The Anthem Blue Cross and Blue Shield Service Benefit Plan®, also known as Federal Employee Program® or FEP®, would like to share information about the turnaround times for urgent or non-urgent precertification requests. 

 

Anthem FEP follows the National Committee for Quality Assurance (NCQA) standards for turnaround time for urgent or non-urgent precertification requests which are outlined below:

 

  • Urgent concurrent – 24 hours (1 day)     

 

  • Urgent preservice – 72 hours (3 days)

 

  • Non-urgent preservice – 15 calendar days

 

  • Post-service – 30 calendar days

 

In addition, Anthem FEP offers an advanced benefit determination (ABD) for elective services.

 

  • ABD – 15 calendar days

 

This precertification service is offered as a courtesy. If you would like more information regarding the ABD review process or have additional questions, please contact FEP Utilization Management at 800-860-2156, 8 a.m. – 7 p.m., Monday-Friday.



Featured In:
October 2019 Anthem Provider News - Virginia