anthem Blue Cross Amends Physician Contracts to Include Individual/Exchange Product; Resources/Assistance Available to SFMS Members Anthem Blue Cross sent a notice to 8,345 physicians who are part of the Blue Cross Select PPO network announcing its intent to participate in the California Health Benefit Exchange. It’s important to note that Blue Cross is amending the physician’s Blue Cross Prudent Buyer Agreement to automatically include the new individual/exchange network, effective January 1, 2014. The new fee schedule associated with this product was included with the notice. SFMS/CMA have produced contract analyses, guides, and dedicated staff assistance to help members with payor contract issues. November 6, 2012 News, Payment, Physician Resource payor contract, physician contract agreement, Anthem Blue Cross, Blue Cross opt out, managed care contract 0 0 Comment Read More »
3 Ways Doctors Can Take on Insurers Trying to persuade a health insurer to change a policy, fix a problem or reverse a bad decision can be frustrating for physicians. But it can be done—with persistence, and by gathering strength in numbers. May 24, 2012 CMA, Physician Resource health insurer, payor contract, payor issues 0 0 Comment Read More »
Blue Shield of California Fee Schedule Changes Effective June 2012 SFMS/CMA has learned that Blue Shield has notified physicians of changes to its physician fee schedule that will go into effect June 1, 2012. In the notice, Blue Shield informed physicians that it would be increasing payment for some Evaluation and Management (E/M) services. SFMS/CMA has developed an action guide for physicians on contract amendments to help our members understand their rights when a health plan has sent notice of a material change to a contract. May 14, 2012 Payment, Practice Management payor contract, Blue Shield, insurance/reimbursement 0 0 Comment Read More »
