Scope of License - Reimbursement Policy Update (Professional)

The December 2017 edition of our Provider Newsletter announced Anthem Blue Cross and Blue Shield (Anthem) will not reimburse services to a provider that is outside of their state requirements through Anthem’s Scope of License policy.  Anthem is updating its editing systems to deny services deemed to be outside of a specific specialty’s scope of license. 

 

Please refer to Anthem’s Scope of License Reimbursement Policy for additional information.

 

Reimbursement Policies are available online

 

Go to anthem.com, select Providers, then Providers Overview.  Select Find Resources for Your State, and pick Colorado. From the Answers@Anthem tab, select the Reimbursement Policies - Facility or Reimbursement Policies - Professional link. Then search for the Policy you would like to view.