Policy Updates Reimbursement PoliciesCommercialApril 1, 2025

Clarification to reimbursement policy: Incident to Services and Billing — Professional

In the July edition of Provider News, we announced an update to the Incident to Services and Billing Professional policy. For clarity, within the scope of this policy, the term nonphysician practitioner (NPP) applies to nurse practitioners (NP) and physician assistants (PA).

For specific policy details, visit the reimbursement policy page.

To view the July article, visit Reimbursement policy update: Incident to Services — Professional ‑ Provider News.

In Missouri (excluding 30 counties in the Kansas City area): Anthem Blue Cross and Blue Shield is the trade name of RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

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PUBLICATIONS: April 2025 Provider Newsletter