Reminder: Reimbursement Policy Update - Claims requiring additional documentation (Facility)
As we advised you in April 2018, in our efforts to improve payment accuracy and reduce post-payment recoveries, beginning with dates of service on or after July 13, 2018, Anthem Blue Cross (Anthem) updated our Claims Requiring Additional Documentation policy to include the following requirement:
- Inpatient stay claims reimbursed at a percent of charge with billed charges above $40,000 require an itemized bill to be submitted with the claim.
For more information about this policy, you can view a copy of the policy that was enclosed in the notice mailed in April 2018.
Helpful tip: View the instructions on how to submit your itemized bill to Anthem.
August 31, 2018: Anthem Blue Cross eUPDATE - California