by KAC Staff | Feb 3, 2022 | Anthem
Here are a few resources for Anthem including the Alpha-prefix list for out of state plans and the Anthem provider rep map. We will update the provider rep map as it is sent to us. Resources Alpha prefix list for Ohio – click here Alpha prefix list for Indiana...
by KAC Staff | Nov 22, 2021 | Anthem, Insurance Updates, KAC News
The KAC is aware that providers have been receiving recoupment requests for lack of prior authorization. In late 2019/early 2020, the KAC was successful in stopping Anthem from requiring prior authorization for chiropractors through AIM in Kentucky. Providers should...
by KAC Staff | Nov 19, 2021 | Anthem, Insurance Updates, KAC News
Recently, Anthem announced they were changing their modifier rules for physical medicine and rehabilitation codes. This change took effect November 1, 2021. These codes and modifiers align with the codes the Centers for Medicare & Medicaid Services (CMS) has...
by KAC Staff | Oct 8, 2020 | Anthem, KAC News
Anthem has been denying codes 98940/98941 as not covered by this provider type. We have reached out to Anthem executives about this issue and sent several examples to them. Anthem has informed us that they have identified the system issue that was causing these...
by KAC Staff | Mar 1, 2020 | Anthem, Insurance Updates
As I am sure you are aware by now, Anthem has removed the requirement for prior authorization for physical medicine services performed in a chiropractic office. You can read their statement here. However, providers have had multiple other...
