Anthem accidentally overpays some physicians April 16, 2014 General Covered California, Health Insurance Exchange, Anthem Blue Cross 0 Anthem Blue Cross recently notified almost 8,500 practices of a claims pricing error that caused some physicians to be paid for services provided to individual/exchange patients at Anthem's higher Prudent Buyer PPO rates. In the April 9 notice to physicians, Anthem states it had been applying “discounted rates inconsistently” on claims for dates of service January 1 through March 31, 2014. According to the payor, the error was corrected effective for dates of service on or after April 1, 2014. While not mentioned in the notice, Anthem has advised the California Medical Association that it will not attempt to recoup the overpayments that resulted from this error. Questions can be directed to Anthem Blue Cross Network Relations at (855) 238-0095 or networkrelations@wellpoint.com. Comments are closed.
