Scope of License reimbursement policy update: professional

 

In the December 2017 edition of Network Update, we announced a new Scope of License Policy which states that we will not reimburse services performed by a provider that are outside their state license requirements. We are updating our editing systems to deny services deemed to be outside of a specific specialty’s scope of license. 

 

For more information about this policy, visit the Reimbursement Policy page at anthem.com/provider.