Northern Light Health and Anthem have just hours to settle a monthslong contract dispute.

Depending on the outcome of any eleventh-hour talks, tens of thousands of Mainers, including state government workers, could either go on with health care as usual or be faced with the uncertainty of their current doctors and services moving outside the network of the state’s largest private health insurer.

Northern Light’s contract with Anthem expires at the end of the day Tuesday.

Northern Light patients and other providers in the state have raised concerns that the separation would most immediately complicate care for people needing specialist care, especially in rural parts of the state where there aren’t many options besides Northern Light.

Victoria Glover, a family medicine provider at Full

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