Facility Reimbursement Policy Update – claims requiring additional documentation

On April 29, 2020, Anthem Blue Cross (Anthem) mailed notices announcing Anthem’s upcoming change to our Claims Requiring Additional Documentation policy (Facility) effective August 1, 2020.  Please be advised we are delaying the implementation date to October 1, 2020.

Effective for dates of service on or after October 1, 2020:

• Outpatient facility claims reimbursed at a percent of charge with billed charges above $20,000 will require an itemized bill to be submitted with the claim.

570-0820-PN-CA