Anthem Blue Cross and Blue Shield | CommercialDecember 1, 2020
December 2020 Anthem Maine Provider News
Administrative
Anthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
PCP after-hours access requirementsAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Important information about utilization managementAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Case Management ProgramAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Members’ Rights and ResponsibilitiesAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Coordination of careAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Clinical practice and preventive health guidelines available on anthem.comAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Contracted air ambulance providers effective December 1, 2020Anthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Help ensure accuracy of provider directoryAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Anthem expands hospice policyAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Access requirements for behavioral healthcare servicesAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Updated BlueCard® Program Provider Manual available January 1, 2021Anthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Prior authorization updates for commercial business effective March 1, 2021Anthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
New ID cards for some Anthem membersAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Two-minute videos to engage patients about preventive careAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Anthem makes going digital easy with the Provider Digital Engagement SupplementAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Access to claim denial information is now self-serviceAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Anthem and Quest Diagnostics form strategic relationshipPolicy Updates
Anthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Reimbursement policy update: Bundled Services and Supplies - professionalProducts & Programs
Anthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
AIM IVR changes for non-oncology medical specialty drug reviews effective January 1, 2021Anthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Transition to AIM Rehabilitative Services Clinical Appropriateness GuidelinesAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Updates to AIM Radiation Oncology Clinical Appropriateness GuidelinesAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Updates to AIM Advanced Imaging Clinical Appropriateness GuidelinesAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Updates to AIM Cardiology Clinical Appropriateness GuidelinesAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Pharmacy information available on anthem.comAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Clinical criteria updates for specialty pharmacyAnthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Prior authorization updates for specialty pharmacy effective March 1, 2021Anthem Blue Cross and Blue Shield | CommercialNovember 30, 2020
Reminder: National drug code required for professional and facility outpatient claims effective December 16, 2020State & Federal
Anthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2020
Keep up with Medicare newsAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2020
Digital transactions cut administrative tasks in halfAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2020
Medical policies and clinical utilization management guidelines update applicable to Anthem and AMH Health, LLC.Anthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2020
Medicare Advantage Group Retiree member eligibility, alpha prefix FAQsAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 30, 2020
2021 Medicare Advantage individual benefits and formulariesTo view this publication online:
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