Policy Updates Reimbursement PoliciesCommercialJuly 1, 2025

Reimbursement policy update: Nurse Practitioner and Physician Assistant services

On March 12, 2025, the Nurse Practitioner and Physician Assistant Services reimbursement policy was updated to indicate that services billed by a nurse practitioner (NP) or physician assistant (PA) will be reimbursed based on the established fee schedule rates, without any additional payment reductions.

This update is reflected in the Exemption section of the policy. For specific policy details, visit the Reimbursement Policies page at https://anthem.com/provider.

Anthem Blue Cross and Blue Shield is the trade name of Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

COBCBS-CM-083686-25

PUBLICATIONS: July 2025 Provider Newsletter