Maine
Provider Communications

Articles Category: Administrative

Title Publication Category Date

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

COVID-19 Update: Guidance for telehealth/telephonic care for Behavioral Health services (updated June 9, 2020)

We are extending coverage for telehealth and telephonic-only care. Through September 30, 2020, Anthem will waive member cost shares for telehealth visits from in-network providers, including visits for mental health or substance use disorders.
COVID-19 Information - Maine Administrative Jun 9, 2020

Information from Anthem for Care Providers about COVID-19 (updated June 9, 2020)

We recently updated FAQs to reflect the extension of coverage for telehealth and telephonic care.
COVID-19 Information - Maine Administrative Jun 9, 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

Important COVID-19 update: Prior authorization and other policy adjustments (updated May 29, 2020)

We’ve updated guidance about prior authorization requirements and other policy adjustments in response to unprecedented demands on health care providers.
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

Important coding reminder for Walk-in Retail Health Clinics

March 2020 Anthem Maine Provider News Administrative Mar 1, 2020

Provider Maintenance Form (PMF) enhancement

March 2020 Anthem Maine Provider News Administrative Mar 1, 2020

CLIA claim requirements effective May 1, 2020

February 2020 Anthem Maine Provider News Administrative Feb 1, 2020

Shine Light on Depression school-based suicide prevention initiative

February 2020 Anthem Maine Provider News Administrative Feb 1, 2020

SOAP Notes Health Assessments for 2019 calendar year due February 15, 2020

February 2020 Anthem Maine Provider News Administrative Feb 1, 2020

Many Anthem members received new ID numbers effective January 1, 2020

Many Anthem members received new ID numbers effective January 1, 2020 - Maine Administrative Jan 9, 2020

Postponed: review of professional claims with emergency room level 5 E/M codes

January 2020 Anthem Maine Provider News Administrative Jan 1, 2020

Outpatient facility edit implementation effective April 26, 2020

January 2020 Anthem Maine Provider News Administrative Jan 1, 2020

Important update: Milliman Care Guideline (MCG), 23rd Edition, Pelvic Organ Prolapse Repair

January 2020 Anthem Maine Provider News Administrative Jan 1, 2020

Upcoming retirement planned for legacy medical attachment submission tool

January 2020 Anthem Maine Provider News Administrative Jan 1, 2020

Receive and respond to post pay audit medical record requests via Availity beginning February 10, 2020

January 2020 Anthem Maine Provider News Administrative Jan 1, 2020

Let us help you accomplish your 2020 “To Do” list early - EDI migration

January 2020 Anthem Maine Provider News Administrative Jan 1, 2020

New Year brings new ID cards for many Anthem members

January 2020 Anthem Maine Provider News Administrative Jan 1, 2020

Sign up today for provider eUpdates

January 2020 Anthem Maine Provider News Administrative Jan 1, 2020

2020 FEP® benefit information available online

January 2020 Anthem Maine Provider News Administrative Jan 1, 2020

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

Claim editing update for Excludes1 notes

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

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
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