Search results
Select Your State. We make our reimbursement policies available to health care professionals as part of Anthem's commitment to transparency. Visit Anthem.com to find our policies and understand the basis for reimbursement if a service is covered by a patient's benefit plan.
- Behavioral Health Reference Guide
Anthem’s system recognizes the midlevel practitioner...
- Providers
Payments for services from a non-participating provider are...
- Behavioral Health Reference Guide
Find out how to join Anthem's provider network, access forms, policies, and training opportunities. Learn about Anthem's pharmacy, dental, and behavioral health programs and resources.
May 1, 2021 · Starting in May 2021, providers will have the ability to review their upcoming fee schedule update that will go into effect as of July 1, 2021, and can be accessed through the reporting function in Availity. You can log into Availity.com and download a digital copy of your fee schedule.
May 1, 2023 · Starting in May 2023, professional providers who have been enrolled at that time will be able to review their upcoming fee schedule update that will go into effect as of July 1, 2023, and can be accessed through the reporting function in Availity Essentials. You can log into Availity.com and download a digital copy of your fee schedule.
Oct 1, 2024 · Providers will be able to pull historic fee schedules (up to three years), and current and future rate (s). This is one centralized location to access your commercial network fee schedules. See details below on how to log in and access your fee schedule application.
Reimbursement policies. We want to assist physicians, facilities and other providers in accurate claims submissions and to outline the basis for reimbursement if the service is covered by a member’s benefit plan.
People also ask
How does anthem pay a non-participating provider?
Does anthem pay for services covered by a member's benefit plan?
When does the provider fee schedule update come out?
Does anthem require a psychiatric follow-up appointment?
Does anthem offer OTP services?
Who is anthem behavioral health?
Anthem’s system recognizes the midlevel practitioner modifiers, and XE and XP modifiers, to identify different providers or different encounters for procedure-to-procedure (PTP) edit indicators. Additionally, Anthem follows the state’s Outpatient Fee Schedule payment methodology for treatment rooms and flat rate revenue codes that are limited
