Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2020
October 2020 Anthem Maine Provider News
Administrative
Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2020
Evaluation and management services correct coding - professionalAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2020
National drug code requirement on outpatient claimsAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2020
Anthem Chat: A fast, easy way to have your questions answeredAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2020
Predictive analytics guide proactive support to patients undergoing chemo, resulting in lowered admissionsAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2020
Updated coverage for breast cancer prevention medicationsAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2020
Commercial Risk Adjustment reporting update: New guidance on telephone-only service CPT codes for risk adjustment programAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2020
National Accounts 2021 Pre-certification listAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2020
New Availity medical claim attachment webinars: register todayAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2020
Electronic member ID cards available on the Availity portalAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2020
What Matters Most online CME course: Improving the Patient ExperiencePolicy Updates
Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2020
Medical policy and clinical guideline updatesAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2020
Reimbursement policy update - Emergency Department: Leveling of Evaluation and Management Services (facility)Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2020
Reimbursement policy update: Laboratory and Venipuncture - professionalAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2020
Reimbursement policy update - Claims Requiring Additional Documentation policy (facility)Products & Programs
Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2020
Reminder: Expansion of AIM Musculoskeletal Program effective November 1, 2020Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2020
Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines delayed until December 1, 2020Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2020
Federal Employee Program expands specialty pharmacy prior authorization listAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2020
FDA approvals and expedited pathways used - new molecular entities (NMEs)Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2020
Prior authorization updates for specialty pharmacy effective January 2021Anthem Blue Cross and Blue Shield | CommercialOctober 1, 2020
Clinical criteria updates for specialty pharmacyAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2020
Formulary lists updated for commercial health plan pharmacy benefitAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2020
Pharmacy information available on anthem.comState & Federal
Anthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2020
Social determinants of health support expanding with GroundGame HealthAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2020
Patient360 enhancement for medical providersAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2020
Prior authorization requirement changes effective December 1, 2020Anthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2020
Prior authorization requirement changes effective January 1, 2021Anthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2020
Provider transparency updateAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2020
Medical drug benefit clinical criteria updatesAnthem Blue Cross and Blue Shield | Medicare AdvantageOctober 1, 2020
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