As a reminder, we will continue to upgrade our claim editing software for outpatient facility services monthly throughout 2022, with most updates occurring quarterly. These upgrades will include, but are not limited to:


  • Addition of new and revised codes (for example CPT, HCPCS, ICD-10, modifiers, and revenue codes) and their associated edits
  • Updates related to the appropriate use of various code combinations, which can include, but are not limited to:
    • Procedure code to revenue code
    • HCPCS to revenue code
    • Type of bill to procedure code
    • Type of bill to HCPCS code
    • Procedure code to modifier
    • HCPCS to modifier
  • Updates to National Correct Coding Initiative edits (NCCI) and medically unlikely edits (MUEs)
  • Updates to reflect coding requirements as designated by industry standard sources such as the National Uniform Billing Committee (NUBC)



Featured In:
December 2021 Anthem Connecticut Provider News