Anthem Blue Cross and Blue Shield | CommercialDecember 1, 2019
December 2019 Anthem Maine Provider News
Administrative
Anthem Blue Cross and Blue Shield | CommercialNovember 30, 2019
New Reimbursement Policies: Durable Medical Equipment - Rent to Purchase and Durable Medical Equipment - Modifiers - professionalAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2019
Members’ Rights and ResponsibilitiesAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2019
Important information about utilization managementAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2019
Coordination of careAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2019
Case Management ProgramAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2019
Clinical practice and preventive health guidelines available on anthem.comAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2019
National Consumer Cost Tool (NCCT) provider cost data available for reviewAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2019
Verifying and updating your provider informationAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2019
Payment recovery process simplified for National Accounts membershipAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2019
System updates for 2020 - professionalAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2019
Retrieve Anthem member HEDIS® care gaps through Patient360 on the Availity PortalBehavioral Health
Anthem Blue Cross and Blue Shield | CommercialNovember 30, 2019
Coding reminder for psychological and neuropsychological testingProducts & Programs
Anthem Blue Cross and Blue Shield | CommercialNovember 30, 2019
Reminder: New AIM Rehabilitative Program effective November 1, 2019Anthem Blue Cross and Blue Shield | CommercialNovember 30, 2019
Coordination of benefits for an FEP® memberAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2019
Pharmacy information available on anthem.comAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2019
Clinical criteria updates for specialty pharmacyState & Federal
Anthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2019
Reminder: refer Medicare Advantage members to in-network providersAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2019
Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagementAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2019
Medical drug clinical criteria updatesAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2019
AMH Health, LLC (Anthem | MaineHealth) reimbursement policiesAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2019
Introducing Interactive Care ReviewerAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2019
Anthem | MaineHealth to offer three new health maintenance organizations in 2020Anthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2019
Electronic data interchangeAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2019
Prior authorization requirements for E0784, K0553 and K0554Anthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2019
Global 3M19 Medical Policy and Technology Assessment Committee prior authorization updatesAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2019
Group Retiree PPO plansAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2019
CMS reminder: expedited/urgent requestsAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2019
2020 Medicare Advantage individual benefits and formulariesTo view this publication online:
Visit https://providernews.anthem.com/maine/publications/december-2019-maine-provider-news-409
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