Maine
Provider Communications

Articles

Title Publication Category Date

System upgrade billing requirements special notice

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

Information from Anthem for Care Providers about COVID-19 (updated June 9, 2021)

We recently updated information about coverage and cost shares for telephonic-only care.
COVID-19 Information - Maine Administrative Jun 9, 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

Inpatient readmissions policy reminder

June 2021 Anthem Maine Provider News Medicare Jun 1, 2021

Medical policies and clinical utilization management guidelines update

June 2021 Anthem Maine Provider News Medicare Jun 1, 2021

MCG Care Guidelines 25th Edition

June 2021 Anthem Maine Provider News Medicare Jun 1, 2021

Keep up with Medicare news

June 2021 Anthem Maine Provider News Medicare 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

Updates to AIM Advanced Imaging Clinical Appropriateness Guideline

June 2021 Anthem Maine Provider News Products & Programs Jun 1, 2021

Updates to AIM Musculoskeletal Program Clinical Appropriateness Guidelines

June 2021 Anthem Maine Provider News Products & Programs Jun 1, 2021

Prior authorization and step therapy updates for specialty pharmacy

June 2021 Anthem Maine Provider News Pharmacy Jun 1, 2021

Clinical criteria updates for specialty pharmacy

June 2021 Anthem Maine Provider News Pharmacy Jun 1, 2021

Pharmacy information available on anthem.com

June 2021 Anthem Maine Provider News Pharmacy Jun 1, 2021

DEXA bone scan criteria for the Federal Employee Program

June 2021 Anthem Maine Provider News Federal Employee Plan (FEP) 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

Reimbursement policy update: Claims Requiring Additional Documentation - facility

May 2021 Anthem Maine Provider News Reimbursement Policies May 1, 2021

Maximizing efficient, high quality COVID-19 screenings

May 2021 Anthem Maine Provider News Medicare May 1, 2021

Keep up with Medicare news

May 2021 Anthem Maine Provider News Medicare May 1, 2021

Modification to voluntary Cancer Care Quality Program (CCQP) - enhanced reimbursement to begin July 1, 2021

May 2021 Anthem Maine Provider News Products & Programs May 1, 2021

Update to AIM Specialty Health Oncologic Imaging Clinical Appropriateness Guidelines

May 2021 Anthem Maine Provider News Products & Programs May 1, 2021

Clinical criteria updates for specialty pharmacy

May 2021 Anthem Maine Provider News Pharmacy May 1, 2021

Specialty pharmacy prior authorization update - certain drugs for treatment of ocular conditions continue to require prior authorization

May 2021 Anthem Maine Provider News Pharmacy May 1, 2021

Prior authorization updates for specialty pharmacy effective August 2021

May 2021 Anthem Maine Provider News Pharmacy 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

Reimbursement policy reminder: Readmission - facility

May 2021 Anthem Maine Provider News Reimbursement Policies May 1, 2021

Reimbursement policy update: Frequency Editing - professional

May 2021 Anthem Maine Provider News Reimbursement Policies May 1, 2021

Clinical guideline update available on anthem.com

May 2021 Anthem Maine Provider News Medical Policy & Clinical Guidelines May 1, 2021

Medicare supplemental claim crossover delay for certain members

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

Update: Site of Care medical necessity reviews for long-acting colony-stimulating factors to begin August 1, 2021

April 2021 Anthem Maine Provider News Products & Programs Apr 1, 2021

Does your practice offer telehealth services? Let us know!

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Provider Manual to be updated July 1, 2021

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Procedure searches in Find Care - new sort option

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

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

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

MCG care guidelines 25th Edition

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

New reimbursement policy: Clinic Charges - facility

April 2021 Anthem Maine Provider News Reimbursement Policies Apr 1, 2021

Medical drug benefit clinical criteria updates - November 2020

April 2021 Anthem Maine Provider News Medicare Apr 1, 2021

Medical drug benefit clinical criteria updates - December 2020

April 2021 Anthem Maine Provider News Medicare Apr 1, 2021

In-Office Assessment program

April 2021 Anthem Maine Provider News Medicare Apr 1, 2021

Oncology dose reduction program beginning July 1, 2021

April 2021 Anthem Maine Provider News Medicare Apr 1, 2021

CPT code E1399 not included in AIM Sleep Program effective April 1, 2021

April 2021 Anthem Maine Provider News Products & Programs Apr 1, 2021

The heath of millennials: Trends in behavioral health conditions

April 2021 Anthem Maine Provider News Behavioral Health Apr 1, 2021

Prior authorization updates for specialty pharmacy effective July 1, 2021

April 2021 Anthem Maine Provider News Pharmacy Apr 1, 2021

Correction: Updated formulary lists for commercial health plan pharmacy benefit effective April 1, 2021

April 2021 Anthem Maine Provider News Pharmacy Apr 1, 2021

Clinical criteria updates for specialty pharmacy

April 2021 Anthem Maine Provider News Pharmacy Apr 1, 2021

Pharmacy information available on anthem.com

April 2021 Anthem Maine Provider News Pharmacy Apr 1, 2021

Keeping up with routine vaccination during COVID-19: Well-child visits and vaccinations are essential services

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Update to provider UM reimbursement penalties and corresponding language in Provider Manual

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Maximizing efficient, high quality COVID-19 screenings

COVID-19 Information - Maine Administrative Apr 1, 2021

Chat directly with a prior authorization specialist

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Interactive bilingual website Taking Action for our Health

Exclusively developed for the Latino Community.
April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Join Anthem in talking about racism and its impact on health

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Attention facilities: Sending admission, discharge and transfer data to Anthem results in improved care management for patients

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Payer Spaces update - Education and Reference Center is now the Information Center

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Make the change to digital authorization/referral and hospital admission notifications using EDI

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Understanding Availity roles for Electronic Data Interchange (EDI)

April 2021 Anthem Maine Provider News Administrative Apr 1, 2021

Medical policy and clinical guideline updates are available on anthem.com

April 2021 Anthem Maine Provider News Medical Policy & Clinical Guidelines Apr 1, 2021

HEDIS 2021 Federal Employee Program® medical record request requirements

April 2021 Anthem Maine Provider News Federal Employee Plan (FEP) Apr 1, 2021

New provider directory indicator for telehealth services

March 2021 Anthem Maine Provider News Medicare Mar 1, 2021

Medical policies and clinical utilization management guidelines update for Anthem and AMH Health, LLC.

March 2021 Anthem Maine Provider News Medicare Mar 1, 2021

Access to more claim denial information is now self-service

March 2021 Anthem Maine Provider News Medicare Mar 1, 2021

Keep up with Medicare news

March 2021 Anthem Maine Provider News Medicare Mar 1, 2021

UPDATE: Notice of changes to the AIM Small Joint Surgery Guideline

March 2021 Anthem Maine Provider News Products & Programs Mar 1, 2021

Site of care medical necessity reviews for long-acting colony-stimulating factors begin June 1, 2021

March 2021 Anthem Maine Provider News Pharmacy Mar 1, 2021

Certain HIV medication combinations may require prior authorization

March 2021 Anthem Maine Provider News Pharmacy Mar 1, 2021

Specialty pharmacy updates

March 2021 Anthem Maine Provider News Pharmacy Mar 1, 2021

New utilization management tool now available on Availity Payer Spaces: Authorization Rules Lookup tool

March 2021 Anthem Maine Provider News Administrative Mar 1, 2021

Medical attachment capability now includes itemized bills and more

March 2021 Anthem Maine Provider News Administrative Mar 1, 2021

Prior authorization updates for specialty pharmacy effective May 1, 2021

February 2021 Anthem Maine Provider News Pharmacy Feb 1, 2021

Clinical criteria updates for specialty pharmacy

February 2021 Anthem Maine Provider News Pharmacy Feb 1, 2021

Formulary lists updated for commercial health plan pharmacy benefit

February 2021 Anthem Maine Provider News Pharmacy Feb 1, 2021

Pharmacy information available on anthem.com

February 2021 Anthem Maine Provider News Pharmacy Feb 1, 2021

New provider directory indicator for telehealth services

February 2021 Anthem Maine Provider News Administrative Feb 1, 2021

Reimbursement policy update: Treatment Rooms with Office Evaluation and Management Services - Facility

February 2021 Anthem Maine Provider News Reimbursement Policies Feb 1, 2021

Medical drug benefit clinical criteria updates

February 2021 Anthem Maine Provider News Medicare Feb 1, 2021

Keep up with Medicare news

February 2021 Anthem Maine Provider News Medicare Feb 1, 2021

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

Prior authorization updates for specialty pharmacy

January 2021 Anthem Maine Provider News Pharmacy Jan 1, 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
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