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.

17 policies name 96374, those listing the fewest codes first. A policy that names a code may also list it as excluded.

Anthem Maine Health policies
PolicyDetailsCodesSource
2026 Maine Commercial Provider ManualME-BCBS-CM-PM-008212-26-S2534 · Effective Oct 1, 2026 · Commercial · ME24Original 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 Manual - 07/01/19 - 09/30/19Effective Jul 1, 2019 · 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 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 – 10/01/25 – 12/31/25MEBCBS-CM-PM-082442-25 · Effective Oct 1, 2025 · Commercial · ME24Original policy ↗
Maine Provider ManualMEBCBS-CM-PM-082442-25 · Effective Jan 1, 2026 · Commercial · ME24Original policy ↗
CG-ADMIN-01 Clinical Utilization Management (UM) Guideline for Pre-Payment Review Medical Necessity Determinations When No Other Clinical UM Guideline ExistsCG-ADMIN-01 · Commercial62Original policy ↗
Modifiers 59 and XE, XP, XS, and XU: Distinct Procedural Service - ProfessionalC-09006 · Effective Mar 15, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI187Original policy ↗
Bundled Services and Supplies - ProfessionalC-08003 · Effective Jun 24, 2026 · Commercial · CO, CT, GA, IN, KY, ME, MO, NH, NV, OH, WI390Original 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.