Reimbursement policy update -- Claims Requiring Additional Documentation (Facility)
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.
For more information, view this policy online. Go to anthem.com, select Providers. Under the Provider Resources heading, select Policies, Guidelines, and Manuals. Select Colorado as your state. Under the Reimbursement Policies heading, select Access Policies. Then search for the Policy you would like to view.
August 2020 Anthem Provider News and Important Updates -- Colorado