Maine
Provider Communications

Articles

Title Publication Category Date

Prior authorization updates for specialty pharmacy effective March 1, 2021

December 2020 Anthem Maine Provider News Pharmacy Dec 1, 2020

Clinical criteria updates for specialty pharmacy

December 2020 Anthem Maine Provider News Pharmacy Dec 1, 2020

Pharmacy information available on anthem.com

December 2020 Anthem Maine Provider News Pharmacy Dec 1, 2020

Anthem and Quest Diagnostics form strategic relationship

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Access to claim denial information is now self-service

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Anthem makes going digital easy with the Provider Digital Engagement Supplement

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Two-minute videos to engage patients about preventive care

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

New ID cards for some Anthem members

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Prior authorization updates for commercial business effective March 1, 2021

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Updated BlueCard® Program Provider Manual available January 1, 2021

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

PCP after-hours access requirements

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Access requirements for behavioral healthcare services

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Anthem expands hospice policy

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Help ensure accuracy of provider directory

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Contracted air ambulance providers effective December 1, 2020

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Clinical practice and preventive health guidelines available on anthem.com

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Coordination of care

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Members’ Rights and Responsibilities

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Case Management Program

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Important information about utilization management

December 2020 Anthem Maine Provider News Administrative Dec 1, 2020

Reimbursement policy update: Bundled Services and Supplies - professional

December 2020 Anthem Maine Provider News Reimbursement Policies Dec 1, 2020

2021 Medicare Advantage individual benefits and formularies

December 2020 Anthem Maine Provider News Medicare Dec 1, 2020

Medicare Advantage Group Retiree member eligibility, alpha prefix FAQs

December 2020 Anthem Maine Provider News Medicare Dec 1, 2020

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

December 2020 Anthem Maine Provider News Medicare Dec 1, 2020

Digital transactions cut administrative tasks in half

December 2020 Anthem Maine Provider News Medicare Dec 1, 2020

Keep up with Medicare news

December 2020 Anthem Maine Provider News Medicare Dec 1, 2020

Reminder: Post-service reviews performed by AIM

November 2020 Anthem Maine Provider News Products & Programs Nov 1, 2020

Prior authorization updates for specialty pharmacy effective February 1, 2021

November 2020 Anthem Maine Provider News Pharmacy Nov 1, 2020

Clinical criteria updates for specialty pharmacy

November 2020 Anthem Maine Provider News Pharmacy Nov 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Anthem Maine Provider News Administrative Nov 1, 2020

Get the full picture of your patient’s health through their smartphone

November 2020 Anthem Maine Provider News Administrative Nov 1, 2020

US Antibiotic Awareness Week

November 2020 Anthem Maine Provider News Administrative Nov 1, 2020

Updated Provider Manual effective January 1, 2021

November 2020 Anthem Maine Provider News Administrative Nov 1, 2020

Submission of clinical laboratory improvement amendments (CLIA) number on claims

November 2020 Anthem Maine Provider News Administrative Nov 1, 2020

Availity attachment tools live webinars

November 2020 Anthem Maine Provider News Administrative Nov 1, 2020

New reimbursement policy: Documentation Standards for Episodes of Care - professional

November 2020 Anthem Maine Provider News Administrative Nov 1, 2020

Reimbursement policy update: Modifier Rules - professional

November 2020 Anthem Maine Provider News Administrative Nov 1, 2020

Reimbursement policy update:  Bundled Services and Supplies - professional

November 2020 Anthem Maine Provider News Administrative Nov 1, 2020

Facility Revenue Code Billing Reimbursement Policy

November 2020 Anthem Maine Provider News Administrative Nov 1, 2020

Clinical guideline updates are available on anthem.com

November 2020 Anthem Maine Provider News Medical Policy & Clinical Guidelines Nov 1, 2020

Preferred continuous glucose monitors

November 2020 Anthem Maine Provider News Medicare Nov 1, 2020

Provider Chat - a fast, easy way to get your questions answered

November 2020 Anthem Maine Provider News Medicare Nov 1, 2020

Medical drug benefit clinical criteria updates

November 2020 Anthem Maine Provider News Medicare Nov 1, 2020

FDA approvals and expedited pathways used - new molecular entities

November 2020 Anthem Maine Provider News Medicare Nov 1, 2020

Digital transactions cut administrative tasks in half

November 2020 Anthem Maine Provider News Medicare Nov 1, 2020

Keep up with Medicare news

November 2020 Anthem Maine Provider News Medicare Nov 1, 2020

Register today for a Racial Trauma Forum hosted by Anthem and Motivo on October 28, 2020

Racial Trauma Forum invitation - Maine Behavioral Health Oct 14, 2020

Reminder: Expansion of AIM Musculoskeletal Program effective November 1, 2020

October 2020 Anthem Maine Provider News Products & Programs Oct 1, 2020

Transition to AIM Rehabilitative Service Clinical Appropriateness Guidelines delayed until December 1, 2020

October 2020 Anthem Maine Provider News Products & Programs Oct 1, 2020

FDA approvals and expedited pathways used - new molecular entities (NMEs)

October 2020 Anthem Maine Provider News Pharmacy Oct 1, 2020

Prior authorization updates for specialty pharmacy effective January 2021

October 2020 Anthem Maine Provider News Pharmacy Oct 1, 2020

Clinical criteria updates for specialty pharmacy

October 2020 Anthem Maine Provider News Pharmacy Oct 1, 2020

Formulary lists updated for commercial health plan pharmacy benefit

October 2020 Anthem Maine Provider News Pharmacy Oct 1, 2020

Pharmacy information available on anthem.com

October 2020 Anthem Maine Provider News Pharmacy Oct 1, 2020

Evaluation and management services correct coding - professional

October 2020 Anthem Maine Provider News Administrative Oct 1, 2020

Anthem Chat: A fast, easy way to have your questions answered

October 2020 Anthem Maine Provider News Administrative Oct 1, 2020

National drug code requirement on outpatient claims

October 2020 Anthem Maine Provider News Administrative Oct 1, 2020

Predictive analytics guide proactive support to patients undergoing chemo, resulting in lowered admissions

October 2020 Anthem Maine Provider News Administrative Oct 1, 2020

Updated coverage for breast cancer prevention medications

October 2020 Anthem Maine Provider News Administrative Oct 1, 2020

Commercial Risk Adjustment reporting update: New guidance on telephone-only service CPT codes for risk adjustment program

October 2020 Anthem Maine Provider News Administrative Oct 1, 2020

National Accounts 2021 Pre-certification list

October 2020 Anthem Maine Provider News Administrative Oct 1, 2020

New Availity medical claim attachment webinars: register today

October 2020 Anthem Maine Provider News Administrative Oct 1, 2020

Electronic member ID cards available on the Availity portal

October 2020 Anthem Maine Provider News Administrative Oct 1, 2020

What Matters Most online CME course: Improving the Patient Experience

October 2020 Anthem Maine Provider News Administrative Oct 1, 2020

Reimbursement policy update - Emergency Department: Leveling of Evaluation and Management Services (facility)

October 2020 Anthem Maine Provider News Reimbursement Policies Oct 1, 2020

Reimbursement policy update: Laboratory and Venipuncture - professional

October 2020 Anthem Maine Provider News Reimbursement Policies Oct 1, 2020

Medical policy and clinical guideline updates

October 2020 Anthem Maine Provider News Medical Policy & Clinical Guidelines Oct 1, 2020

Reimbursement policy update - Claims Requiring Additional Documentation policy (facility)

October 2020 Anthem Maine Provider News Reimbursement Policies Oct 1, 2020

Federal Employee Program expands specialty pharmacy prior authorization list

October 2020 Anthem Maine Provider News Federal Employee Plan (FEP) Oct 1, 2020

Social determinants of health support expanding with GroundGame Health

October 2020 Anthem Maine Provider News Medicare Oct 1, 2020

Patient360 enhancement for medical providers

October 2020 Anthem Maine Provider News Medicare Oct 1, 2020

Prior authorization requirement changes effective December 1, 2020

October 2020 Anthem Maine Provider News Medicare Oct 1, 2020

Prior authorization requirement changes effective January 1, 2021

October 2020 Anthem Maine Provider News Medicare Oct 1, 2020

Provider transparency update

October 2020 Anthem Maine Provider News Medicare Oct 1, 2020

Medical drug benefit clinical criteria updates

October 2020 Anthem Maine Provider News Medicare Oct 1, 2020

Keep up with Medicare news

October 2020 Anthem Maine Provider News Medicare Oct 1, 2020

Formulary lists updated for commercial health plan pharmacy benefit

September 2020 Anthem Maine Provider News Pharmacy Sep 1, 2020

Specialty pharmacy updates effective December 2020

September 2020 Anthem Maine Provider News Pharmacy Sep 1, 2020

New provider directory indicators for medication assisted treatment (MAT) providers

September 2020 Anthem Maine Provider News Administrative Sep 1, 2020

Interactive Care Reviewer self-service, online prior authorization tool now available for Anthem and FEP membership

September 2020 Anthem Maine Provider News Administrative Sep 1, 2020

EDI Gateway migration deadline is September 15, 2020

September 2020 Anthem Maine Provider News Administrative Sep 1, 2020

Patient360 adds care gap alert feedback for medical providers

September 2020 Anthem Maine Provider News Administrative Sep 1, 2020

Enhanced medical records submission process to support claims processing

September 2020 Anthem Maine Provider News Administrative Sep 1, 2020

Receive and respond to medical record requests for postpay audit via Change Healthcare’s Assurance Attach Assist Module

September 2020 Anthem Maine Provider News Administrative Sep 1, 2020

Commercial Risk Adjustment (CRA) reporting update: 2020 prospective program continues

September 2020 Anthem Maine Provider News Administrative Sep 1, 2020

Reimbursement policy update: Distinct Procedural Services - Modifiers 59, XE, XP, XS, XU - professional

September 2020 Anthem Maine Provider News Reimbursement Policies Sep 1, 2020

Reimbursement policy update: Frequency Editing - professional

September 2020 Anthem Maine Provider News Reimbursement Policies Sep 1, 2020

Medical drug benefit clinical criteria updates

September 2020 Anthem Maine Provider News Medicare Sep 1, 2020

Update: Notice of changes to the AIM musculoskeletal program

September 2020 Anthem Maine Provider News Medicare Sep 1, 2020

Keep up with Medicare news

September 2020 Anthem Maine Provider News Medicare Sep 1, 2020

Voluntary site of care outreach for oncology checkpoint inhibitors beginning August 1, 2020

August 2020 Anthem Maine Provider News Products & Programs Aug 1, 2020

Expansion of AIM Musculoskeletal Program effective November 1, 2020

August 2020 Anthem Maine Provider News Products & Programs Aug 1, 2020

Formulary lists updated for Anthem commercial health plan pharmacy benefit

August 2020 Anthem Maine Provider News Pharmacy Aug 1, 2020

Clinical criteria updates for specialty pharmacy

August 2020 Anthem Maine Provider News Pharmacy Aug 1, 2020

Pharmacy information available on anthem.com

August 2020 Anthem Maine Provider News Pharmacy Aug 1, 2020

Prior authorization updates for specialty pharmacy effective November 1, 2020

August 2020 Anthem Maine Provider News Pharmacy Aug 1, 2020

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
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