Anthem asking physicians to affirm participation in workers' comp MPNs by Dec. 31 December 7, 2015 Managed Care Medical Provider Networks, MPN, Workers' Compensation, Anthem Blue Cross 0 Anthem Blue Cross recently sent a request to physicians who participate in various workers’ compensation medical provider networks (MPN) through their Prudent Buyer agreements, asking them to affirm their continued participation in each of these networks. This request is required as part of the reforms instituted under SB 863, which mandates that MPNs obtain written acknowledgement from each participating physician that the provider elects to be a member of the network. Under the resulting regulations, physicians who have entered into contracts with workers’ compensation payors prior to August 27, 2014, and who have contracts that automatically renew without the need for physician signature, must affirmatively acknowledge their participation in the MPN no later than January 1, 2016. Providers that do not respond to acknowledge their MPN participation will be removed from the MPNs listed in the Anthem Provider Affirmation Portal. Through the affirmation process, physicians have the right to either opt in or opt out of each MPN offered by a payor (8 C.C.R §9767.5.1). Physicians wishing to continue their participation in the Anthem MPNs may fax their acknowledgement to (888) 205-6065, visit the Provider Affirmation Portal located under Provider Access on the Anthem.com website, or contact Anthem Blue Cross Workers Compensation at (866) 700-2168. Instructions for accessing the Provider Affirmation Portal are available here. Comments are closed.
