Reimbursement policy update: Claims requiring additional documentation (facility)

In our May issue of Provider News, we announced a threshold increase for the itemized bill requirement for outpatient facility claims. This requirement will remain; however, effective August 1, 2021, we will remove the threshold amount from the policy language for outpatient facility claims and inpatient stay claims.

 

For more information about this policy, visit the Reimbursement Policies page at anthem.com.  

 

1260-0821-PN-NE