Anthem Blue Cross and Blue Shield | CommercialAugust 1, 2019

August 2019 Anthem Maine Provider News

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJuly 31, 2019

Anthem customizations to MCG care guidelines 23rd edition

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJuly 31, 2019

Streamlined access to Anthem Provider Manual

Policy Updates

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialJuly 31, 2019

Medical policy updates are available on anthem.com

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialJuly 31, 2019

Clinical guideline updates are available on anthem.com

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialJuly 31, 2019

Clinical criteria updates for specialty pharmacy

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialJuly 31, 2019

Bundled Services Reimbursement Policy update - professional

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialJuly 31, 2019

Frequency Editing Reimbursement Policy update - professional

Products & Programs

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialJuly 31, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialJuly 31, 2019

Updates to AIM Radiation Oncology: Proton Beam Therapy Clinical Appropriateness Guideline

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialJuly 31, 2019

Updates to AIM Advanced Oncologic Imaging Clinical Appropriateness Guideline

PharmacyAnthem Blue Cross and Blue Shield | CommercialJuly 31, 2019

Specialty pharmacy pre-service clinical review list expanded effective November 1, 2019

PharmacyAnthem Blue Cross and Blue Shield | CommercialJuly 31, 2019

Reminder: Process change for medical non-oncology specialty drug reviews effective June 15, 2019

PharmacyAnthem Blue Cross and Blue Shield | CommercialJuly 31, 2019

Pharmacy information available on anthem.com

State & Federal

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 31, 2019

New service types added to Availity

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 31, 2019

New reimbursement policy effective October 1, 2019 - Drug Screen Testing

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 31, 2019

AIM Specialty Health programs may require documentation

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 31, 2019

Special needs plans - provider training required

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 31, 2019

Keep up with Medicare news