Update to Durable Medical Equipment – effective October 14, 2018

Effective October 14, 2018, Anthem Blue Cross and Blue Shield in Virginia will enforce the requirement to bill the correct modifier and HCPCS for services utilized.  Incorrect billing will be rejected, and claims will be returned to the provider for correction and resubmission.

 

Durable Medical Equipment (DME) may be purchased, rented or rented until the purchase price has been paid. 

 

Correct billing will allow member benefits to be applied correctly to include benefit accumulations for a member’s DME benefits.