Have you seen a decrease in your Anthem payments? This may be why

May 20, 2015

If you are a provider in the following states, be aware: OH, KY, IN, MO, WI, CT, NH, ME, VA

Anthem Blue Cross and Blue Shield began migrating their Medicare Advantage members to a new claims processing system starting in January of 2015.

Providers, this new processing system could impact your claims receipt.  Claims are validated as received through the clearinghouse, but Anthem is unable to identify claims submission via their online portal or through customer service.

If you have seen a recent spike in your Anthem accounts receivable, and a decrease in payments, this may be the reason why!

Who is working with your billing agency to ensure they are identifying these types of issues? Who is helping you work toward resolution?

Who's reviewing revenue strategy with you at this time?

Are you billing all the correct CPT codes? You’d be surprised at what you might be missing. We will review your Fee Schedule/Charge Master at no cost.

That’s right. For free.

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