Maine
Provider Communications

Articles Category: Administrative

Title Publication Category Date

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

Provider Learning Hub is here

October 2022 Provider Newsletter – Maine Digital Tools Oct 1, 2022

Updates to the Claim Attachment workflow

September 2022 Anthem Maine Provider News Digital Tools Sep 1, 2022

Claims status message enhancements: providing clear descriptions and actionable next steps

November 2022 Provider Newsletter - Maine Digital Tools Nov 1, 2022

Authorization application enhancements: faster, easier, and more efficient

November 2022 Provider Newsletter - Maine Digital Tools Nov 1, 2022

Submit digital attachments within seven calendar days for claims filed with a PWK segment indicator

November 2022 Provider Newsletter - Maine Digital Tools Nov 1, 2022

You can now submit one electronic claim dispute for multiple claims and access correspondence digitally, too

November 2022 Provider Newsletter - Maine Digital Tools Nov 1, 2022

Enhancing claims attachment processes through digital applications: Add attachments through Claims Status Inquiry

July 2022 Anthem Maine Provider News Digital Tools Jul 1, 2022

Visit the Provider Learning Hub to view our latest learning opportunities

November 2022 Provider Newsletter - Maine Digital Tools Nov 1, 2022

Helping to reduce delays when submitting attachments: Make sure your correspondence includes one of these elements

February 2023 Provider Newsletter - Maine Digital Tools Feb 1, 2023

Coming soon: Anthem Provider Learning Hub makes Availity learning easier

July 2022 Anthem Maine Provider News Digital Tools Jul 1, 2022

Enhancing Provider News website and email communications

February 2023 Provider Newsletter - Maine Digital Tools Feb 1, 2023

Simplifying requests for additional information

March 2022 Anthem Maine Provider News Digital Tools Mar 1, 2022

Enhancements to the Availity Authorization application are now available

March 2022 Anthem Maine Provider News Digital Tools Mar 1, 2022

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

July 2021 Maine Provider News Digital Tools Jul 1, 2021

Procedure searches in Find Care

April 2022 Anthem Maine Provider News Digital Tools Apr 1, 2022

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

Anthem’s Provider Experience Model

September 2021 Maine Provider News Digital Tools Sep 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

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

June 2021 Anthem Maine Provider News Digital Tools Jun 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

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

Is prior authorization required?

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

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

September 2021 Maine Provider News Digital Tools Sep 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

Performance enhancements to the authorization application on Availity Essentials

August 2022 Anthem Maine Provider News Digital Tools Aug 1, 2022

Introducing the Provider Learning Hub

August 2022 Anthem Maine Provider News Digital Tools Aug 1, 2022

Two great learning resources on one secure portal

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

Add supporting documents directly to your claims with the new Claims Status Inquiry Send Attachments feature

August 2022 Anthem Maine Provider News Digital Tools Aug 1, 2022

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

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

Good news! Non-payment remittance advice enhancements coming soon

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

Reminder: EnrollSafe replacing CAQH Enrollhub effective November 1, 2021

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

Anthem to acquire Beacon Health Options

Anthem to acquire Beacon Health Options Administrative Jun 6, 2019

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

Statin Therapy Exclusions for Patients With Cardiovascular Disease/Diabetes HEDIS measures

March 2023 Anthem Provider News - Maine Administrative Mar 1, 2023

Telephonic-only care allowance extended through April 11, 2023

Telephonic-only care allowance extended through April 11, 2023 - Maine Administrative Jan 11, 2023

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

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

Sign up today for provider eUpdates

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Notices of material changes/amendments to contract - May 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:

  • Provider Manual updated effective July 1, 2022
  • Medical policy and clinical guideline updates available on anthem.com
  • Clinical criteria updates for specialty pharmacy
  • Specialty pharmacy updates - May 2022
May 2022 Anthem Maine Provider News Administrative May 1, 2022

Additional changes to anthem.com to launch in March

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Provider Manual updated effective July 1, 2022

Notice of material change/amendment to contract
May 2022 Anthem Maine Provider News Administrative May 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

 

September 2022 Anthem Maine Provider News Administrative Sep 1, 2022

Notices of material changes/amendments to contract - October 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:
  • Precertification list changes effective January 1, 2023
  • Clinical Criteria updates for specialty pharmacy
  • Specialty pharmacy updates - October 2022
  • Reimbursement policy update: Multiple and Bilateral Surgery Processing – Professional
October 2022 Provider Newsletter – Maine Administrative Oct 1, 2022

Monkeypox and smallpox vaccines: Product code on claims

October 2022 Provider Newsletter – Maine Administrative Oct 1, 2022

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

Anthem acquires Beacon Health Options

N/A Administrative Mar 2, 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

Precertification list changes effective January 1, 2023

Notice of material change/amendment to contract
October 2022 Provider Newsletter – Maine Administrative Oct 1, 2022

Continuing to Explore the Intersection of Race and Disability

September 2022 Anthem Maine Provider News Administrative Sep 1, 2022

National Accounts 2023 Pre-certification list

October 2022 Provider Newsletter – Maine Administrative Oct 1, 2022

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

Important information about women’s preventive care visits

September 2022 Anthem Maine Provider News Administrative Sep 1, 2022

Important reminder: New ID cards for many of our Anthem Blue Cross and Blue Shield members

New ID cards for Anthem Blue Cross and Blue Shield members - Maine Administrative Jan 19, 2023

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

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Anthem to accept Hospital in Home services

September 2022 Anthem Maine Provider News Administrative Sep 1, 2022

CAA: Review your online provider directory information

October 2022 Provider Newsletter – Maine Administrative Oct 1, 2022

Prior authorization required for hip and knee services for State of Maine Health Plan members effective July 1, 2022

October 2022 Provider Newsletter – Maine Administrative Oct 1, 2022

Digital Provider Enrollment application now available

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Drug code billing reminder

September 2022 Anthem Maine Provider News Administrative Sep 1, 2022

Explore updates to medical attachment tool

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Patient360 adds care gap alert feedback for medical providers

September 2020 Anthem Maine Provider News Administrative Sep 1, 2020

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

September 2022 Anthem Maine Provider News Administrative Sep 1, 2022

System upgrade billing requirements special notice

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

EDI Gateway migration updates

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Update on processing delays for provider applications and provider maintenance forms

Important message from Anthem in Maine Administrative Oct 13, 2021

Anthem announces changes to post-payment audits conducted on our behalf

May 2022 Anthem Maine Provider News Administrative May 1, 2022

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

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

May is National High Blood Pressure Education Month: We’ve got this!

May 2022 Anthem Maine Provider News Administrative May 1, 2022

Alcohol use disorder has a big cost

May 2022 Anthem Maine Provider News Administrative May 1, 2022

Well-child visits: Know the numbers

January 2022 Anthem Maine Provider News Administrative Jan 1, 2022

Resources to support diverse patients and communities

May 2022 Anthem Maine Provider News Administrative May 1, 2022

HEDIS® 2019: Controlling High Blood Pressure

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Coding tips for reporting administration of Spravato®

May 2022 Anthem Maine Provider News Administrative May 1, 2022

CAA: Timely updates help keep our provider directories current

May 2022 Anthem Maine Provider News Administrative May 1, 2022

Introducing Elevance Health — Focusing on whole health and its most powerful drivers

July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

You are invited: Advancing Mental Health Equity for Youth & Young Adults

Register today for the Advancing Mental Health Equity for Youth & Young Adults forum hosted by Anthem Blue Cross and Blue Shield (Anthem) and Motivo* for Anthem providers on March 15, 2023.
March 2023 Anthem Provider News - Maine Administrative Mar 1, 2023

Primary care appointment access and open panels

May 2022 Anthem Maine Provider News Administrative May 1, 2022

Notices of material changes/amendments to contract - July 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:

  • Clinical criteria updates for specialty pharmacy
July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

Notices of material changes/amendments to contract - March 2023

March 2023 Anthem Provider News - Maine Administrative Mar 1, 2023

Clinical practice and preventive health guidelines available on anthem.com

March 2019 Anthem Maine Provider Newsletter Administrative Mar 1, 2019

Enhanced reimbursement for voluntary Cancer Care Quality Program to be discontinued effective December 31, 2022

July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

Coordination of care

December 2022 Provider Newsletter - Maine Administrative Dec 1, 2022

Case management program

December 2022 Provider Newsletter - Maine Administrative Dec 1, 2022

Important information about utilization management

December 2022 Provider Newsletter - Maine Administrative Dec 1, 2022

Anthem and Quest Diagnostics form strategic relationship

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Update to facility editing: HCPCS code G0463

July 2022 Anthem Maine Provider News Administrative Jul 1, 2022

Access to claim denial information is now self-service

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Notices of material changes/amendments to contract – March 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:

  • AIM Specialty Health Outpatient Rehabilitative and Habilitative Services Clinical Appropriateness Guidelines updates
  • Clinical criteria updates for specialty pharmacy
  • Correction to February 2022 specialty pharmacy updates
  • Specialty pharmacy updates - March 2022
March 2022 Anthem Maine Provider News Administrative Mar 1, 2022
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