Anthem MaineHealth
Anthem MaineHealth is a Blue Cross Blue Shield-affiliated health plan operating in Maine. For an ASC, what matters isn't the logo. It's how Anthem MaineHealth pays: where it runs rich, where it runs thin, and how its reimbursement compares with peer plans for the same procedures.
Pilot Analysis
Get the complete Anthem MaineHealth analysis
Tell us where to send it. Our team will prepare an analysis of Anthem MaineHealth covering rates by code, market position, and underpaid areas, and email it to you within 5-10 business days. Need it faster? Book a demo.
What Insights reveals
How Anthem MaineHealth pays
See how Anthem MaineHealth reimburses across procedures and markets, benchmarked against the peer plans competing for the same cases. Not a raw rate sheet, a read on where it sits.
Geographic footprint
Anthem MaineHealth's presence spans Maine. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Anthem MaineHealth and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Anthem MaineHealth's volume, so you know where a rate change moves the needle.
Whether you're an ASC benchmarking a contract or a provider team looking Anthem MaineHealth up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Anthem MaineHealth
- Payer ID
- 958 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Anthem MaineHealth through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Anthem MaineHealth members are verified before the date of service, through a clearinghouse using payer ID 958or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Anthem MaineHealth directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Anthem MaineHealth the way it pays.
- What is Anthem MaineHealth's payer ID?
- Anthem MaineHealth's electronic payer ID is 958. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Anthem MaineHealth through a clearinghouse.
- How do ASCs verify eligibility for Anthem MaineHealth members?
- Eligibility and benefits for Anthem MaineHealth members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID 958) or through the payer's provider portal.
- Does Anthem MaineHealth require prior authorization for ASC procedures?
- Prior-authorization requirements for Anthem MaineHealth are set per plan and per procedure. Confirm whether an authorization is required with Anthem MaineHealth directly before the date of service.
- What type of payer is Anthem MaineHealth?
- Anthem MaineHealth is a Blue Cross Blue Shield-affiliated health plan operating in Maine.
- How does Anthem MaineHealth compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Anthem MaineHealth pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Anthem MaineHealth paying my ASC below market?
- Put your own Anthem MaineHealth contract next to the peer benchmark in DataLily AI and you'll see the gap by procedure and market, the fastest way to know whether you're leaving money on the table.