We are required to follow all clinical and reimbursement policies established by Original Medicare in the processing of claims and determining benefits. We follow all Original Medicare local coverage determinations, national coverage determinations, Medicare rulings, code editing logic and the Social Security Act. 

 

We may offer additional benefits that are not covered under Original Medicare. Certain benefits are only covered when provided by a vendor selected by Anthem. More information can be found at www.anthem.com/medicareprovider. You may also contact Provider Services at the phone number on the back of the member ID card.



Featured In:
February 2019 Anthem Maine Provider Newsletter