Maine
Provider Communications

November 2022 Provider Newsletter - Maine

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Title Category

Notices of material changes/amendments to contract - November 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:

  • Correction to reimbursement policy: Place of Service - Facility
  • Medical policy and clinical guideline updates available on anthem.com
  • Specialty pharmacy updates - November 2022
Administrative

Post office boxes being retired because of low usage

Administrative

Support documentation for AIM prior authorization requests

Administrative

CAA: Keep your provider directory information up to date

Administrative

Claims status message enhancements: providing clear descriptions and actionable next steps

Digital Tools

Authorization application enhancements: faster, easier, and more efficient

Digital Tools

Submit digital attachments within seven calendar days for claims filed with a PWK segment indicator

Digital Tools

You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, too

Digital Tools

Visit the Provider Learning Hub to view our latest learning opportunities

Digital Tools

Correction to reimbursement policy: Place of Service - Facility

Notice of material change/amendment to contract
Reimbursement Policies

Medical policy and clinical guideline updates available on anthem.com

Notice of material change/amendment to contract

Medical Policy & Clinical Guidelines

Transition to AIM Specialty Health Perirectal Hydrogel Spacer for Prostate Radiotherapy Clinical Appropriateness Guideline

Medical Policy & Clinical Guidelines

Specialty pharmacy updates - November 2022

Notice of material change/amendment to contract

Pharmacy

Remote EMR access service for HEDIS

Medicare

AMH Health, LLC expands specialty pharmacy precertification list

Medicare

Personalized Match

Medicare

Keep up with Medicare news

Please continue to check Important Medicare Advantage Updates for the latest Medicare Advantage information, including:
Medicare
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