Maine
Provider Communications

Articles Category: Administrative

Title Publication Category Date

Important COVID-19 update: Prior authorization and other policy adjustments (updated January 18, 2021)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing facilities.
COVID-19 Information - Maine Administrative Jan 18, 2022

Notices of material changes/amendments to contract

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 article:

  • Medical policy and clinical guideline updates
January 2022 Anthem Maine Provider News Administrative Jan 1, 2022

Well-child visits: Know the numbers

January 2022 Anthem Maine Provider News Administrative Jan 1, 2022

Information from Anthem for Care Providers about COVID-19 (updated December 30, 2021)

We recently updated information about coverage dates for telephonic-only care.
COVID-19 Information - Maine Administrative Dec 30, 2021

Anthem is transitioning to the Availity Authorization App

Availity Authorization App improvements based on your feedback
Availity Authorization App improvements - Maine Digital Tools Dec 28, 2021

Prepare for the Consolidated Appropriations Act: Keep your provider directory information up to date

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Blue Precision program to be retired on December 31, 2021

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

IMPORTANT: Taxonomy codes for APRNs, mid-wives, physician assistants, and behavioral health facilities billing on CMS-1500 form

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Important information about utilization management

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Submitting prior authorizations is getting easier

Anthem is transitioning to the Availity Authorization app
December 2021 Anthem Maine Provider News Digital Tools Dec 1, 2021

Is prior authorization required?

Answering your questions about the new Availity Authorization App
December 2021 Anthem Maine Provider News Digital Tools Dec 1, 2021

Professional system updates for 2022

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Outpatient system updates for 2022

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Importance of PCP after-hours messaging

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Chlamydia screening for teens and young adults

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Member rights and responsibilities

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Coordination of care

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Case Management Program

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Clinical practice and preventive health guidelines available on anthem.com

December 2021 Anthem Maine Provider News Administrative Dec 1, 2021

Reminder: EnrollSafe is available

EnrollSafe replaced CAQH Enrollhub effective November 1, 2021
December 2021 Anthem Maine Provider News Digital Tools Dec 1, 2021

Register today for a forum on Grief and Loss: The disproportionate impact of the pandemic on communities of color

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about the disproportionate impact of the pandemic on communities of color.
Grief & Loss Forum - Maine Administrative Nov 29, 2021

Update on claims processing

Anthem Blue Cross and Blue Shield in Maine continues to manage workflow challenges that have caused delays in our ability to properly process and pay claims to some providers. To support you during this time, we have established a team dedicated to Maine healthcare providers.
Important update from Anthem in Maine Administrative Nov 22, 2021

Time to prepare for HEDIS® medical record review

November 2021 Anthem Maine Provider News Administrative Nov 1, 2021

Surprisingly easy ways to help patients quit smoking cigarettes

November 2021 Anthem Maine Provider News Administrative Nov 1, 2021

CME credits available in 2021 for a variety of clinical quality webinars - register now!

November 2021 Anthem Maine Provider News Administrative Nov 1, 2021

Join Anthem in talking about racism and its impact on health, and earn continuing education credits!

November 2021 Anthem Maine Provider News Administrative Nov 1, 2021

Be Antibiotics Aware: Protect your patient

November 2021 Anthem Maine Provider News Administrative Nov 1, 2021

Change in coverage for continuous glucose monitors for some fully insured groups

November 2021 Anthem Maine Provider News Administrative Nov 1, 2021

Include referring provider name and NPI on home infusion therapy and ambulatory infusion suite professional claims

November 2021 Anthem Maine Provider News Administrative Nov 1, 2021

EnrollSafe is available: Our new electronic funds transfer enrollment portal for Anthem providers

EnrollSafe replaces CAQH Enrollhub effective November 1, 2021
November 2021 Anthem Maine Provider News Digital Tools Nov 1, 2021

Reducing the burden of medical record review and improving health outcomes with ECDS HEDIS reporting

November 2021 Anthem Maine Provider News Digital Tools Nov 1, 2021

Against medical advice (AMA) discharge physician tracking tool

November 2021 Anthem Maine Provider News Digital Tools Nov 1, 2021

Join The Fenway Institute for a CME webinar about improving your LGBTQIA+ patient interactions

Join a live webinar, “LGBTQIA+ Care: Delivering Trust and Belonging with Every Interaction", presented by the National LGBTQIA+ Health Education Center at The Fenway Institute. 

Gain LGBTQIA+ Patient Interaction Knowledge - Maine Administrative Oct 21, 2021

Update on processing delays for provider applications and provider maintenance forms

Important message from Anthem in Maine Administrative Oct 13, 2021

Submit claims with complete and correct data to avoid claim denials

Submit claims with complete data to avoid claim denials - Maine Administrative Oct 8, 2021

Join the American Heart Association for a CME webinar on hypertension and diabetes disease management


Chronic disease management strategies for your patients with hypertension and diabetes

Date: Friday, October 8, 2021

Time: 12:00 p.m. ET

Clinical Quality CME Webinar Series Continues - Maine Administrative Oct 5, 2021

Federal Price Transparency and Consolidated Appropriations Act phase in new mandates beginning January 1, 2022

October 2021 Anthem Maine Provider News Administrative Oct 1, 2021

Looking to earn CME credits? Register for on-demand webinars

Provider News test publication Administrative Oct 1, 2021

Clarification: Anthem’s enhanced claim edits for outpatient facility claims

October 2021 Anthem Maine Provider News Administrative Oct 1, 2021

Are you talking to ALL of your patients about breast cancer screenings?

Provider News test publication Administrative Oct 1, 2021

Clinical appeals

October 2021 Anthem Maine Provider News Administrative Oct 1, 2021

Your recommendation is key to encouraging cancer screenings for your female patients

October 2021 Anthem Maine Provider News Administrative Oct 1, 2021

Reminder: EnrollSafe replacing CAQH Enrollhub effective November 1, 2021

October 2021 Anthem Maine Provider News Digital Tools Oct 1, 2021

Procedure searches in Find Care

October 2021 Anthem Maine Provider News Digital Tools Oct 1, 2021

Submit provider claim payment disputes for Anthem’s Commercial lines of business via Availity beginning October 19, 2021

October 2021 Anthem Maine Provider News Digital Tools Oct 1, 2021

Good news! Non-payment remittance advice enhancements coming soon

October 2021 Anthem Maine Provider News Digital Tools Oct 1, 2021

Exploring the Impact of Racial Trauma on the Health & Wellbeing of Children Forum

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about the impact of racial trauma on the health and wellbeing on children and adolescents.

Racial Trauma & Children - Maine Administrative Sep 15, 2021

Register now for our September CME webinars!

September 2021 Maine Provider News Administrative Sep 1, 2021

National Accounts 2022 Pre-certification list

September 2021 Maine Provider News Administrative Sep 1, 2021

Cure for the common cold: rest, fluids and this free prescription pad

Be Antibiotic Aware campaign offers a prescription solution to antibiotics
September 2021 Maine Provider News Administrative Sep 1, 2021

6 SIMPLE strategies to help increase medication adherence

September 2021 Maine Provider News Administrative Sep 1, 2021

Statin therapy for patients with diabetes

September 2021 Maine Provider News Administrative Sep 1, 2021

Get your payments faster when you sign up for electronic funds transfer

Introducing EnrollSafe, the new electronic funds transfer enrollment portal for Anthem providers – replacing CAQH Enrollhub effective November 1, 2021
September 2021 Maine Provider News Digital Tools Sep 1, 2021

HEDIS® medical record submission made easier with our Remote EMR Access Service

September 2021 Maine Provider News Digital Tools Sep 1, 2021

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

September 2021 Maine Provider News Administrative Sep 1, 2021

Anthem’s Provider Experience Model

September 2021 Maine Provider News Digital Tools Sep 1, 2021

Strategic Provider System to be implemented in August 2021

August 2021 Maine Provider News Administrative Aug 1, 2021

Register now for our August CME webinars

August 2021 Maine Provider News Administrative Aug 1, 2021

Telehealth visits can impact after-hospitalization follow-up care for mental illness

August 2021 Maine Provider News Administrative Aug 1, 2021

Clearing up coding confusion for retinal eye exams (DRE)

August 2021 Maine Provider News Administrative Aug 1, 2021

New! Schedule appointments online through Availity

August 2021 Maine Provider News Digital Tools Aug 1, 2021

Submitting prior authorizations is getting easier

August 2021 Maine Provider News Digital Tools Aug 1, 2021

Digital Provider Enrollment Application available for providers who do not use CAQH

August 2021 Maine Provider News Digital Tools Aug 1, 2021

Register for upcoming August CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

Motivating Patients to Adhere to Cervical Cancer Prevention and Screening Recommendations
Tuesday, August 3, 2021, 12:00 p.m. ET

10 Best Practices for Improving Pharmacy Quality Measures
Thursday, August 12, 2021, 1:00 p.m. or 3:00 p.m. ET

6 Ways to Improve Risk Adjustment Documentation Accuracy
Tuesday, August 17, 2021, 12:00 p.m. or 3:00 p.m. ET

Register Now!


Clinical Quality CME Webinar Series Continues - Maine Administrative Jul 29, 2021

Blue Precision program to be retired at end of 2021

July 2021 Maine Provider News Administrative Jul 1, 2021

New Strategic Provider System launch delayed

July 2021 Maine Provider News Administrative Jul 1, 2021

Register now to learn strategies to help your practice improve clinical quality

July 2021 Maine Provider News Administrative Jul 1, 2021

Another mark of the pandemic: an increase in childhood obesity

July 2021 Maine Provider News Administrative Jul 1, 2021

Proper coding for in-home monitoring can make a measurable difference for INR

July 2021 Maine Provider News Administrative Jul 1, 2021

Timely receipt of primary payer EOB helps avoid timely filing denials for secondary claims

July 2021 Maine Provider News Administrative Jul 1, 2021

Interactive Care Reviewer (ICR): New search option for cases submitted through ICR

July 2021 Maine Provider News Digital Tools Jul 1, 2021

Electronic claim response files

July 2021 Maine Provider News Digital Tools Jul 1, 2021

How to enroll in electronic fund transfer (EFT) for faster remittance

July 2021 Maine Provider News Digital Tools Jul 1, 2021

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators Administrative Jun 25, 2021

System upgrade billing requirements special notice

System upgrade billing requirements special notice for Maine providers Administrative Jun 10, 2021

Anthem’s new Strategic Provider System will launch in July 2021

June 2021 Anthem Maine Provider News Administrative Jun 1, 2021

Update to evaluation and management services correct coding - professional

June 2021 Anthem Maine Provider News Administrative Jun 1, 2021

Interactive Care Reviewer’s new copy feature decreases time to submit authorization request

June 2021 Anthem Maine Provider News Digital Tools Jun 1, 2021

Let’s Vaccinate

June 2021 Anthem Maine Provider News Administrative Jun 1, 2021

Claim edits enhanced for outpatient facility claims

June 2021 Anthem Maine Provider News Administrative Jun 1, 2021

Physicians and clinical teams: Study finds imaging for lower back pain does not improve outcomes

June 2021 Anthem Maine Provider News Administrative Jun 1, 2021

Keep your demographic and contact information current

June 2021 Anthem Maine Provider News Administrative Jun 1, 2021

Regular check-ins with your clearinghouse could help reduce timely filing denials

June 2021 Anthem Maine Provider News Administrative Jun 1, 2021

Two great learning resources on one secure portal

June 2021 Anthem Maine Provider News Digital Tools Jun 1, 2021

Digital solution options with Availity

June 2021 Anthem Maine Provider News Digital Tools Jun 1, 2021

Submit EDI corrected claims via Availity or EDI

June 2021 Anthem Maine Provider News Digital Tools Jun 1, 2021

Register for upcoming CME webinars

Join us in a new CME webinar series as we share practices and success stories to overcoming barriers in achieving clinical quality goals, attaining better patient outcomes and improving Stars ratings.

5 Strategies to Improve Your Quality Measures - June 10th, 12 p.m. or 3 p.m. ET
7 Ways to Enhance Your Patients’ Experience - June 17th, 12 p.m. or 3 p.m. ET

Register now!

Clinical Quality CME Webinar Series - Maine Administrative May 27, 2021

Register today for the In Pursuit of Racial Equity: Deconstructing Bias forum hosted by Anthem and Motivo on June 9, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about racial equity and implicit bias. 

Deconstructing Bias Forum Invitation - Maine Administrative May 21, 2021

Provider Manual updated effective July 1, 2021

May 2021 Anthem Maine Provider News Administrative May 1, 2021

A helpful guide to covered well-child visits 

May 2021 Anthem Maine Provider News Administrative May 1, 2021

May is National High Blood Pressure Education Month

May 2021 Anthem Maine Provider News Administrative May 1, 2021

Send larger digital attachments through Availity

May 2021 Anthem Maine Provider News Administrative May 1, 2021

Appointment Scheduler application

May 2021 Anthem Maine Provider News Administrative May 1, 2021

Provider bulletins for medical and itemized bill attachments

May 2021 Anthem Maine Provider News Administrative May 1, 2021

Refer to network DME providers for negative pressure wound therapy to help members save on out-of-pocket costs

May 2021 Anthem Maine Provider News Administrative May 1, 2021

Billing for deluxe hearing aids

May 2021 Anthem Maine Provider News Administrative May 1, 2021

Resources to support diverse patients and communities

May 2021 Anthem Maine Provider News Administrative May 1, 2021

2021 affirmative statement regarding utilization management decisions

May 2021 Anthem Maine Provider News Administrative May 1, 2021

Medicare supplemental claim crossover delay for certain members

Medicare Supplemental Claim Crossover Delay for Certain Members - Maine Administrative Apr 29, 2021

Does your practice offer telehealth services? Let us know!

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021
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