Maine
Provider Communications

Articles Category: Administrative

Title Publication Category Date

Retrieve Anthem member HEDIS® care gaps through Patient360 on the Availity Portal

December 2019 Anthem Maine Provider News Administrative Dec 1, 2019

System updates for 2020 - professional

December 2019 Anthem Maine Provider News Administrative Dec 1, 2019

Payment recovery process simplified for National Accounts membership

December 2019 Anthem Maine Provider News Administrative Dec 1, 2019

Verifying and updating your provider information

December 2019 Anthem Maine Provider News Administrative Dec 1, 2019

National Consumer Cost Tool (NCCT) provider cost data available for review

December 2019 Anthem Maine Provider News Administrative Dec 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

December 2019 Anthem Maine Provider News Administrative Dec 1, 2019

Case Management Program

December 2019 Anthem Maine Provider News Administrative Dec 1, 2019

Coordination of care

December 2019 Anthem Maine Provider News Administrative Dec 1, 2019

Important information about utilization management

December 2019 Anthem Maine Provider News Administrative Dec 1, 2019

Members’ Rights and Responsibilities

December 2019 Anthem Maine Provider News Administrative Dec 1, 2019

New Reimbursement Policies: Durable Medical Equipment - Rent to Purchase and Durable Medical Equipment - Modifiers - professional

December 2019 Anthem Maine Provider News Administrative Dec 1, 2019

Additional improvements coming to anthem.com

November 2019 Anthem Maine Provider News Administrative Nov 1, 2019

Reminder: new AIM Rehabilitative Program effective November 1, 2019

November 2019 Anthem Maine Provider News Administrative Nov 1, 2019

Appropriate coding helps provide a comprehensive picture of patients’ health

November 2019 Anthem Maine Provider News Administrative Nov 1, 2019

Modifier use reminders

November 2019 Anthem Maine Provider News Administrative Nov 1, 2019

Enhanced search and download options allow easy access to information at your fingertips

Enhanced search and download options allow easy access to information at your fingertips - Maine Administrative Oct 8, 2019

Sign up today for provider eUpdates

October 2019 Anthem Maine Provider News Administrative Oct 1, 2019

Additional changes launched to anthem.com

October 2019 Anthem Maine Provider News Administrative Oct 1, 2019

U.S. Antibiotic Awareness Week November 11-18

October 2019 Anthem Maine Provider News Administrative Oct 1, 2019

National Accounts 2020 precertification list

October 2019 Anthem Maine Provider News Administrative Oct 1, 2019

Commercial Risk Adjustment (CRA) Reporting Update: Retrospective Program continues

October 2019 Anthem Maine Provider News Administrative Oct 1, 2019

Matrix to provide mobile health clinic assessments to ACA members

October 2019 Anthem Maine Provider News Administrative Oct 1, 2019

Anthem launches Sydney on September 1; new app offers better digital health care support to members

September 2019 Anthem Maine Provider News Administrative Sep 1, 2019

Reminder: Changes to timely filing requirements coming in October

September 2019 Anthem Maine Provider News Administrative Sep 1, 2019

Controlling high blood pressure

September 2019 Anthem Maine Provider News Administrative Sep 1, 2019

Commercial Risk Adjustment (CRA) Reporting Update: Risk Adjustment Data Validation (RADV) Audit happening now

September 2019 Anthem Maine Provider News Administrative Sep 1, 2019

Provider transparency update

September 2019 Anthem Maine Provider News Administrative Sep 1, 2019

Appointment access standards for primary care, specialty care and behavioral health practitioners

September 2019 Anthem Maine Provider News Administrative Sep 1, 2019

PCP after-hours access requirements

September 2019 Anthem Maine Provider News Administrative Sep 1, 2019

Claim editing update for Excludes1 notes

September 2019 Anthem Maine Provider News Administrative Sep 1, 2019

MaineHealth and Anthem Blue Cross and Blue Shield launch joint venture

N/A Administrative Aug 19, 2019

Anthem customizations to MCG care guidelines 23rd edition

August 2019 Anthem Maine Provider News Administrative Aug 1, 2019

Streamlined access to Anthem Provider Manual

August 2019 Anthem Maine Provider News Administrative Aug 1, 2019

Update to provider/facility UM reimbursement penalties and corresponding update to Provider/Facility Manual

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

Clinical validation - professional

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

Payment recovery process simplified for National Accounts membership

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

Commercial Risk Adjustment (CRA) Reporting Update: 2019 Program Year Progression

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

Make the move to the Availity EDI Gateway today

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

State-supplied vaccines reminder - professional

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

Modifier 79 reminder - professional

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

Modifier 63 reminder - professional

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

ICD-10-CM coding guidelines and laterality - professional

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

Changes to Claim Status Inquiry and Secure Messaging on the Availity Portal

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

Anthem to acquire Beacon Health Options

Anthem to acquire Beacon Health Options Administrative Jun 6, 2019

Additional changes launched to anthem.com for Q2

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

Find a Doctor - new sort option

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

Electronic attachments coming soon

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

Sepsis coding update

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

Commercial Risk Adjustment (CRA) reporting update: Retrospective Program begins; benefits of direct connection access to your EMR

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

Adult BMI Assessment

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

Misrouted protected health information (PHI)

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

Introducing Anthem’s Maine HMO Tiered Options

June 2019 Anthem Maine Provider Newsletter Administrative Jun 1, 2019

Electronic member ID cards – Easy online access on the Availity portal

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Provider manual to be updated July 1, 2019

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Referring to contracted ambulance providers

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Good HbA1c <8

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

MCG care guidelines 23rd Edition

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Attention! Availity launches changes to the Medical Attachment submission tool

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Commercial Risk Adjustment (CRA) Reporting Update: Health Assessment requests for 2019 / Alternative reporting engagement

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Review of professional claims with emergency room level 5 E/M codes

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

May 2019 Anthem Maine Provider Newsletter Administrative May 1, 2019

Commercial risk adjustment (CRA) reporting update

April 2019 Anthem Maine Provider Newsletter Administrative Apr 1, 2019

Provider manual to be updated July 1, 2019

April 2019 Anthem Maine Provider Newsletter Administrative Apr 1, 2019

Why do patients stop taking their prescribed medications and what can you do to help them?

April 2019 Anthem Maine Provider Newsletter Administrative Apr 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

April 2019 Anthem Maine Provider Newsletter Administrative Apr 1, 2019

Chronic care management and advanced care planning service benefits

April 2019 Anthem Maine Provider Newsletter Administrative Apr 1, 2019

National Consumer Cost Tool (NCCT) provider cost data available for review

April 2019 Anthem Maine Provider Newsletter Administrative Apr 1, 2019

Outpatient/office physical, speech, and occupational therapy claim form requirements

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Sign up today for provider eUpdates

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Additional changes to anthem.com to launch in March

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Commercial Risk Adjustment Program update: Medical chart collection for ACA members due March 31, 2019

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Digital Provider Enrollment application now available

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Explore updates to medical attachment tool

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

EDI Gateway migration updates

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

HEDIS® 2019: Controlling High Blood Pressure

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Clinical practice and preventive health guidelines available on anthem.com

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Sign up today for provider eUpdates

February 2019 Anthem Maine Provider Newsletter Administrative Feb 1, 2019

Claim edit enhancements for outpatient facility claims

February 2019 Anthem Maine Provider Newsletter Administrative Feb 1, 2019

Reminder: review ICD-10-CM coding guidelines: professional

February 2019 Anthem Maine Provider Newsletter Administrative Feb 1, 2019

Coverage change for contraceptives and contraceptive supplies effective January 1, 2019

February 2019 Anthem Maine Provider Newsletter Administrative Feb 1, 2019

New Year Brings New ID Cards - and New ID Numbers - for Many Anthem Members

January 2019 - New Year Brings New ID Cards and New ID Numbers for Many Anthem Members Administrative Jan 24, 2019

Sign up today for provider eUpdates

January 2019 Anthem Maine Provider Newsletter Administrative Jan 1, 2019

Simplifying medication prior authorization processes

January 2019 Anthem Maine Provider Newsletter Administrative Jan 1, 2019

Streamline workflow with medical attachments tool

January 2019 Anthem Maine Provider Newsletter Administrative Jan 1, 2019

HEDIS® 2019 starts early February

January 2019 Anthem Maine Provider Newsletter Administrative Jan 1, 2019

Reminder: HCPCS code A0998 is active and available for use

January 2019 Anthem Maine Provider Newsletter Administrative Jan 1, 2019

Sign up today for provider eUpdates

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Outpatient/office physical, speech, and occupational therapy claim form requirements

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Payment recovery process simplified for National Accounts membership

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Availity to serve as EDI entry point for electronic submissions

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Misrouted protected health information (PHI)

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

HEDIS® 2018 commercial results are in

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Clinical practice and preventive health guidelines available on anthem.com

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Case Management Program

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

ConditionCare Program benefits members and physicians

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Coordination of care

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Integrated Care Model for plans purchased on the Health Insurance Marketplace benefits members and physicians

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Important Information about Utilization Management

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018

Members’ Rights and Responsibilities

December 2018 Anthem Maine Provider Newsletter Administrative Dec 1, 2018
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