Documents related to such changes also were requested. CAHC argues that it is important to have a good understanding of how Anthem has conducted itself following its acquisition of various Blue Cross plans around the country. To that end, changes to utilization review are a logical area of inquiry from the perspective of the consumer. Counsel for Anthem represented that he had been informed it would take at least a week to compile such information. Further, Anthem does not believe the requested information is relevant to the pending proceeding.
Anthem argues that decisions such as utilization review start at the local level.
Thus, what may have occurred in Connecticut is not predictive of what will happen in the future in Maine. The response shall cover January 1995 to the present and shall include a description of the changes made to utilization review criteria as well as any documents related to those changes.