Anthem Blue Cross and Blue Shield | CommercialSeptember 1, 2022

September 2022 Anthem Maine Provider News

Administrative

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2022

Notices of material changes/amendments to contract - September 2022

Notices of material changes/amendments to contract may apply for new or updated reimbursement policies, medical policies, or prior authorization requirements. In this issue, please reference the following articles:

  • Reimbursement policy update:  Modifier Rules – Professional
  • Specialty pharmacy updates - September 2022
  • Clinical criteria updates for specialty pharmacy

 

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2022

Continuing to Explore the Intersection of Race and Disability

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2022

Important information about women’s preventive care visits

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2022

Anthem to accept Hospital in Home services

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2022

Drug code billing reminder

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2022

CAA: Current provider directory information is key for members and providers to engage with you seamlessly

AdministrativeAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2022

Monkeypox resources and recommendations for our care providers

Digital SolutionsAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2022

Updates to the Claim Attachment workflow

Policy Updates

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2022

Reimbursement policy update: Modifier Rules - Professional
Notice of material change/amendment to contract

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2022

Reimbursement policy update: Modifier 66: Surgical Teams - Professional

Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2022

Reimbursement policy update: Assistant at Surgery (Modifiers 80, 81, 82, AS) - Professional

Products & Programs

Products & ProgramsAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2022

New Back Pain Management Program

Federal Employee Program (FEP)Anthem Blue Cross and Blue Shield | CommercialSeptember 1, 2022

OBRA 93 claim filing for Federal Employee Program

PharmacyAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2022

Specialty pharmacy updates - September 2022
Notice of material change/amendment to contract

PharmacyAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2022

Clinical criteria updates for specialty pharmacy
Notice of material change/amendment to contract

PharmacyAnthem Blue Cross and Blue Shield | CommercialSeptember 1, 2022

Update to formulary lists for Commercial health plan pharmacy benefit

State & Federal

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2022

Enhancing claims attachment processes through digital applications

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2022

Prior authorization requirement changes effective December 1, 2022

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2022

Reimbursement policy update - Modifiers 25 and 57: Evaluation and Management with Global Procedures (Policy G- 06003)

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2022

AMH Health LLC. expands specialty pharmacy precertification list

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2022

AMH Health, LLC expands specialty pharmacy precertification list

State & FederalAnthem Blue Cross and Blue Shield | Medicare AdvantageSeptember 1, 2022

Keep up with Medicare news    
  • Medicare telehealth services during the Coronavirus (COVID-19) public health emergency (PHE) FAQ
  • Clinical Criteria updates