December 1, 2021

December 2021 Anthem Maine Provider News

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Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Blue Precision program to be retired on December 31, 2021

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

IMPORTANT: Taxonomy codes for APRNs, mid-wives, physician assistants, and behavioral health facilities billing on CMS-1500 form

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Professional system updates for 2022

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Outpatient system updates for 2022

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Importance of PCP after-hours messaging

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Chlamydia screening for teens and young adults

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Member rights and responsibilities

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Coordination of care

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Case Management Program

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Clinical practice and preventive health guidelines available on anthem.com

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Important information about utilization management

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Submitting prior authorizations is getting easier
Anthem is transitioning to the Availity Authorization app

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Is prior authorization required?
Answering your questions about the new Availity Authorization App

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Reminder: EnrollSafe is available
EnrollSafe replaced CAQH Enrollhub effective November 1, 2021

Behavioral Health

Behavioral HealthAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Behavioral healthcare appointment access requirements

Policy Updates

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Updates to AIM Specialty Health Musculoskeletal Interventional Pain Management Clinical Appropriateness Guideline

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Updates to AIM Specialty Health Cardiology Clinical Appropriateness Guidelines

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guideline

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Reimbursement policy update: Assistant at Surgery (modifiers 80, 81, 82, AS) - professional

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Reimbursement policy update: Virtual Visits - professional and facility

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

New reimbursement policy update: Modifier 62: Co-Surgeon Services and Modifier 66: Surgical Teams - professional

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

RETRACTION: Inpatient Facility Transfers - facility reimbursement policy

Products & Programs

PharmacyAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Clinical criteria updates for specialty pharmacy

PharmacyAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Specialty pharmacy updates - December 2021

PharmacyAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2021

Pharmacy information available on anthem.com

State & Federal

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2021

Drug Screen Testing policy update - effective March 1, 2022

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2021

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2021

2022 Medicare Advantage service area and benefit updates

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2021

Somatus is your resource for kidney care management

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2021

Adjudicating claims for COVID-19 vaccines, their administration and COVID-19 monoclonal antibodies

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2021

Good news: Non-payment remittance advice enhancements are here

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2021

Keep up with Medicare news
  • Updates to AIM Specialty Health musculoskeletal interventional pain management
    clinical appropriateness guideline
  • Medical drug benefit clinical criteria updates
  • Protocol for providers serving members with hearing aid coverage administered by Hearing Care Solutions
  • Medical Policies and Clinical Utilization Management Guidelines update