BOM Toolkit

Blue Shield of California has expanded its Availity Essentials authorization workflow. Practices can now submit and manage most eligible outpatient authorizations for Federal Employee Program PPO and U.S. Postal Service PPO members who live outside California. The platform supports medical services, medical-benefit drugs and behavioral-health requests, including ABA services. Availity already supports listed Blue Shield commercial PPO, group Medicare Advantage PPO, ASO and Shared Advantage plans.

Practices should confirm their Availity registration, select “Blue Shield of California,” and review Blue Shield’s current FAQ to verify that the patient’s plan and requested service are eligible before submitting.

Primary source: Blue Shield provider announcement

The Cooperative of American Physicians (CAP) invites you to join us for an evening mixer to recognize and celebrate the contributions of California’s independent physician community. Enjoy complimentary refreshments, appetizers, and engaging conversation with your fellow physician colleagues.

RSVP NOW

Space is limited.

In CAP's latest edition of Physician Today, you’ll find expert insights into the changing medical malpractice landscape, along with practical guidance for strengthening informed consent processes, streamlining payer credentialing, cutting supply costs, managing online patient portals, and much more.

Download Now

This issue covers:

• Key developments impacting the medical malpractice landscape

• Strategies to strengthen informed consent processes and documentation

• Streamlining your payer credentialing approach

WATCH NOW! Margin Rescue: Hidden Expenses and Untapped Revenue in Your Primary Care Practice explores the financial and operational challenges quietly impacting independent primary care practices and the practical strategies physicians can use to strengthen sustainability without sacrificing patient care. Presented by leaders from Elation Health, this session examines how fragmented systems, inefficient workflows, administrative burden, and billing gaps contribute to rising costs and clinician burnout, while also highlighting new revenue opportunities available in 2026 through programs such as Advanced Primary Care Management (APCM), Transitional Care Management (TCM), and Remote Patient Monitoring (RPM). The discussion also covers how AI-powered tools, automation, and integrated technology can improve coding accuracy, streamline claims management, reduce administrative strain, and help practices capture reimbursement for the care they are already delivering.

WATCH NOW! This webinar, Are You Getting Paid for the Care You’re Already Delivering?, highlights how physicians can better navigate the evolving business landscape of medicine, with a focus on revenue optimization, operational efficiency, and adapting to ongoing payment and policy changes. Featuring practical insights and real-world perspectives, it offers actionable strategies physicians can apply to strengthen their practice and long-term stability.

WATCH NOW! In this educational session, Nicole Green of Robert Hall & Associates will walk physicians through the most common income structures seen in the medical field and explain how those structures directly impact taxes, cash flow, and decision making. This presentation is designed to bring clarity to areas that are often overlooked, misunderstood, or discovered too late in the filing process.

In this session, Dr. Sara Pastoor and Manisha Goud explore the hidden costs threatening primary care in 2025—and share actionable strategies to help practices regain both time and financial stability.