Anthem Blue Cross and Blue Shield | CommercialJune 22, 2018

June 2018 Maine newsletter

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJune 19, 2018

Sign-up today for Network eUPDATE – it’s free!

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJune 19, 2018

Member identification cards streamlined

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJune 19, 2018

Receive direct deposit of patient payments with Healthcare Bill Payments

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJune 19, 2018

Claim processing update for services requiring AIM pre-service clinical review

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJune 19, 2018

Pre-service clinical review drug list changes effective September 1, 2018

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJune 19, 2018

Level of care pre-service clinical review drug list changes effective September 1, 2018

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJune 19, 2018

Verifying eligibility for expanded hospice benefits

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJune 19, 2018

Durable medical equipment miscellaneous code E1399 reminder

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJune 22, 2018

Grievance and appeal update

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJune 22, 2018

Provider Manual to be available on anthem.com June 1, 2018

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJune 19, 2018

Clinical practice and preventive health guidelines available on anthem.com

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJune 19, 2018

EDI collaboration with Availity effective June 1, 2018

AdministrativeAnthem Blue Cross and Blue Shield | CommercialJune 19, 2018

Misrouted protected health information (PHI)

Behavioral Health

Behavioral HealthAnthem Blue Cross and Blue Shield | CommercialJune 22, 2018

MCG Care Guidelines adopted for behavioral health services

Behavioral HealthAnthem Blue Cross and Blue Shield | CommercialJune 19, 2018

Outpatient behavioral health therapy visits

Policy Updates

Medical Policy & Clinical GuidelinesAnthem Blue Cross and Blue Shield | CommercialJune 22, 2018

Medical policy and clinical guidelines updates are available on anthem.com

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialJune 22, 2018

Durable Medical Equipment professional reimbursement policy reminders

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialJune 19, 2018

Diagnosis-Related Group Newborn Inpatient Stays facility reimbursement policy update

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialJune 19, 2018

Cervical Cancer Screening using Cytology and Human Papillomavirus Testing (CG-MED-43) not implemented

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialJune 19, 2018

Review of reimbursement policies – professional

Products & Programs

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialJune 19, 2018

AIM Musculoskeletal Program Clinical Appropriateness Guidelines updates

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialJune 19, 2018

Individualized Care Program to support palliative care for commercial members

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialJune 22, 2018

Easter Seals relationship expanded to support commercial members with complex needs

PharmacyAnthem Blue Cross and Blue Shield | CommercialJune 19, 2018

Prior authorization requests for prescription medications accepted online

PharmacyAnthem Blue Cross and Blue Shield | CommercialJune 22, 2018

Pharmacy information available on anthem.com

State & Federal

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 19, 2018

Cologuard covered for Medicare Advantage members

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 19, 2018

Peer-to-peer process can help clarify clinical record

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 19, 2018

MA home health network to be delegated to myNEXUS

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 19, 2018

Medication adherence incentive offered to EPHC providers

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 19, 2018

Motion Picture Industry Pension and Health Plans Offers Medicare Advantage Option

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageJune 19, 2018

Keep up with Medicare news