Anthem Blue Cross cost transparency
As an Anthem Blue Cross (“Anthem”) participating provider, you may have received our prior correspondence, or read articles in Provider News on Anthem Cost Transparency. Transparency tools such as Anthem’s Find Care tool and others are available to members on anthem.com/ca and allow members to estimate their out-of-pocket impact and view the estimated costs for many procedures.
In our prior correspondence, we also enclosed a summary of the methodology used to generate the cost information housed in the National Consumer Cost Tool (NCCT), the source data used to display costs in Find Care. The treatment categories for which costs are displayed and the methodology are defined by the Blue Cross Blue Shield Association. As indicated in the correspondence, BCBS Axis (formerly NCCT) cost data is updated twice annually; the most recent update completed in November 2020, and the next update scheduled for May 2021. Please look for more information in Provider News (newsletter) posted the first of each month on anthem.com/ca.
As a reminder, Anthem provider costs are now available in a secure section of the Availity provider portal. Authorized representatives of participating facilities and professional practices can login to Availity at www.availity.com, and register to view the costs for their facility or practice. Costs will be made available to our participating providers no less than 30 days before they become available to our members on anthem.com/ca in the transparency tools such as Anthem Care Comparison.
You can review the methodology, or request a copy by sending an e-mail request to the Anthem California contract support team at CAContractSupport@anthem.com.
April 2021 Anthem Blue Cross Provider News - California