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.