Maine
Provider Communications

Articles Month: July 2019

Title Publication Category Date

UPDATE: new Rehabilitative Program remains temporarily delayed

Maine - UPDATE: New Rehabilitative Program Remains Temporarily Delayed Products & Programs Jul 16, 2019

UPDATE: new Rehabilitative Program now effective August 1, 2019

Maine - July UPDATE: New Rehabilitative Program Now Effective August 1, 2019 Products & Programs Jul 3, 2019

Updates to AIM Advanced Imaging Clinical Appropriateness Guidelines

July 2019 Anthem Maine Provider News Products & Programs Jul 1, 2019

Clinical criteria updates for specialty pharmacy

July 2019 Anthem Maine Provider News Pharmacy Jul 1, 2019

Clinical criteria coding updates for specialty pharmacy

July 2019 Anthem Maine Provider News Pharmacy Jul 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

Modifier 63 reminder - professional

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

ICD-10-CM coding guidelines and laterality - professional

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

Un-adopted clinical guidelines effective June 1, 2019

July 2019 Anthem Maine Provider News Medical Policy & Clinical Guidelines Jul 1, 2019

Federal Employee Health Benefit Program® (FEP) PPO members will now require prior approval for specific specialty drugs and site of care

July 2019 Anthem Maine Provider News Federal Employee Plan (FEP) Jul 1, 2019

Sepsis diagnosis coding and billing reminder

July 2019 Anthem Maine Provider News Medicare Jul 1, 2019

Home health billing guidelines for contracted providers

July 2019 Anthem Maine Provider News Medicare Jul 1, 2019

Outpatient Rehabilitation Program transitioning to AIM

July 2019 Anthem Maine Provider News Medicare Jul 1, 2019

Keep up with Medicare news

July 2019 Anthem Maine Provider News Medicare Jul 1, 2019

Changes to Claim Status Inquiry and Secure Messaging on the Availity Portal

July 2019 Anthem Maine Provider News Administrative Jul 1, 2019

Electronic claim payment reconsideration

July 2019 Anthem Maine Provider News Medicare Jul 1, 2019
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