Maine
Provider Communications

Articles Category: Administrative

Title Publication Category Date

Register today for The Road to Allyship Forum hosted by Anthem and Motivo on February 3, 2021

Join us to hear from a diverse panel of experienced Motivo and Anthem professionals about racial equity and the importance of allies. 

The Road to Allyship Forum Invite from Anthem in Maine Administrative Jan 21, 2021

Important COVID-19 update: Prior authorization and other policy adjustments (updated January 13, 2021)

We recently updated prior authorization requirements for patient transfers from acute inpatient hospitals to skilled nursing facilities.
COVID-19 Information - Maine Administrative Jan 13, 2021

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (updated January 8, 2021)

We’ve updated information about coverage for telephonic-only care.
COVID-19 Information - Maine Administrative Jan 8, 2021

New features added to Interactive Care Reviewer

January 2021 Anthem Maine Provider News Administrative Jan 1, 2021

Find out in minutes why your claim denied

January 2021 Anthem Maine Provider News Administrative Jan 1, 2021

Self-service, digital transactions are fast and easy

January 2021 Anthem Maine Provider News Administrative Jan 1, 2021

Evaluation and Management changes for 2021

January 2021 Anthem Maine Provider News Administrative Jan 1, 2021

System updates for 2021 for professional services - professional

January 2021 Anthem Maine Provider News Administrative Jan 1, 2021

MCG Care Guidelines 24th Edition customization

January 2021 Anthem Maine Provider News Administrative Jan 1, 2021

System updates for 2021 for outpatient services - facility

January 2021 Anthem Maine Provider News Administrative Jan 1, 2021

Claims editing update for ICD-10-CM Excludes1 notes

January 2021 Anthem Maine Provider News Administrative Jan 1, 2021

It’s almost CAHPS survey time

January 2021 Anthem Maine Provider News Administrative Jan 1, 2021

Availity Attachment tools live webinars

January 2021 Anthem Maine Provider News Administrative Jan 1, 2021

Information from Anthem for Care Providers about COVID-19 (updated December 30, 2020)

We’ve updated information about cost share waivers for COVID-19 treatment as well as cost share information for telehealth and telephonic-only care.
COVID-19 Information - Maine Administrative Dec 30, 2020

Anthem and Quest Diagnostics form strategic relationship

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Access to claim denial information is now self-service

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Anthem makes going digital easy with the Provider Digital Engagement Supplement

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Two-minute videos to engage patients about preventive care

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

New ID cards for some Anthem members

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Prior authorization updates for commercial business effective March 1, 2021

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Updated BlueCard® Program Provider Manual available January 1, 2021

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

PCP after-hours access requirements

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Access requirements for behavioral healthcare services

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Anthem expands hospice policy

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Help ensure accuracy of provider directory

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Contracted air ambulance providers effective December 1, 2020

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Clinical practice and preventive health guidelines available on anthem.com

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Coordination of care

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Members’ Rights and Responsibilities

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Case Management Program

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Important information about utilization management

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Anthem Maine Provider News Administrative Nov 1, 2020

Get the full picture of your patient’s health through their smartphone

November 2020 Anthem Maine Provider News Administrative Nov 1, 2020

US Antibiotic Awareness Week

November 2020 Anthem Maine Provider News Administrative Nov 1, 2020

Updated Provider Manual effective January 1, 2021

November 2020 Anthem Maine Provider News Administrative Nov 1, 2020

Submission of clinical laboratory improvement amendments (CLIA) number on claims

November 2020 Anthem Maine Provider News Administrative Nov 1, 2020

Availity attachment tools live webinars

November 2020 Anthem Maine Provider News Administrative Nov 1, 2020

New reimbursement policy: Documentation Standards for Episodes of Care - professional

November 2020 Anthem Maine Provider News Administrative Nov 1, 2020

Reimbursement policy update: Modifier Rules - professional

November 2020 Anthem Maine Provider News Administrative Nov 1, 2020

Reimbursement policy update:  Bundled Services and Supplies - professional

November 2020 Anthem Maine Provider News Administrative Nov 1, 2020

Facility Revenue Code Billing Reimbursement Policy

November 2020 Anthem Maine Provider News Administrative Nov 1, 2020

Evaluation and management services correct coding - professional

October 2020 Anthem Maine Provider News Administrative Oct 1, 2020

Anthem Chat: A fast, easy way to have your questions answered

October 2020 Anthem Maine Provider News Administrative Oct 1, 2020

National drug code requirement on outpatient claims

October 2020 Anthem Maine Provider News Administrative Oct 1, 2020

Predictive analytics guide proactive support to patients undergoing chemo, resulting in lowered admissions

October 2020 Anthem Maine Provider News Administrative Oct 1, 2020

Updated coverage for breast cancer prevention medications

October 2020 Anthem Maine Provider News Administrative Oct 1, 2020

Commercial Risk Adjustment reporting update: New guidance on telephone-only service CPT codes for risk adjustment program

October 2020 Anthem Maine Provider News Administrative Oct 1, 2020

National Accounts 2021 Pre-certification list

October 2020 Anthem Maine Provider News Administrative Oct 1, 2020

New Availity medical claim attachment webinars: register today

October 2020 Anthem Maine Provider News Administrative Oct 1, 2020

Electronic member ID cards available on the Availity portal

October 2020 Anthem Maine Provider News Administrative Oct 1, 2020

What Matters Most online CME course: Improving the Patient Experience

October 2020 Anthem Maine Provider News Administrative Oct 1, 2020

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

September 2020 Anthem Maine Provider News Administrative Sep 1, 2020

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

September 2020 Anthem Maine Provider News Administrative Sep 1, 2020

EDI Gateway migration deadline is September 15, 2020

September 2020 Anthem Maine Provider News Administrative Sep 1, 2020

Patient360 adds care gap alert feedback for medical providers

September 2020 Anthem Maine Provider News Administrative Sep 1, 2020

Enhanced medical records submission process to support claims processing

September 2020 Anthem Maine Provider News Administrative Sep 1, 2020

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

September 2020 Anthem Maine Provider News Administrative Sep 1, 2020

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

September 2020 Anthem Maine Provider News Administrative Sep 1, 2020

Coming soon - Interactive Care Reviewer Anthem’s self-service online prior authorization tool

August 2020 Anthem Maine Provider News Administrative Aug 1, 2020

Reminder - New ID cards for many Anthem members

August 2020 Anthem Maine Provider News Administrative Aug 1, 2020

Migrate your EDI transactions to Availity today

August 2020 Anthem Maine Provider News Administrative Aug 1, 2020

Clinical Laboratory Improvement Amendments (CLIA) ID number required for electronic claims submissions

August 2020 Anthem Maine Provider News Administrative Aug 1, 2020

Electronic attachments - X12 275 5010

August 2020 Anthem Maine Provider News Administrative Aug 1, 2020

Prior Authorization/Referral Request and Inpatient Admission/Discharge Notification transactions coming soon

August 2020 Anthem Maine Provider News Administrative Aug 1, 2020

Medical record standards

August 2020 Anthem Maine Provider News Administrative Aug 1, 2020

Resources to support diverse patients and communities

August 2020 Anthem Maine Provider News Administrative Aug 1, 2020

Appropriate coding helps provide a comprehensive picture of members’ health

August 2020 Anthem Maine Provider News Administrative Aug 1, 2020

SmartShopper® program update

July 2020 Anthem Maine Provider News Administrative Jul 1, 2020

Interactive Care Reviewer: Anthem’s online prior authorization tool targeted to launch in Q3

July 2020 Anthem Maine Provider News Administrative Jul 1, 2020

Availity’s Custom Learning Center

July 2020 Anthem Maine Provider News Administrative Jul 1, 2020

New MCG 24th Edition Guidelines

July 2020 Anthem Maine Provider News Administrative Jul 1, 2020

Commercial Risk Adjustment (CRA) 2020 Program Year Progression: What’s in it for you and your patients?

July 2020 Anthem Maine Provider News Administrative Jul 1, 2020

Updated coverage for HIV PrEP medications

July 2020 Anthem Maine Provider News Administrative Jul 1, 2020

A special thank you to Care Providers

Thank you for your tireless efforts in keeping our country healthy. For all you do, we would like to share a message of our gratitude.
COVID-19 Information - Maine Administrative Jun 1, 2020

Anthem introduces lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

COVID-19 Information - Maine Administrative Jun 1, 2020

Availity Portal Notification Center

June 2020 Anthem Maine Provider News Administrative Jun 1, 2020

Quality Corner: CPT® Category II codes - Collaborating for enhanced patient care

June 2020 Anthem Maine Provider News Administrative Jun 1, 2020

Commercial Risk Adjustment (CRA) Program update: Retrospective Program begins; Prospective Program continues

June 2020 Anthem Maine Provider News Administrative Jun 1, 2020

Anthem Waives Cost Share for COVID-19 Treatment (updated May 29, 2020)

Effective April 1, we expanded coverage for our members undergoing treatment related to a COVID-19 diagnosis, which covers the waiver of cost shares for COVID-19 treatment received through December 31, 2020.
COVID-19 Information - Maine Administrative May 29, 2020

Introducing lower cost Anthem Health Access Plans on June 1 in response to COVID-19 crisis

Beginning June 1, 2020, Anthem is introducing our Anthem Health Access Plans for certain large group employers currently enrolled in our commercial lines of business only.
N/A Administrative May 26, 2020

Webinar recording now available for network providers on SBA loans and other federal relief programs in response to COVID-19 (Updated May 1, 2020)

Anthem hosted a provider webinar to share information and resources with its network providers regarding opportunities providers have to access loans through the U.S Small Business Administration (SBA) and other federal programs in response to the economic impact of COVID-19. Access the webinar recording using the password “health” to learn more about federal financial relief for providers.
COVID-19 Information - Maine Administrative May 1, 2020

View all COVID-19 related articles in one repository location - COVID-19 Information - Maine

COVID-19 Information - Maine Administrative May 1, 2020

Provider Manual to be updated July 1, 2020

May 2020 Anthem Maine Provider News Administrative May 1, 2020

Reminder about system updates

May 2020 Anthem Maine Provider News Administrative May 1, 2020

Quality Corner - Diabetes HbA1c<8 HEDIS guidance

May 2020 Anthem Maine Provider News Administrative May 1, 2020

Commercial Risk Adjustment (CRA) Prospective Program update: Assessing patients for risk adjustable conditions

May 2020 Anthem Maine Provider News Administrative May 1, 2020

Federal Resources Available for Care Providers and Employers in the Federal CARES Act

During the COVID-19 crisis, care providers are working to keep the country running while navigating the financial impact it is having on them. To help care providers navigate the resources available to them, Anthem has compiled information on programs we have learned about that could provide additional financial relief during this crisis. 
COVID-19 Information - Maine Administrative Apr 10, 2020

Information from Anthem for Care Providers about COVID-19

Bookmark Provider News Home for the latest information for Care Providers about COVID-19.
April 2020 Anthem Maine Provider News Administrative Apr 1, 2020

Anthem acquires Beacon Health Options

April 2020 Anthem Maine Provider News Administrative Apr 1, 2020

Provider Manual to be updated July 1, 2020

April 2020 Anthem Maine Provider News Administrative Apr 1, 2020

Continued focus on updates to public provider website

April 2020 Anthem Maine Provider News Administrative Apr 1, 2020

MCG Care Guidelines 24th Edition

April 2020 Anthem Maine Provider News Administrative Apr 1, 2020

Provider transparency update

April 2020 Anthem Maine Provider News Administrative Apr 1, 2020

HEDIS 2020 Federal Employee Program® medical records request requirements

April 2020 Anthem Maine Provider News Administrative Apr 1, 2020

Anthem acquires Beacon Health Options

N/A Administrative Mar 2, 2020

New enhancements with Provider News

March 2020 Anthem Maine Provider News Administrative Mar 1, 2020

Reminder: non-physical, occupational or speech therapists must include modifiers on physical, occupational, or speech therapy claims

March 2020 Anthem Maine Provider News Administrative Mar 1, 2020

Patient360 enhancement for medical providers

March 2020 Anthem Maine Provider News Administrative Mar 1, 2020

Commercial Risk Adjustment (CRA) Program update: Medical chart collection for ACA members due March 31, 2020

March 2020 Anthem Maine Provider News Administrative Mar 1, 2020

Modifier use reminders

March 2020 Anthem Maine Provider News Administrative Mar 1, 2020
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