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Northern Light Pauses Billing Anthem Patients as Contract Talks Drag On

Conflicting positions on pricing leave Anthem members unsure how their care will be billed.

Overview

  • Northen Light Health said Tuesday it will hold all bills for Anthem patients for care after Oct. 31 and will seek retroactive in‑network rates if a deal is reached.
  • Anthem maintains Northern Light’s non‑hospital providers are out of network for employer and individual plans as of Nov. 1 unless an extension is signed.
  • Anthem says all Northern Light hospitals and Medicare Advantage coverage remain in network through Dec. 31, with continuity‑of‑care exceptions possible for some patients.
  • The insurer argues Northern Light’s latest price proposal exceeds what members and employer groups can afford, though it says it is willing to sign an extension.
  • Northern Light had pledged to treat Anthem members as in network during talks, a stance Anthem called a recipe for patient confusion affecting roughly 30,000 Mainers.