Reimbursement policy update: Claims requiring additional documentation (Facility)*
*Material Adverse Change (MAC)
In our May Provider News, we announced a threshold increase for the itemized bill requirement for outpatient facility claims. This requirement will remain; however effective August 1, 2021, Anthem will remove the threshold amount from the policy language for outpatient facility claims and inpatient stay claims.
August 2021 Anthem Provider News - Wisconsin