Maine
Provider Communications

Articles

Title Publication Category Date

Contracted air ambulance providers effective December 1, 2020

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Durable medical equipment miscellaneous code E1399 reminder

June 2018 Maine newsletter Administrative Jun 19, 2018

Misrouted protected health information (PHI)

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

CLIA claim requirements effective May 1, 2020

February 2020 Anthem Maine Provider News Administrative Feb 1, 2020

Grievance and appeal update

June 2018 Maine newsletter Administrative Jun 22, 2018

Postponed: review of professional claims with emergency room level 5 E/M codes

January 2020 Anthem Maine Provider News Administrative Jan 1, 2020

Shine Light on Depression school-based suicide prevention initiative

February 2020 Anthem Maine Provider News Administrative Feb 1, 2020

Outpatient facility edit implementation effective April 26, 2020

January 2020 Anthem Maine Provider News Administrative Jan 1, 2020

Enhanced search and download options allow easy access to information at your fingertips

Enhanced search and download options allow easy access to information at your fingertips - Maine Administrative Oct 8, 2019

SOAP Notes Health Assessments for 2019 calendar year due February 15, 2020

February 2020 Anthem Maine Provider News Administrative Feb 1, 2020

Sign up today for provider eUpdates

October 2018 Anthem Maine Provider Newsletter Administrative Oct 1, 2018

HEDIS® 2018 commercial results are in

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Important update: Milliman Care Guideline (MCG), 23rd Edition, Pelvic Organ Prolapse Repair

January 2020 Anthem Maine Provider News Administrative Jan 1, 2020

Clinical practice and preventive health guidelines available on anthem.com

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Register for upcoming August CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

Motivating Patients to Adhere to Cervical Cancer Prevention and Screening Recommendations
Tuesday, August 3, 2021, 12:00 p.m. ET

10 Best Practices for Improving Pharmacy Quality Measures
Thursday, August 12, 2021, 1:00 p.m. or 3:00 p.m. ET

6 Ways to Improve Risk Adjustment Documentation Accuracy
Tuesday, August 17, 2021, 12:00 p.m. or 3:00 p.m. ET

Register Now!


Clinical Quality CME Webinar Series Continues - Maine Administrative Jul 29, 2021

Clinical practice and preventive health guidelines available on anthem.com

June 2018 Maine newsletter Administrative Jun 19, 2018

Additional changes to anthem.com to be launched in October

October 2018 Anthem Maine Provider Newsletter Administrative Oct 1, 2018

Sign up today for provider eUpdates

February 2019 Anthem Maine Provider Newsletter Administrative Feb 1, 2019

Upcoming retirement planned for legacy medical attachment submission tool

January 2020 Anthem Maine Provider News Administrative Jan 1, 2020

Coordination of care

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Exploring the Intersection of Race and Disability

Register today for a forum on Exploring the Intersection of Race and Disability hosted by Anthem Blue Cross and Blue Shield and Motivo* for Anthem providers on June 22, 2022.
Exploring the Intersection of Race and Disability forum - Maine Administrative Jun 8, 2022

EDI collaboration with Availity effective June 1, 2018

June 2018 Maine newsletter Administrative Jun 19, 2018

Claim edit enhancements for outpatient facility claims

February 2019 Anthem Maine Provider Newsletter Administrative Feb 1, 2019

Receive and respond to post pay audit medical record requests via Availity beginning February 10, 2020

January 2020 Anthem Maine Provider News Administrative Jan 1, 2020

Members’ Rights and Responsibilities

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Misrouted protected health information (PHI)

June 2018 Maine newsletter Administrative Jun 19, 2018

Let us help you accomplish your 2020 “To Do” list early - EDI migration

January 2020 Anthem Maine Provider News Administrative Jan 1, 2020

Case Management Program

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Availity to provide EDI Gateway services

October 2018 Anthem Maine Provider Newsletter Administrative Oct 1, 2018

Reminder: review ICD-10-CM coding guidelines: professional

February 2019 Anthem Maine Provider Newsletter Administrative Feb 1, 2019

New Year brings new ID cards for many Anthem members

January 2020 Anthem Maine Provider News Administrative Jan 1, 2020

Availity EDI Gateway webinars scheduled

October 2018 Anthem Maine Provider Newsletter Administrative Oct 1, 2018

Coverage change for contraceptives and contraceptive supplies effective January 1, 2019

February 2019 Anthem Maine Provider Newsletter Administrative Feb 1, 2019

Sign up today for provider eUpdates

January 2020 Anthem Maine Provider News Administrative Jan 1, 2020

Important information about utilization management

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Explore new enhancements to Availity’s Education and Reference Center

October 2018 Anthem Maine Provider Newsletter Administrative Oct 1, 2018

Important COVID-19 update: Prior authorization and other policy adjustments (updated January 18, 2021)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing facilities.
COVID-19 Information - Maine Administrative Jan 18, 2022

2020 FEP® benefit information available online

January 2020 Anthem Maine Provider News Administrative Jan 1, 2020

Are you looking for innovative ways to improve your patients’ experiences and earn CME credits?

October 2018 Anthem Maine Provider Newsletter Administrative Oct 1, 2018

Notices of material changes/amendments to contract – April 2022

Notices of material changes/amendments to contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements. In this issue, please reference the following article:

  • Specialty pharmacy updates - April 2022
April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

Availity Portal Notification Center

June 2020 Anthem Maine Provider News Administrative Jun 1, 2020

Introducing Elevance Health — Focusing on whole health and its most powerful drivers

Elevance Health Administrative Jun 15, 2022

The Anthem, Inc. name is changing

April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

Quality Corner: CPT® Category II codes - Collaborating for enhanced patient care

June 2020 Anthem Maine Provider News Administrative Jun 1, 2020

Durable medical equipment update effective October 14, 2018

October 2018 Anthem Maine Provider Newsletter Administrative Oct 1, 2018

HEDIS 2022: Summary of changes from NCQA

April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

Catching up on routine vaccines

April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

Anthem taps Paul Marchetti to lead company’s overall care transformation strategy

November 2018 Anthem Maine Network eUpdate Administrative Nov 1, 2018

Reminder on Botox® for Anthem members

April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

Prior authorization required for hip and knee services for State of Maine Health Plan members effective July 1, 2022

New Prior Authorization Requirements for State of Maine Health Plan Members Administrative Jun 20, 2022

Copay reduction for walk-in center services effective January 1, 2019

November 2018 Anthem Maine Network eUpdate Administrative Nov 1, 2018

Vitals® SmartShopper® program update

November 2018 Anthem Maine Network eUpdate Administrative Nov 1, 2018

CAA: Update your provider directory information

April 2022 Anthem Maine Provider News Administrative Apr 1, 2022

Tips for billing CPT modifier 33

October 2018 Anthem Maine Provider Newsletter Administrative Oct 1, 2018

Special Investigations Unit updates: recent FDA warnings

October 2018 Anthem Maine Provider Newsletter Administrative Oct 1, 2018

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

Clinical practice and preventive health guidelines available on anthem.com

October 2018 Anthem Maine Provider Newsletter Administrative Oct 1, 2018

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

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Strategic Provider System to be implemented in August 2021

August 2021 Maine Provider News Administrative Aug 1, 2021

HEDIS® 2018: provider incentive winners announced

October 2018 Anthem Maine Provider Newsletter Administrative Oct 1, 2018

Register now for our August CME webinars

August 2021 Maine Provider News Administrative Aug 1, 2021

Sign up today for provider eUpdates

January 2019 Anthem Maine Provider Newsletter Administrative Jan 1, 2019

Telehealth visits can impact after-hospitalization follow-up care for mental illness

August 2021 Maine Provider News Administrative Aug 1, 2021

Simplifying medication prior authorization processes

January 2019 Anthem Maine Provider Newsletter Administrative Jan 1, 2019

MCG care guidelines 23rd Edition

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Clearing up coding confusion for retinal eye exams (DRE)

August 2021 Maine Provider News Administrative Aug 1, 2021

Maximizing efficient, high quality COVID-19 screenings

COVID-19 Information - Maine Administrative Apr 1, 2021

Join us for our next clinical quality in practice webinar

Join us for our next clinical quality in practice webinar - Maine Administrative Jul 20, 2022

Streamline workflow with medical attachments tool

January 2019 Anthem Maine Provider Newsletter Administrative Jan 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Case Management Program

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

ConditionCare Program benefits members and physicians

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

HEDIS® 2019 starts early February

January 2019 Anthem Maine Provider Newsletter Administrative Jan 1, 2019

Coordination of care

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Reminder: HCPCS code A0998 is active and available for use

January 2019 Anthem Maine Provider Newsletter Administrative Jan 1, 2019

Electronic member ID cards – Easy online access on the Availity portal

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Additional changes launched to anthem.com for Q2

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

Integrated Care Model for plans purchased on the Health Insurance Marketplace benefits members and physicians

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Attention! Availity launches changes to the Medical Attachment submission tool

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Webinar recording now available for network providers on SBA loans and other federal relief programs in response to COVID-19 (Updated May 1, 2020)

Anthem hosted a provider webinar to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19. Access the webinar recording using the password “health” to learn more about federal financial relief for providers.
COVID-19 Information - Maine Administrative May 1, 2020

Commercial Risk Adjustment (CRA) Program update: Retrospective Program begins; Prospective Program continues

June 2020 Anthem Maine Provider News Administrative Jun 1, 2020

Chat directly with a prior authorization specialist

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Find a Doctor - new sort option

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

Interactive bilingual website Taking Action for our Health

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

Provider manual to be updated July 1, 2019

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Electronic attachments coming soon

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

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

Important Information about Utilization Management

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Sign up today for provider eUpdates

October 2019 Anthem Maine Provider News Administrative Oct 1, 2019

Commercial Risk Adjustment (CRA) Reporting Update: Health Assessment requests for 2019 / Alternative reporting engagement

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Sepsis coding update

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

Additional changes launched to anthem.com

October 2019 Anthem Maine Provider News Administrative Oct 1, 2019

Commercial Risk Adjustment (CRA) reporting update: Retrospective Program begins; benefits of direct connection access to your EMR

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

Adult BMI Assessment

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

Misrouted protected health information (PHI)

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

SmartShopper® program update

July 2020 Anthem Maine Provider News Administrative Jul 1, 2020

Clinical practice and preventive health guidelines available on anthem.com

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

Interactive Care Reviewer: Anthem’s online prior authorization tool targeted to launch in Q3

July 2020 Anthem Maine Provider News Administrative Jul 1, 2020

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

March 2021 Anthem Maine Provider News Administrative Mar 1, 2021
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