AdministrativeCommercialSeptember 1, 2023

CORRECTION: Regarding Notification About Submitting Itemized Bills

Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.

The article titled Notification about submitting itemized bills in the June 2023 edition of Provider News outlined a requirement for itemized bills for inpatient and outpatient services. The prior communication failed to clarify that the itemization will only be required to substantiate reimbursement to providers and facilities for services on claims paid by DRG with an outlier paid at percent of billed charge or where the entire claim is paid at percent of billed charge. We apologize for any confusion caused. Please note that these changes remain effective September 1, 2023.

Services provided by Empire HealthChoice HMO, Inc. and/or Empire HealthChoice Assurance, Inc., licensees of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans.

NYBCBS-CM-037073-23

PUBLICATIONS: September 2023 Provider Newsletter