Reimbursement policy update: Emergency Room Transfers (Facility)

A new facility reimbursement policy titled Emergency Room Transfers will be implemented beginning with dates of service on, or after May 1, 2021. The policy allows reimbursement for one emergency room visit when a patient is transferred between facilities operating under the same agreement, have the same tax identification number (TIN), or is under common ownership.  The transferring facility will not be eligible for separate reimbursement.

 

For more information about this policy, visit the Reimbursement page on our anthem.com/provider website.

 

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