Anthem Blue Cross correcting ultrasound recoupment issue
X

Anthem Blue Cross correcting ultrasound recoupment issue

December 11, 2018
Area(s) of Interest: Commercial Payors Payor Issues and Reimbursement 


The California Medical Association has learned that Anthem Blue Cross is correcting a system error that has resulted in the erroneous recoupment of payment for prenatal ultrasound services dating back to 2017 dates of service. Anthem has advised that the problem has been identified and that it is implementing corrective action.

For providers affected by the error, Anthem has generated an internal report identifying all affected claims. Claims for services that have already been recovered or offset against current claim receipts will automatically be reprocessed to reverse the repayment. Claims scheduled for recovery, but not yet offset or recovered, will be placed on hold.

Providers seeking clarification or additional information should contact Anthem at CAContractSupport@anthem.com.

 

Was this article helpful?    
Download the New CMADocs app!

Download the new CMADocs app!

CMA's new mobile app lets you connect with your colleagues and engage with CMA content!  Download the "CMADocs" app today from the Apple or Google Play app stores for daily news updates, events calendar, resource library and more.

Latest News

Load More