| ISMA practice management staff has heard from practices about a new issue involving Anthem claims reimbursement. Medical offices reported being paid for one unit of service when billing for a bilateral procedure using the 50 modifier.
Upon contacting Anthem, the ISMA was advised the problem with bilateral claims was identified and fixed Jan. 6. Linda Barrabee, RVP, Indiana Network Management and Education at Anthem, said they are currently running claims reports to have the claims reprocessed.
The ISMA continues to field calls from practices having payment delays back to October 2007 when Anthem conducted a multi-phase computer changeover. (See Dec. 15, 2008, ISMA Reports.) A second meeting to discuss these problems with Anthem is set for Jan. 26.
If you continue to experience delays involving old claims, trouble accessing Anthem Customer Service or failure to receive appropriate interest on late payments, contact the ISMA. Complete a report here or call the ISMA. |
