Maine
Provider Communications

Articles

Title Publication Category Date

Send larger digital attachments through Availity

May 2021 Anthem Maine Provider News Administrative May 1, 2021

Appointment Scheduler application

May 2021 Anthem Maine Provider News Administrative May 1, 2021

Provider bulletins for medical and itemized bill attachments

May 2021 Anthem Maine Provider News Administrative May 1, 2021

Refer to network DME providers for negative pressure wound therapy to help members save on out-of-pocket costs

May 2021 Anthem Maine Provider News Administrative May 1, 2021

Billing for deluxe hearing aids

May 2021 Anthem Maine Provider News Administrative May 1, 2021

Resources to support diverse patients and communities

May 2021 Anthem Maine Provider News Administrative May 1, 2021

2021 affirmative statement regarding utilization management decisions

May 2021 Anthem Maine Provider News Administrative May 1, 2021

Reimbursement policy reminder: Readmission - facility

May 2021 Anthem Maine Provider News Reimbursement Policies May 1, 2021

Reimbursement policy update: Frequency Editing - professional

May 2021 Anthem Maine Provider News Reimbursement Policies May 1, 2021

Clinical guideline update available on anthem.com

May 2021 Anthem Maine Provider News Medical Policy & Clinical Guidelines May 1, 2021

Medicare supplemental claim crossover delay for certain members

Medicare Supplemental Claim Crossover Delay for Certain Members - Maine Administrative Apr 29, 2021

Update: Site of Care medical necessity reviews for long-acting colony-stimulating factors to begin August 1, 2021

April 2021 Anthem Maine Provider News Products & Programs Apr 1, 2021

Does your practice offer telehealth services? Let us know!

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Provider Manual to be updated July 1, 2021

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Procedure searches in Find Care - new sort option

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

National Consumer Cost Tool (NCCT) provider cost data available for review

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

MCG care guidelines 25th Edition

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

New reimbursement policy: Clinic Charges - facility

April 2021 Anthem Maine Provider News Reimbursement Policies Apr 1, 2021

Medical drug benefit clinical criteria updates - November 2020

April 2021 Anthem Maine Provider News Medicare Apr 1, 2021

Medical drug benefit clinical criteria updates - December 2020

April 2021 Anthem Maine Provider News Medicare Apr 1, 2021

In-Office Assessment program

April 2021 Anthem Maine Provider News Medicare Apr 1, 2021

Oncology dose reduction program beginning July 1, 2021

April 2021 Anthem Maine Provider News Medicare Apr 1, 2021

CPT code E1399 not included in AIM Sleep Program effective April 1, 2021

April 2021 Anthem Maine Provider News Products & Programs Apr 1, 2021

The heath of millennials: Trends in behavioral health conditions

April 2021 Anthem Maine Provider News Behavioral Health Apr 1, 2021

Prior authorization updates for specialty pharmacy effective July 1, 2021

April 2021 Anthem Maine Provider News Pharmacy Apr 1, 2021

Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

April 2021 Anthem Maine Provider News Pharmacy Apr 1, 2021

Clinical criteria updates for specialty pharmacy

April 2021 Anthem Maine Provider News Pharmacy Apr 1, 2021

Pharmacy information available on anthem.com

April 2021 Anthem Maine Provider News Pharmacy Apr 1, 2021

Keeping up with routine vaccination during COVID-19: Well-child visits and vaccinations are essential services

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Update to provider UM reimbursement penalties and corresponding language in Provider Manual

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Chat directly with a prior authorization specialist

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Interactive bilingual website Taking Action for our Health

Exclusively developed for the Latino Community.
April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Join Anthem in talking about racism and its impact on health

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Anthem results in improved care management for patients

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Payer Spaces update - Education and Reference Center is now the Information Center

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Make the change to digital authorization/referral and hospital admission notifications using EDI

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Understanding Availity roles for Electronic Data Interchange (EDI)

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Medical policy and clinical guideline updates are available on anthem.com

April 2021 Anthem Maine Provider News Medical Policy & Clinical Guidelines Apr 1, 2021

HEDIS 2021 Federal Employee Program® medical record request requirements

April 2021 Anthem Maine Provider News Federal Employee Plan (FEP) Apr 1, 2021

Maximizing efficient, high quality COVID-19 screenings

COVID-19 Information - Maine Administrative Apr 1, 2021

New provider directory indicator for telehealth services

March 2021 Anthem Maine Provider News Medicare Mar 1, 2021

Medical policies and clinical utilization management guidelines update for Anthem and AMH Health, LLC.

March 2021 Anthem Maine Provider News Medicare Mar 1, 2021

Access to more claim denial information is now self-service

March 2021 Anthem Maine Provider News Medicare Mar 1, 2021

Keep up with Medicare news

March 2021 Anthem Maine Provider News Medicare Mar 1, 2021

UPDATE: Notice of changes to the AIM Small Joint Surgery Guideline

March 2021 Anthem Maine Provider News Products & Programs Mar 1, 2021

Site of care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021

March 2021 Anthem Maine Provider News Pharmacy Mar 1, 2021

Certain HIV medication combinations may require prior authorization

March 2021 Anthem Maine Provider News Pharmacy Mar 1, 2021

Specialty pharmacy updates

March 2021 Anthem Maine Provider News Pharmacy Mar 1, 2021

New utilization management tool now available on Availity Payer Spaces: Authorization Rules Lookup tool

March 2021 Anthem Maine Provider News Administrative Mar 1, 2021

Medical attachment capability now includes itemized bills and more

March 2021 Anthem Maine Provider News Administrative Mar 1, 2021

Prior authorization updates for specialty pharmacy effective May 1, 2021

February 2021 Anthem Maine Provider News Pharmacy Feb 1, 2021

Clinical criteria updates for specialty pharmacy

February 2021 Anthem Maine Provider News Pharmacy Feb 1, 2021

Formulary lists updated for commercial health plan pharmacy benefit

February 2021 Anthem Maine Provider News Pharmacy Feb 1, 2021

Pharmacy information available on anthem.com

February 2021 Anthem Maine Provider News Pharmacy Feb 1, 2021

New provider directory indicator for telehealth services

February 2021 Anthem Maine Provider News Administrative Feb 1, 2021

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility

February 2021 Anthem Maine Provider News Reimbursement Policies Feb 1, 2021

Medical drug benefit clinical criteria updates

February 2021 Anthem Maine Provider News Medicare Feb 1, 2021

Keep up with Medicare news

February 2021 Anthem Maine Provider News Medicare Feb 1, 2021

Register today for The Road to Allyship Forum hosted by Anthem and Motivo on February 3, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about racial equity and the importance of allies. 

The Road to Allyship Forum Invite from Anthem in Maine Administrative Jan 21, 2021

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (updated January 8, 2021)

We’ve updated information about coverage for telephonic-only care.
COVID-19 Information - Maine Administrative Jan 8, 2021

Prior authorization updates for specialty pharmacy

January 2021 Anthem Maine Provider News Pharmacy Jan 1, 2021

New features added to Interactive Care Reviewer

January 2021 Anthem Maine Provider News Administrative Jan 1, 2021

Find out in minutes why your claim denied

January 2021 Anthem Maine Provider News Administrative Jan 1, 2021

Self-service, digital transactions are fast and easy

January 2021 Anthem Maine Provider News Administrative Jan 1, 2021

Evaluation and Management changes for 2021

January 2021 Anthem Maine Provider News Administrative Jan 1, 2021

System updates for 2021 for professional services - professional

January 2021 Anthem Maine Provider News Administrative Jan 1, 2021

MCG Care Guidelines 24th Edition customization

January 2021 Anthem Maine Provider News Administrative Jan 1, 2021

System updates for 2021 for outpatient services - facility

January 2021 Anthem Maine Provider News Administrative Jan 1, 2021

Claims editing update for ICD-10-CM Excludes1 notes

January 2021 Anthem Maine Provider News Administrative Jan 1, 2021

It’s almost CAHPS survey time

January 2021 Anthem Maine Provider News Administrative Jan 1, 2021

Availity Attachment tools live webinars

January 2021 Anthem Maine Provider News Administrative Jan 1, 2021

2021 FEP® Benefit information available online

January 2021 Anthem Maine Provider News Federal Employee Plan (FEP) Jan 1, 2021

Reimbursement policy update: Multiple Diagnostic Imaging Procedures - professional

January 2021 Anthem Maine Provider News Reimbursement Policies Jan 1, 2021

Medical drug benefit clinical criteria updates

January 2021 Anthem Maine Provider News Medicare Jan 1, 2021

Reimbursement policy update: Frequency Editing - professional

January 2021 Anthem Maine Provider News Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Guidelines for Reporting Timed Units for Physical Medicine and Rehabilitation - professional

January 2021 Anthem Maine Provider News Reimbursement Policies Jan 1, 2021

Keep up with Medicare news

January 2021 Anthem Maine Provider News Medicare Jan 1, 2021

Reimbursement policy update: Modifier Rules - professional

January 2021 Anthem Maine Provider News Reimbursement Policies Jan 1, 2021

Reimbursement policy update: Unit Frequency Maximum for Drugs and Biologicals - professional

January 2021 Anthem Maine Provider News Reimbursement Policies Jan 1, 2021

Medical policy and clinical guideline updates are available on anthem.com

January 2021 Anthem Maine Provider News Medical Policy & Clinical Guidelines Jan 1, 2021

2020 Medicare risk adjustment provider trainings

January 2021 Anthem Maine Provider News Medicare Jan 1, 2021

AIM IVR changes for non-oncology medical specialty drug reviews effective January 1, 2021

December 2020 Anthem Maine Provider News Products & Programs Dec 1, 2020

Updates to AIM Cardiology Clinical Appropriateness Guidelines

December 2020 Anthem Maine Provider News Products & Programs Dec 1, 2020

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

December 2020 Anthem Maine Provider News Products & Programs Dec 1, 2020

Updates to AIM Radiation Oncology Clinical Appropriateness Guidelines

December 2020 Anthem Maine Provider News Products & Programs Dec 1, 2020

Transition to AIM Rehabilitative Services Clinical Appropriateness Guidelines

December 2020 Anthem Maine Provider News Products & Programs Dec 1, 2020

Reminder: National drug code required for professional and facility outpatient claims effective December 16, 2020

December 2020 Anthem Maine Provider News Pharmacy Dec 1, 2020

Prior authorization updates for specialty pharmacy effective March 1, 2021

December 2020 Anthem Maine Provider News Pharmacy Dec 1, 2020

Clinical criteria updates for specialty pharmacy

December 2020 Anthem Maine Provider News Pharmacy Dec 1, 2020

Pharmacy information available on anthem.com

December 2020 Anthem Maine Provider News Pharmacy Dec 1, 2020

Anthem and Quest Diagnostics form strategic relationship

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Access to claim denial information is now self-service

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Anthem makes going digital easy with the Provider Digital Engagement Supplement

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Two-minute videos to engage patients about preventive care

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

New ID cards for some Anthem members

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Prior authorization updates for commercial business effective March 1, 2021

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Updated BlueCard® Program Provider Manual available January 1, 2021

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

PCP after-hours access requirements

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Access requirements for behavioral healthcare services

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Anthem expands hospice policy

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020
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