Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
August 2018 Anthem Maine Provider Newsletter
Administrative
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Sign-up today for Network eUPDATE - it’s free!Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Automated claim edits for professional claims to be enhancedAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Colonoscopy and related anesthesia services billingAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Vaginal birth after cesarean (VBAC) certified shared decision making aid available on anthem.comAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Gestational age required for professional delivery claims effective November 1, 2018Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Penalties for late pre-certification updateAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Prior authorization requests for prescription medications accepted onlineAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Clinical practice and preventive health guidelines available on anthem.comAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Availity EDI GatewayAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Availity EDI Gateway services training webinars scheduledAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
MyDiversePatients.comAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Member Explanation of Benefits gets a makeoverAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Provider Transparency UpdateBehavioral Health
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Anthem engages with Alliant Health SolutionsPolicy Updates
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Medical policy updates are available on anthem.comAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Clinical guideline updates are available on anthem.comAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Bundled Services and Supplies - professionalAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Once per Lifetime Procedures - professionalProducts & Programs
Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
AIM Radiation Oncology Clinical Appropriateness Guidelines updatesAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
AIM Advanced Imaging Clinical Appropriateness Guidelines updatesAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
AIM Level of Care Musculoskeletal Surgery Clinical Appropriateness Guidelines updatesAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
New pre-service clinical review requirement for EGD services begins November 1, 2018Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Additional support available for members with rare conditionsAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Mailing address for Federal Employee Program® (FEP) paper claims and claims-related correspondenceAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Pharmacy information available on anthem.comAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Drug lists supporting commercial health plans updatedAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Daily morphine equivalent dosing limit to apply effective September 1, 2018Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Pre-service clinical review drug list changes effective November 1, 2018Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Level of care pre-service clinical review drug list changes effective November 1, 2018Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
State of Maine employer group benefits for lab and imaging servicesAnthem Blue Cross and Blue Shield | CommercialAugust 1, 2018
Blood pressure cuff benefits available effective July 1, 2018 for State of Maine employer group membersState & Federal
Anthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2018
MA members receive incentives for completing screeningsAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2018
Wheelchair prior authorization information for DME providers and physiciansAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2018
Submit PA medication requests electronically; new phone number for MA prescription PAs effective September 1, 2018Anthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2018
CMS issues regulatory changes for short- and long-acting narcotics; days’ supply limits effective January 1, 2019Anthem Blue Cross and Blue Shield | Medicare AdvantageAugust 1, 2018
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