Policy Updates Reimbursement PoliciesAnthem Blue Cross and Blue Shield | CommercialOctober 1, 2024

Notice of material change/amendment to contract

Reimbursement policy update: Modifier FB — Professional and Facility

Beginning with dates of service on or after January 1, 2025, Anthem will expand the current Modifier FB — Professional and Facility reimbursement policy to apply to facility providers.

As a reminder, this policy requires modifier FB to be appended to all devices, supplies, or drugs obtained at no cost to the provider. Services appended with modifier FB are not eligible for reimbursement.

For specific policy details, visit the reimbursement policy page.

Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Maine, Inc. Independent licensee of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

MEBCBS-CM-067502-24

ATTACHMENTS: ME RP Clean Mod FB 0801024 (pdf - 0.13mb), ME Modifier FB RL 08012024 (pdf - 0.15mb)

PUBLICATIONS: October 2024 Provider Newsletter