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  • March 2023 Anthem Provider News - Maine
  • February 2023 Provider Newsletter - Maine
  • New ID cards for Anthem Blue Cross and Blue Shield members - Maine
  • Telephonic-only care allowance extended through April 11, 2023 - Maine
  • January 2023 Provider Newsletter - Maine
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Maine
Provider Communications

May 2020 Anthem Maine Provider News

Download as PDF

Title Category

View all COVID-19 related articles in one repository location - COVID-19 Information - Maine

Administrative

Provider Manual to be updated July 1, 2020

Administrative

Reminder about system updates

Administrative

Quality Corner - Diabetes HbA1c<8 HEDIS guidance

Administrative

Commercial Risk Adjustment (CRA) Prospective Program update: Assessing patients for risk adjustable conditions

Administrative

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

Medical Policy & Clinical Guidelines

Unlisted, Unspecified or Miscellaneous Codes policy update effective August 1, 2020

Medicare

Multi-dose packaging

Medicare

Keep up with Medicare news

Medicare

Clinical criteria updates for specialty pharmacy

Pharmacy

Specialty pharmacy updates effective August 1, 2020

Pharmacy

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

Products & Programs

Updates to AIM Sleep Disorder Management Clinical Appropriateness Guideline

Products & Programs

Updates to AIM MSK Interventional Pain Management Clinical Appropriateness Guideline

Products & Programs

Updates to AIM Musculoskeletal Program Joint Surgery Clinical Appropriateness Guidelines

Products & Programs

Reimbursement policy update: Claims Requiring Additional Documentation (facility)

Reimbursement Policies
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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWI), which underwrites or administers the PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare Health Services Insurance Corporation (Compcare) underwrites or administers the HMO policies and Wisconsin Collaborative Insurance Company (WCIC) underwrites or administers Well Priority HMO or POS policies. Independent licensees of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem websites constitutes your agreement with our Terms of Use.