Anthem Blue Cross and Blue Shield | CommercialSeptember 1, 2020

September 2020 Anthem Maine Provider News

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2020

New provider directory indicators for medication assisted treatment (MAT) providers

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2020

Interactive Care Reviewer self-service, online prior authorization tool now available for Anthem and FEP membership

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2020

EDI Gateway migration deadline is September 15, 2020

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2020

Patient360 adds care gap alert feedback for medical providers

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2020

Enhanced medical records submission process to support claims processing

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2020

Receive and respond to medical record requests for postpay audit via Change Healthcare’s Assurance Attach Assist Module

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2020

Commercial Risk Adjustment (CRA) reporting update: 2020 prospective program continues

Policy Updates

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2020

Reimbursement policy update: Distinct Procedural Services - Modifiers 59, XE, XP, XS, XU - professional

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2020

Reimbursement policy update: Frequency Editing - professional

Products & Programs

PharmacyAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2020

Formulary lists updated for commercial health plan pharmacy benefit

PharmacyAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2020

Specialty pharmacy updates effective December 2020

State & Federal

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2020

Medical drug benefit clinical criteria updates

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2020

Update: Notice of changes to the AIM musculoskeletal program

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2020

Keep up with Medicare news