Anthem to enhance claim edits for outpatient facility claims

Beginning in May 2019, Anthem will enhance its’ claims editing systems to include outpatient facility editing.

 

These edits will: 

• help ensure correct coding and billing practices are being followed
• help ensure compliance with industry standards such as American Medical Association (AMA), National Uniform Billing Committee (NUBC), and national specialty and academy guidelines
• reinforce compliance with standard code edits and rules (i.e., CPT, HCPCS, ICD-10, NUBC)