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Anthem Blue Cross Life and Health Insurance Company Care Managment Policy Continuity of CareTransiti

Anthem Blue Cross Life and Health Insurance Company Care Managment Policy Continuity of CareTransiti 2025

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The document outlines Anthem Blue Cross's Care Management Policy regarding Continuity of Care (COC) and Transition of Care (TOC). It details the circumstances under which members can continue receiving care from out-of-network providers when their in-network provider is terminated or when they are new enrollees with a non-participating provider. The policy specifies eligibility criteria, the process for requesting COC/TOC, and the responsibilities of both members and providers during this transition period. It also includes definitions of key terms and conditions under which COC/TOC may not apply.

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