Maine
Provider Communications

August 2022 Anthem Maine Provider News

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Title Category

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

Digital Tools

Clinical criteria updates for specialty pharmacy

Notice of material change/amendment to contract
Pharmacy

Introducing the Provider Learning Hub

Digital Tools

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

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

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

Performance enhancements to the authorization application on Availity Essentials

Digital Tools

Pharmacy information available on anthem.com

Pharmacy

Reimbursement policy update: Place of Service - Facility

Notice of material change/amendment to contract
Reimbursement Policies

Reminder: Inpatient/outpatient commercial claim denials

Administrative

Specialty pharmacy updates

Notice of material change/amendment to contract
Pharmacy

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

Behavioral Health

Timely updates help keep our provider directories current

Administrative
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