Anthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
December 2018 Anthem Maine Provider Newsletter
Administrative
Anthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Vaginal Birth after Cesarean (VBAC) Certified Shared Decision Making Aid available on anthem.comAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Availity to serve as EDI entry point for electronic submissionsAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Sign up today for provider eUpdatesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Outpatient/office physical, speech, and occupational therapy claim form requirementsAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Payment recovery process simplified for National Accounts membershipAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Misrouted protected health information (PHI)Anthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
HEDIS® 2018 commercial results are inAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Clinical practice and preventive health guidelines available on anthem.comAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Case Management ProgramAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
ConditionCare Program benefits members and physiciansAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Coordination of careAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Integrated Care Model for plans purchased on the Health Insurance Marketplace benefits members and physiciansAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Important Information about Utilization ManagementAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Members’ Rights and ResponsibilitiesBehavioral Health
Anthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Member’s access to behavioral health carePolicy Updates
Anthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Medical policy updates are available on anthem.comAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Clinical guideline updates are available on anthem.comAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Update on clinical guideline communication in October 2018 provider newsletterAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Bundled Services and Supplies: professionalAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Reimbursement for convenience surgical supply kits: professionalAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Scope of License reimbursement policy update: professionalAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
“Rule of Eight” Reporting Guidelines for Physical Medicine and Rehabilitation Services: professionalAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
System updates for 2019: professionalAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Modifier 79: Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional during the Postoperative Period: professionalProducts & Programs
Anthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Restructure of AIM Advanced Imaging Clinical Appropriateness GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Updates to AIM Musculoskeletal Surgery Clinical Appropriateness GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Update to AIM Clinical Appropriateness GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Benefit change for Infliximab for Federal Employee Program®Anthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Coordination of benefits for a Federal Employee Program® (FEP®) memberAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
2019 FEP® benefit information available onlineAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Introducing new clinical criteria page for injectable, infused or implanted drugsAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Electronic prior authorization requests for prescription medications accepted onlineAnthem Blue Cross and Blue Shield | CommercialDecember 1, 2018
Pharmacy information available on anthem.comState & Federal
Anthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2018
New Medicare Advantage provider service phone number beginning January 1, 2019Anthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2018
2019 Medicare Advantage individual benefits and formulariesAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2018
CMS Medicare Preclusion List effective April 1, 2019Anthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2018
When and how to initiate Medicare Advantage reopeningsAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2018
Individual Medicare plans move compound drugs off formulary beginning January 1, 2019Anthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2018
Medicare Part B drugs may include Step Therapy beginning January 1, 2019Anthem Blue Cross and Blue Shield | Medicare AdvantageDecember 1, 2018
Keep up with Medicare newsTo view this publication online:
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