Anthem Blue Cross Blue Shield of California policies

Search Anthem Blue Cross Blue Shield of California's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

576 public policies Substrate tracks for Anthem Blue Cross Blue Shield of California, by title.

Anthem Blue Cross Blue Shield of California policies
PolicyDetailsCodesSource
2021 Anthem HMO Provider ManualEffective Oct 15, 2021 · Commercial · CA—Original policy ↗
2021 FEP Precertification RequirementsCommercial · CA—Original policy ↗
2025 Anthem Blue Cross PPO Provider Manual v1CABC-CM-PM-091236-25 · Effective Jan 1, 2026 · Commercial · CA47Original policy ↗
2025 Anthem Blue Cross PPO Provider Manual v2CABC-CM-PM-091236-25 · Effective Jun 1, 2026 · Commercial, Medicaid · CA47Original policy ↗
Access Online Remittance Advices via the Availity Web PortalCommercial · CA—Original policy ↗
ADA Claim FormCommercial, Medicaid · CA—Original policy ↗
ADMIN.00001 Medical Policy FormationADMIN.00001 · Commercial—Original policy ↗
ADMIN.00002 Preventive Health GuidelinesADMIN.00002 · Commercial—Original policy ↗
ADMIN.00004 Medical Necessity CriteriaADMIN.00004 · Commercial—Original policy ↗
ADMIN.00005 Investigational CriteriaADMIN.00005 · Commercial—Original policy ↗
ADMIN.00007 ImmunizationsADMIN.00007 · Commercial—Original policy ↗
Affiliated CompaniesCommercial, Medicaid · CA—Original policy ↗
Affordable Care Act (ACA)-compliant Health Plans Quick Reference GuideCommercial · CA—Original policy ↗
After-Hours, Emergency, and Miscellaneous E/M Services – Professional and FacilityC-07001 · Effective Jul 1, 2026 · Commercial · CA6Original policy ↗
AIM Specialty Health Quick Reference GuideCommercial · CA—Original policy ↗
Alcohol Use Assessment BrochureCommercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Ambulance Transportation – ProfessionalC-19001 · Effective Apr 1, 2026 · Commercial · CA—Original policy ↗
Ambulatory ElectroencephalographyCG-MED-46 · Commercial22Original policy ↗
ANC.00006 Biomagnetic TherapyANC.00006 · Commercial1Original policy ↗
ANC.00007 Cosmetic and Reconstructive Services: Skin RelatedANC.00007 · Commercial26Original policy ↗
ANC.00008 Cosmetic and Reconstructive Services of the Head and NeckANC.00008 · Commercial61Original policy ↗
ANC.00009 Cosmetic and Reconstructive Services of the Trunk, Groin, and ExtremitiesANC.00009 · Commercial23Original policy ↗
Anesthesia Services - ProfessionalC-09002 · Effective Apr 1, 2026 · Commercial · CA33Original policy ↗
Annual HEDIS CalendarCommercial, Medicaid · CA, CO, CT, GA, IN, KY, ME, MO, NH, OH, VA, WI—Original policy ↗
Anthem Blue Cross California Facility and Professional Provider ManualEffective Dec 15, 2021 · Commercial, Medicaid · CA54Original policy ↗
Anthem Blue Cross Department Contacts ListingCommercial, Medicaid · CA—Original policy ↗
Anthem Blue Cross Facility and Professional Provider Manual – 01/01/20Effective Jan 1, 2020 · Commercial · CA66Original policy ↗
Anthem Blue Cross Facility Provider ManualEffective Mar 1, 2017 · Commercial, Medicaid · CA121Original policy ↗
Anthem Blue Cross HMO Provider ManualCABC-CM-PM-086312-25 · Effective Jan 1, 2026 · Commercial · CA—Original policy ↗
ANTHEM BLUE CROSS HMO PROVIDER MANUALEffective Oct 15, 2020 · Commercial · CA—Original policy ↗
Anthem Blue Cross HMO Provider Manual - 03/15/20 - 10/14/20Effective Mar 15, 2020 · Commercial · CA49Original policy ↗
Anthem Blue Cross HMO Provider Manual - 07/01/22 - 06/30/23Effective Jul 1, 2022 · Commercial · CA—Original policy ↗
Anthem Blue Cross Professional Provider ManualEffective Jul 6, 2015 · Commercial · CA105Original policy ↗
Anthem Blue Cross Provider Reference ManualCommercial · CA112Original policy ↗
Anthem Centers of Medical Excellence (CME) Transplant Network Contract Operations Manual for Transplant ProgramEffective Jan 1, 2020 · Commercial, Medicaid · CA10Original policy ↗
Anthem ePass Quick Start GuideCommercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, NY, OH, VA, WI—Original policy ↗
Anthem Medical Specialty Pharmacy (MSP) CVS Drug List 10/01/2021Commercial · CA102Original policy ↗
ANTIBIOTIC RESISTANCECommercial · CA—Original policy ↗
Antidepressant Medication ManagementCommercial · CA—Original policy ↗
Autologous and Allogeneic Pancreatic Islet Cell TransplantationTRANS.00010 · Commercial9Original policy ↗
Automated Evacuation of Meibomian GlandMED.00103 · Commercial3Original policy ↗
Behavioral Health GuideCommercial · CA—Original policy ↗
Behavioral Health Guide – GroupsCommercial · CA—Original policy ↗
Behavioral Health Guide – IndividualsCommercial · CA—Original policy ↗
BlueCard Provider ManualEffective Jan 1, 2022 · Commercial, Medicaid · CA—Original policy ↗
Brain Computer Interface Rehabilitation DevicesDME.00052 · Commercial1Original policy ↗
BREAST CANCER SCREENINGCommercial · CA—Original policy ↗
Bundled Services and Supplies - ProfessionalC-08003 · Effective Jul 1, 2026 · Commercial · CA341Original policy ↗
Bundled Services and Supplies - ProfessionalC-08003 · Effective Jan 1, 2027 · Commercial · CA360Original policy ↗
Bundled Services and Supplies – FacilityC-23001 · Effective Oct 1, 2026 · Commercial · CA39Original policy ↗

Back to Anthem Blue Cross Blue Shield of California · Anthem Blue Cross Blue Shield of California prior authorization CPT list

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.