Anthem engages with Alliant Health Solutions
As we communicated in the December 2017 provider newsletter, we have established a contractual relationship with Alliant Health Solutions to assist us in validating provider compliance with applicable reimbursement policies and identify instances of incorrect billing for behavioral health services. Alliant has initiated the work on our behalf and your compliance is required should you receive a request for information.
Alliant is a behavioral health audit and review company and will examine Anthem outpatient behavioral health claims data. Utilizing systematic sampling methodology and a broad range of algorithms, the audits and findings will be customized to support our expectations as outlined in our Provider Manuals and related policies and procedures. Alliant findings may result in provider audits and record reviews, education and other direct outreach.
August 2018 Anthem Maine Provider Newsletter