Georgia
Provider Communications
Anthem Blue Cross and Blue Shield local precertification change in Georgia (MAC)
The following services will be added to precertification for the effective dates listed below.
To obtain precertification, providers can access Availity* at www.availity.com or call the Utilization Management department using the number on the back of the member’s identification card. Service preapproval is based on member’s benefit plan/eligibility at the time the service is reviewed/approved.
Benefit plans vary widely and are subject to change based on the contract effective dates. The provider is responsible for verification of member eligibility and covered benefits.
Except in the case of an emergency, failure to obtain precertification prior to rendering the designated services listed below may result in denial of reimbursement.
Criteria |
Criteria description |
Codes |
Effective date |
TRANS.00013 |
Small Bowel, Small Bowel/Liver and Multivisceral Transplantation |
44715 |
April 1, 2023 |
TRANS.00013 |
Small Bowel, Small Bowel/Liver and Multivisceral Transplantation |
44720 |
April 1, 2023 |
TRANS.00013 |
Small Bowel, Small Bowel/Liver and Multivisceral Transplantation |
44721 |
April 1, 2023 |
TRANS.00013 |
Small Bowel, Small Bowel/Liver and Multivisceral Transplantation |
47143 |
April 1, 2023 |
TRANS.00013 |
Small Bowel, Small Bowel/Liver and Multivisceral Transplantation |
47144 |
April 1, 2023 |
TRANS.00013 |
Small Bowel, Small Bowel/Liver and Multivisceral Transplantation |
47145 |
April 1, 2023 |
TRANS.00013 |
Small Bowel, Small Bowel/Liver and Multivisceral Transplantation |
47146 |
April 1, 2023 |
TRANS.00013 |
Small Bowel, Small Bowel/Liver and Multivisceral Transplantation |
47147 |
April 1, 2023 |
CG-ANC-04 |
Ambulance Services: Air and Water |
A0888 |
April 1, 2023 |
SURG.00036 |
Fetal Surgery for Prenatally Diagnosed Malformations |
S2400 |
April 1, 2023 |
Featured In:
January 2023 Anthem Provider News - Georgia