Anthem Blue Cross and Blue Shield | CommercialApril 1, 2021

April 2021 Anthem Maine Provider News

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialApril 1, 2021

Does your practice offer telehealth services? Let us know!

AdministrativeAnthem Blue Cross and Blue Shield | CommercialApril 1, 2021

MCG care guidelines 25th Edition

AdministrativeAnthem Blue Cross and Blue Shield | CommercialApril 1, 2021

National Consumer Cost Tool (NCCT) provider cost data available for review

AdministrativeAnthem Blue Cross and Blue Shield | CommercialApril 1, 2021

Procedure searches in Find Care - new sort option

AdministrativeAnthem Blue Cross and Blue Shield | CommercialApril 1, 2021

Provider Manual to be updated July 1, 2021

AdministrativeAnthem Blue Cross and Blue Shield | CommercialApril 1, 2021

Understanding Availity roles for Electronic Data Interchange (EDI)

AdministrativeAnthem Blue Cross and Blue Shield | CommercialApril 1, 2021

Make the change to digital authorization/referral and hospital admission notifications using EDI

AdministrativeAnthem Blue Cross and Blue Shield | CommercialApril 1, 2021

Payer Spaces update - Education and Reference Center is now the Information Center

AdministrativeAnthem Blue Cross and Blue Shield | CommercialApril 1, 2021

Join Anthem in talking about racism and its impact on health

AdministrativeAnthem Blue Cross and Blue Shield | CommercialApril 1, 2021

Interactive bilingual website Taking Action for our Health
Exclusively developed for the Latino Community.

AdministrativeAnthem Blue Cross and Blue Shield | CommercialApril 1, 2021

Chat directly with a prior authorization specialist

AdministrativeAnthem Blue Cross and Blue Shield | CommercialApril 1, 2021

Maximizing efficient, high quality COVID-19 screenings

AdministrativeAnthem Blue Cross and Blue Shield | CommercialApril 1, 2021

Update to provider UM reimbursement penalties and corresponding language in Provider Manual

AdministrativeAnthem Blue Cross and Blue Shield | CommercialApril 1, 2021

Keeping up with routine vaccination during COVID-19: Well-child visits and vaccinations are essential services

Behavioral Health

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

The heath of millennials: Trends in behavioral health conditions

Policy Updates

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

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

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

New reimbursement policy: Clinic Charges - facility
Notice of material change/amendment to contract

Products & Programs

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialApril 1, 2021

Update: Site of Care medical necessity reviews for long-acting colony-stimulating factors to begin August 1, 2021

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialApril 1, 2021

CPT code E1399 not included in AIM Sleep Program effective April 1, 2021

Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialApril 1, 2021

HEDIS 2021 Federal Employee Program® medical record request requirements

PharmacyAnthem Blue Cross and Blue Shield | CommercialApril 1, 2021

Pharmacy information available on anthem.com

PharmacyAnthem Blue Cross and Blue Shield | CommercialApril 1, 2021

Clinical criteria updates for specialty pharmacy

PharmacyAnthem Blue Cross and Blue Shield | CommercialApril 1, 2021

Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

PharmacyAnthem Blue Cross and Blue Shield | CommercialApril 1, 2021

Prior authorization updates for specialty pharmacy effective July 1, 2021

State & Federal

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

Oncology dose reduction program beginning July 1, 2021

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

In-Office Assessment program

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

Medical drug benefit clinical criteria updates - December 2020

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

Medical drug benefit clinical criteria updates - November 2020