Nevada
Provider Communications
Clinical Laboratory Improvement Amendments (CLIA) ID number required for electronic claims submissions
The Centers for Medicare & Medicaid Services (CMS) regulates all laboratory testing in the U.S. through the Clinical Laboratory Improvement Amendments (CLIA). The objective of the CLIA program is to ensure quality laboratory testing.
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August 2020 Anthem Provider News and Important Updates -- Nevada
A valid CLIA Certificate Identification number is required and must be included on each electronic claim billed for laboratory services, subject to CLIA legislation. You may not receive reimbursement for your electronic claims if the required certification number is missing.
Apply for a CLIA Certificate here. This CMS mandate went in to effect on May 1, 2020. Please work with your software vendor or clearinghouse to ensure that the required information is included in your electronic files to avoid EDI claim rejections.
For detailed information on the tests subject to CLIA, please refer to the CMS link.
Featured In:
August 2020 Anthem Provider News and Important Updates -- Nevada