Reimbursement policy update: claims requiring additional documentation (facility)

In the May edition of Provider News, we announced a threshold increase for the itemized bill requirement for outpatient facility claims. This requirement will remain; however effective August 1, 2021, Anthem Blue Cross and Blue Shield will remove the threshold amount from the policy language for outpatient facility claims and inpatient stay claims.

 

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

 

1260-0821-PN-GA