Maine
Provider Communications

August 2022 Anthem Maine Provider News

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Title Category

Notices of material changes/amendments to contract - August 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 articles:

  • Reimbursement policy update: Place of Service - Facility
  • Medical policy and clinical guideline updates are available on anthem.com
  • Specialty pharmacy updates
  • Clinical criteria updates for specialty pharmacy
Administrative

Reminder: Inpatient/outpatient commercial claim denials

Administrative

Timely updates help keep our provider directories current

Administrative

Performance enhancements to the authorization application on Availity Essentials

Digital Tools

Introducing the Provider Learning Hub

Digital Tools

Add supporting documents directly to your claims with the new Claims Status Inquiry Send Attachments feature

Digital Tools

Reimbursement policy update: Place of Service - Facility

Notice of material change/amendment to contract
Reimbursement Policies

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

Notice of material change/amendment to contract
Medical Policy & Clinical Guidelines

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

Behavioral Health

Specialty pharmacy updates

Notice of material change/amendment to contract
Pharmacy

Clinical criteria updates for specialty pharmacy

Notice of material change/amendment to contract
Pharmacy

Pharmacy information available on anthem.com

Pharmacy
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