Anthem Blue Cross and Blue Shield | CommercialAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageNovember 1, 2024

November 2024 Provider Newsletter

Featured Articles

AdministrativeAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Notice of material change/amendment to contract

Notices of material changes/amendments to contract — November 2024

AdministrativeAnthem Blue Cross and Blue Shield | CommercialOctober 23, 2024

Do you offer telehealth services? Let us know!

Education & TrainingAMH Health, LLC | Medicare AdvantageOctober 15, 2024

Model of Care training reminder


Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

New claims requirement: add-on codes must include primary procedure starting December 2024

AdministrativeAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

More error types for corrected claims submitted through EDI now available

AdministrativeAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Personalized Match update

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Adopting digital member ID cards

Behavioral Health

Behavioral HealthAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Introducing a new Applied Behavior Analysis Provider Resource Guide

Policy Updates

Policy UpdatesAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageOctober 16, 2024

Clarification to Carelon Medical Benefits Management, Inc. updates effective September 1, 2024

Policy UpdatesAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageOctober 16, 2024

Carelon Medical Benefits Management, Inc. updates

Effective November 17, 2024

Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Change in precertification penalty

Prior AuthorizationAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 24, 2024

Prior authorization requirement changes

Effective February 1, 2025

Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Notice of material change/amendment to contract

Precertification List Change Notification — November 1, 2024

Codes J3393 and J3394

Prior AuthorizationAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Notice of material change/amendment to contract

Precertification List Change Notification — November 1, 2024

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Notice of material change/amendment to contract

Reimbursement policy update: Modifiers 59 and XE, XP, XS, and XU: Distinct Procedural Service — Professional

Products & Programs

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

High Performing and Blue National Designated Providers may also be known as Anthem Diamond Providers

Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialNovember 1, 2024

Submit corrected claims electronically for the Federal Employee Program®

PharmacyAnthem Blue Cross and Blue Shield | CommercialJuly 1, 2024

Notice of material change/amendment to contract

Correction: Specialty pharmacy updates — July 2024

PharmacyAnthem Blue Cross and Blue Shield | CommercialOctober 24, 2024

Notice of material change/amendment to contract

Specialty pharmacy updates — November 2024

PharmacyAnthem Blue Cross and Blue Shield | Medicare AdvantageNovember 1, 2024

Improving patient outcomes: back to the basics

MEBCBS-CRCM-070455-24

For questions regarding Commercial plans in Maine, call Provider Services at 833-690-2936.