• Anthem Blue Cross issues Medicare Advantage contract amendment

  Anthem Blue Cross recently issued a notice to physicians with an amendment to its Prudent Buyer Plan Participating Physician Agreement that automatically opts physicians into its Medicare Advantage network effective October 31, 2019.

• UHC to require prior authorization for additional outpatient surgical procedures

  As indicated in its September 2019 Network Bulletin , United Healthcare (UHC) will expand the list of surgical procedures that will require prior authorization when done in the hospital outpatient setting effective December 1, 2019. 

• Urgent survey: Assessing the impact of CA surprise billing laws on physicians

  The results of this survey will be crucial in helping CMA and our partners effectively advocate for a fair and balanced process for physicians to resolve contracting and payment disputes with payors.

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