Anthem Blue Cross and Blue Shield | CommercialSeptember 1, 2019
September 2019 Anthem Maine Provider News
Administrative
Anthem Blue Cross and Blue Shield | CommercialAugust 31, 2019
Anthem launches Sydney on September 1; new app offers better digital health care support to membersAnthem Blue Cross and Blue Shield | CommercialAugust 31, 2019
Reminder: Changes to timely filing requirements coming in OctoberAnthem Blue Cross and Blue Shield | CommercialAugust 31, 2019
Controlling high blood pressureAnthem Blue Cross and Blue Shield | CommercialAugust 31, 2019
Commercial Risk Adjustment (CRA) Reporting Update: Risk Adjustment Data Validation (RADV) Audit happening nowAnthem Blue Cross and Blue Shield | CommercialAugust 31, 2019
Claim editing update for Excludes1 notesAnthem Blue Cross and Blue Shield | CommercialAugust 31, 2019
Provider transparency updateAnthem Blue Cross and Blue Shield | CommercialAugust 31, 2019
Appointment access standards for primary care, specialty care and behavioral health practitionersAnthem Blue Cross and Blue Shield | CommercialAugust 31, 2019
PCP after-hours access requirementsBehavioral Health
Anthem Blue Cross and Blue Shield | CommercialAugust 31, 2019
Access requirements for behavioral healthcare servicesPolicy Updates
Anthem Blue Cross and Blue Shield | CommercialAugust 31, 2019
Medical policy updates are available on anthem.comAnthem Blue Cross and Blue Shield | CommercialAugust 31, 2019
Clinical guideline updates are available on anthem.comAnthem Blue Cross and Blue Shield | CommercialAugust 31, 2019
New Clinical Guideline: Pneumatic Compression Devices effective December 1, 2019Anthem Blue Cross and Blue Shield | CommercialAugust 31, 2019
New Reimbursement Policies - Maternity Services and Multiple Delivery - professionalAnthem Blue Cross and Blue Shield | CommercialAugust 31, 2019
New Reimbursement Policy - Intensity Modulated Radiation Therapy Planning and Delivery - professionalAnthem Blue Cross and Blue Shield | CommercialAugust 31, 2019
Claims requiring additional documentation facility reimbursement policy updateProducts & Programs
Anthem Blue Cross and Blue Shield | CommercialAugust 31, 2019
Clinical criteria updates for specialty pharmacyAnthem Blue Cross and Blue Shield | CommercialAugust 31, 2019
Specialty pharmacy prior authorization list to be expanded effective December 1, 2019State & Federal
Anthem Blue Cross and Blue Shield | Medicare AdvantageAugust 31, 2019
Electronic attachments coming soonAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 31, 2019
Clinical criteria updatesAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 31, 2019
Customizations to the 23rd edition of the MCG Care GuidelinesAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 31, 2019
Changes to prior authorization requirements effective December 1, 2019Anthem Blue Cross and Blue Shield | Medicare AdvantageAugust 31, 2019
Pharmacy benefit manager change to IngenioRxAnthem Blue Cross and Blue Shield | Medicare AdvantageAugust 31, 2019
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