Procedure codes may be denied

Effective December 1, 2018, Medicaid claims received by Anthem Blue Cross and Blue Shield Healthcare Solutions containing procedure codes not listed on the fee schedule in your Participating Provider Agreement may be denied.

 

Payment for these services may not be accurate because the service is not a covered benefit. To ensure accurate processing of claims in the future, any procedure code billed that is not listed on the applicable fee schedule(s) will be denied. Please ensure you are billing with the most current, applicable procedure code.

 

Claims billed in line with the fee schedule will be processed accordingly. If you have questions about this communication or need help with any other item, contact your local Provider Relations representative or call Provider Services at 1-844-396-2330.

 

ANV-NU-0016-18 November 2018