Anthem to enhance claim edits for outpatient facility claims

Beginning in May 2019, Anthem Blue Cross and Blue Shield will enhance our claims editing systems to include outpatient facility editing.

 

These edits will: 

 

• Help ensure correct coding and billing practices are being followed
• Help ensure compliance with industry standards such as American Medical Association (AMA), National Uniform Billing Committee (NUBC), and national specialty and academy guidelines
• Reinforce compliance with standard code edits and rules (such as CPT, HCPCS, ICD-10, NUBC)