The Anthem Blue Cross and Blue Shield Service Benefit Plan®, also known as Federal Employee Program®, FEP®, would like to share information about the turnaround times for urgent or non-urgent precertification requests. 

 

Anthem FEP follows the National Committee for Quality Assurance (NCQA) standards for turnaround time for urgent or non-urgent precertification requests which are outlined below:

 

  • Urgent concurrent - 24 hours (1 day)
  • Urgent preservice - 72 hours (3 days)
  • Non-urgent preservice - 15 calendar days
  • Post-service - 30 calendar days

 

In addition, Anthem FEP offers an advanced benefit determination (ABD) for elective services.

 

  • ABD – 15 calendar days

 

This precertification service is offered as a courtesy. If you would like more information regarding the ABD review process or have additional questions, please contact FEP Utilization Management at 800-860-2156, 8:00 a.m. – 7:00 p.m., Monday – Friday.

 



Featured In:
October 2019 Anthem Provider News - Missouri