Anthem Blue Cross and Blue Shield | CommercialNovember 1, 2019
November 2019 Anthem Maine Provider News
Administrative
Anthem Blue Cross and Blue Shield | CommercialOctober 31, 2019
Additional improvements coming to anthem.comAnthem Blue Cross and Blue Shield | CommercialOctober 31, 2019
Reminder: new AIM Rehabilitative Program effective November 1, 2019Anthem Blue Cross and Blue Shield | CommercialOctober 31, 2019
Appropriate coding helps provide a comprehensive picture of patients’ healthAnthem Blue Cross and Blue Shield | CommercialOctober 31, 2019
Modifier use remindersPolicy Updates
Anthem Blue Cross and Blue Shield | CommercialOctober 31, 2019
Medical policy updates are available on anthem.comAnthem Blue Cross and Blue Shield | CommercialOctober 31, 2019
Clinical guideline updates are available on anthem.comProducts & Programs
Anthem Blue Cross and Blue Shield | CommercialOctober 31, 2019
Updates to AIM Advanced Imaging of the Abdomen and Pelvis Clinical Appropriateness GuidelinesAnthem Blue Cross and Blue Shield | CommercialOctober 31, 2019
Updates to AIM Radiation Therapy Clinical Appropriateness GuidelineAnthem Blue Cross and Blue Shield | CommercialOctober 31, 2019
Updates to AIM Spine Surgery Clinical Appropriateness GuidelineAnthem Blue Cross and Blue Shield | CommercialOctober 31, 2019
Updates to AIM Sleep Disorder Management Clinical Appropriateness GuidelineAnthem Blue Cross and Blue Shield | CommercialOctober 31, 2019
Remaining members will transition to new PBM, IngenioRx, on January 1, 2020Anthem Blue Cross and Blue Shield | CommercialOctober 31, 2019
Pre-service clinical review and quantity limit updates for specialty pharmacy effective February 1, 2020Anthem Blue Cross and Blue Shield | CommercialOctober 31, 2019
Clinical criteria updates for specialty pharmacyState & Federal
Anthem Blue Cross and Blue Shield | Medicare AdvantageOctober 31, 2019
March 2019 Medical Policies and Clinical Utilization Management Guidelines updateAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 31, 2019
2019 Enhanced Personal Health Care Program releases myFHRAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 31, 2019
Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagementAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 31, 2019
Reimbursement Policy update: Drug Screen TestingAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 31, 2019
Rehabilitative services prior authorization review update for Medicare Advantage membersAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 31, 2019
CMS reminder: expedited/urgent requestsAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 31, 2019
Bill Medicare Part D for shingles or tetanus vaccination claimsTo view this publication online:
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