Reimbursement policy update: Claims requiring additional documentation (Facility)*

*Change to Prior Authorization Requirements

In our May 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 will remove the threshold amount from the policy language for outpatient facility claims and inpatient stay claims.

For more information about this policy, visit the Reimbursement Policy page at anthem.com.

 

1260-0821-PN-CNT