Anthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

January 2023 Provider Newsletter - Maine

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Notices of material changes/amendments to contract - January 2023

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Professional system updates for 2023

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Outpatient system updates for 2023

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Engagement with your patient counts

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Childhood Immunization Status and Lead Screening in Children for HEDIS

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Remittance advice message enhancements: Providing clear descriptions and actionable next steps

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Notice of material change/amendment to contract

Anthem Blue Cross and Blue Shield local precertification change in Maine

AdministrativeAnthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 30, 2022

Notification regarding reimbursement changes to COVID-19 laboratory services codes

AdministrativeAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Notice of material change/amendment to contract

Attention lab providers: COVID-19 update regarding reimbursement

Policy Updates

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Notice of material change/amendment to contract

AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT code list update

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Update: AIM Specialty Health Cardiology Clinical Appropriateness Guidelines CPT Code List

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Notice of material change/amendment to contract

Updates to AIM Specialty Health Musculoskeletal - Interventional Pain Management Clinical Appropriateness Guidelines

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Notice of material change/amendment to contract

Updates to AIM Specialty Health Cardiac Clinical Appropriateness Guidelines

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Notice of material change/amendment to contract

Updates to AIM Specialty Health Advanced Imaging Clinical Appropriateness Guidelines

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Notice of material change/amendment to contract

Updates to AIM Specialty Health Radiation Oncology Clinical Appropriateness Guidelines

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Notice of material change/amendment to contract

Medical policy and clinical guideline updates available on our provider website

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Outpatient facility revenue code billing requirements

Products & Programs

Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Federal Employee Program observation conversion for musculoskeletal cases

PharmacyAnthem Blue Cross and Blue Shield | CommercialDecember 30, 2022

Notice of material change/amendment to contract

Specialty pharmacy updates

State & Federal

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 30, 2022

Engagement with your patient counts

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageDecember 30, 2022

Attention lab providers: COVID-19 update regarding reimbursement