Reimbursement policy update: Virtual Visits — Professional and Facility

Beginning with dates of service on or after July 1, 2024, Anthem will update the Virtual Visits — Professional and Facility reimbursement policy in response to the conclusion of the federal public health emergency (PHE). The policy will be updated to indicate the following:

• Virtual visits billed by professional providers are eligible for reimbursement for the following services:
  • Audio and visual
  • Audio only
  • Asynchronous
  • Store and forward
  • Remote patient monitoring
• Virtual visits billed by facility providers are eligible for reimbursement for the following services:
  • Audio and visual for behavioral health services only
  • Originating site fee Q3014 only when the member is present

Any service identified as a virtual visit will be reimbursed at the non-office rate.

For specific policy details, visit the reimbursement policy page at anthem.com.