Maine
Provider Communications

Articles Month: December 2019

Title Publication Category Date

Reminder: New AIM Rehabilitative Program effective November 1, 2019

December 2019 Anthem Maine Provider News Products & Programs Dec 1, 2019

Coding reminder for psychological and neuropsychological testing

December 2019 Anthem Maine Provider News Behavioral Health Dec 1, 2019

Clinical criteria updates for specialty pharmacy

December 2019 Anthem Maine Provider News Pharmacy Dec 1, 2019

Pharmacy information available on anthem.com

December 2019 Anthem Maine Provider News Pharmacy Dec 1, 2019

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

Coordination of benefits for an FEP® member

December 2019 Anthem Maine Provider News Federal Employee Plan (FEP) Dec 1, 2019

2020 Medicare Advantage individual benefits and formularies

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

CMS reminder: expedited/urgent requests

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Group Retiree PPO plans

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Global 3M19 Medical Policy and Technology Assessment Committee prior authorization updates

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Prior authorization requirements for E0784, K0553 and K0554

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Electronic data interchange

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Anthem | MaineHealth to offer three new health maintenance organizations in 2020

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Introducing Interactive Care Reviewer

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

AMH Health, LLC (Anthem | MaineHealth) reimbursement policies

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Medical drug clinical criteria updates

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019

Reminder: refer Medicare Advantage members to in-network providers

December 2019 Anthem Maine Provider News Medicare Dec 1, 2019
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