Anthem Maine Health policies

Search Anthem Maine Health's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

559 public policies Substrate tracks for Anthem Maine Health, by title.

Anthem Maine Health policies
PolicyDetailsCodesSource
2021 FEP Precertification RequirementsCommercial · ME—Original policy ↗
2023 IND/SG ACA Compliant Health Plans Reference GridCommercial · ME—Original policy ↗
2026 Maine Commercial Provider ManualME-BCBS-CM-PM-008212-26-S2534 · Effective Oct 1, 2026 · Commercial · ME24Original policy ↗
ABCBS Medicare Advantage Member ID Card SampleMedicaid · ME—Original policy ↗
Accessing Online Remits via AvailityCommercial · ME, NH—Original policy ↗
Activities Schedule (January start)Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Activities Schedule (July start)Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
ADA Claim FormCommercial, Medicaid · ME—Original policy ↗
ADMIN.00001 Medical Policy FormationADMIN.00001 · Commercial—Original policy ↗
ADMIN.00002 Preventive Health GuidelinesADMIN.00002 · Commercial—Original policy ↗
ADMIN.00004 Medical Necessity CriteriaADMIN.00004 · Commercial—Original policy ↗
ADMIN.00005 Investigational CriteriaADMIN.00005 · Commercial—Original policy ↗
ADMIN.00007 ImmunizationsADMIN.00007 · Commercial—Original policy ↗
Affordable Care Act (ACA)-compliant Health Plans Quick Reference GuideEffective Jan 1, 2019 · Commercial · ME—Original policy ↗
Affordable Care Act (ACA)-compliant Health Plans Quick Reference GuideEffective Jan 1, 2018 · Commercial · ME—Original policy ↗
Affordable Care Act (ACA)-compliant Health Plans Quick Reference GuideEffective Jan 1, 2021 · Commercial · ME—Original policy ↗
Affordable Care Act (ACA)-compliant Health Plans Quick Reference GuideEffective Jan 1, 2022 · Commercial · ME—Original policy ↗
After-Hours, Emergency, and Miscellaneous E/M Services – Professional and FacilityC-07001 · Effective Oct 23, 2025 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI6Original policy ↗
Alcohol Use Assessment BrochureCommercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Ambulance Transportation - ProfessionalC-19001 · Effective Jun 1, 2024 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI—Original policy ↗
Ambulatory ElectroencephalographyCG-MED-46 · Commercial22Original policy ↗
AMH Medicare Advantage GuidebookEffective May 26, 2020 · Medicaid · ME—Original policy ↗
AMH Medicare Advantage GuidebookEffective Dec 1, 2020 · ME—Original policy ↗
AMH Medicare Advantage GuidebookEffective Apr 8, 2022 · Medicaid · ME—Original policy ↗
ANC.00006 Biomagnetic TherapyANC.00006 · Commercial1Original policy ↗
ANC.00007 Cosmetic and Reconstructive Services: Skin RelatedANC.00007 · Commercial26Original policy ↗
ANC.00008 Cosmetic and Reconstructive Services of the Head and NeckANC.00008 · Commercial61Original policy ↗
ANC.00009 Cosmetic and Reconstructive Services of the Trunk, Groin, and ExtremitiesANC.00009 · Commercial23Original policy ↗
Anesthesia Services – ProfessionalC-09002 · Effective Mar 11, 2026 · Commercial · ME33Original policy ↗
Annual HEDIS CalendarCommercial, Medicaid · CA, CO, CT, GA, IN, KY, ME, MO, NH, OH, VA, WI—Original policy ↗
Anthem Blue Cross and Blue Shield Maine Provider ManualEffective Jul 1, 2021 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Maine Provider ManualMEBCBS-CM-PM-056376-24 v1.050224 · Effective Jul 1, 2024 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Maine Provider ManualMEBCBS-CM-PM-056376-24 v2.080124 · Effective Nov 1, 2024 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Maine Provider ManualEffective Jul 1, 2023 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Maine Provider ManualMEBCBS-CM-PM-056376-24 v3 11012024 · Effective Jan 1, 2025 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Maine Provider ManualEffective Jul 1, 2022 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Maine Provider ManualEffective Apr 4, 2022 · Commercial · ME24Original policy ↗
ANTHEM BLUE CROSS AND BLUE SHIELD PROVIDER INQUIRY/REFUND/ADJUSTMENT FORMCommercial · CO, CT, GA, ME, NH, NV, VA2Original policy ↗
Anthem Blue Cross and Blue Shield Provider Manual - 07/01/19 - 09/30/19Effective Jul 1, 2019 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Provider Manual - MAINEEffective Jul 1, 2018 · Commercial · ME1Original policy ↗
Anthem Blue Cross and Blue Shield Provider Manual - MAINEEffective Aug 1, 2017 · Commercial · ME—Original policy ↗
Anthem Blue Cross and Blue Shield Provider Manual - MAINEEffective Jan 1, 2021 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Provider Manual - MAINEEffective Jul 1, 2020 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Provider Manual - MaineEffective Oct 1, 2019 · Commercial · ME24Original policy ↗
Anthem Blue Cross and Blue Shield Provider Manual - MAINEEffective Oct 1, 2018 · Commercial · ME1Original policy ↗
Anthem Blue Cross and Blue Shield Provider Manual – 10/01/25 – 12/31/25MEBCBS-CM-PM-082442-25 · Effective Oct 1, 2025 · Commercial · ME24Original policy ↗
Anthem ePass Quick Start GuideCommercial · CA, CO, CT, GA, IN, KY, ME, MO, NH, NV, NY, OH, VA, WI—Original policy ↗
Antibiotic ResistanceCommercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Antidepressant Medication ManagementCommercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, VA, WI—Original policy ↗
Applied Behavior Analysis (ABA) Provider Resource GuideMULTI-BCBS-CM-072378-24-CPN72366 · Commercial · CT, GA, IN, KY, ME, MO, NH, OH, VA10Original policy ↗

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Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.