Anthem Blue Cross and Blue Shield | CommercialJuly 1, 2021

July 2021 Maine Provider News

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2021

Blue Precision program to be retired at end of 2021

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2021

New Strategic Provider System launch delayed

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2021

Register now to learn strategies to help your practice improve clinical quality

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2021

Another mark of the pandemic: an increase in childhood obesity

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2021

Proper coding for in-home monitoring can make a measurable difference for INR

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2021

Timely receipt of primary payer EOB helps avoid timely filing denials for secondary claims

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2021

Interactive Care Reviewer (ICR): New search option for cases submitted through ICR

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2021

Electronic claim response files

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2021

How to enroll in electronic fund transfer (EFT) for faster remittance

Policy Updates

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2021

Medical policy updates are available on anthem.com

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2021

Reimbursement policy update: Consultations - professional

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2021

New reimbursement policy: Non-patient Laboratory Services - facility

Products & Programs

PharmacyAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2021

Certain specialty medication precertification requests may require additional documentation

PharmacyAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2021

Clinical criteria updates for specialty pharmacy

PharmacyAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2021

Prior authorization updates for specialty pharmacy effective October 1, 2021

State & Federal

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2021

Let’s Vaccinate

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2021

Prior authorization requirement changes effective October 1, 2021, for codes A0426 and A0428

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2021

Medical drug benefit clinical criteria update

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2021

New Policy - Modifier 90: Reference (Outside) Laboratory and Pass-Through Billing (effective 10/1/21)

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageJuly 1, 2021

Keep up with Medicare news