CommercialMay 1, 2020
Reimbursement policy update: Claims requiring additional documentation (Facility)
Anthem continues to take steps to improve the payment accuracy of provider claims and reduce post-payment recoveries. To this end, beginning with dates of service on or after August 1, 2020, Anthem will update its claims requiring additional documentation policy to include the following requirement:
- Outpatient facility claims reimbursed at a percent of charge with billed charges above $20,000 require an itemized bill to be submitted with the claim.
For more information about this policy, visit our Reimbursement Policy page at anthem.com/provider.
PUBLICATIONS: May 2020 Anthem Provider News - Georgia
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