by KAC Staff | Feb 20, 2020 | Anthem, Insurance Updates
As you are hopefully aware, Anthem is planning on starting a new pre-authorization process for all therapy services, 97xxx codes, on March 1st. This process will require you to register with AIM for pre-certification of these services. The KAC has had the stance from...
by KAC Staff | Jan 22, 2020 | Anthem, Insurance Updates
Anthem Pre-Authorization Change (Update) Here are the details: Anthem is implementing preauthorization for all 97XXX codes starting March 1st, 2020. This is a directive from Anthem corporate and they are...
by KAC Staff | Dec 20, 2019 | Humana CareSourse, Insurance Updates
Providers have reached out to the KAC regarding denials for therapy codes (97XXX) when billing Humana Caresource. It appears they are now requesting these codes be billed with the GP modifier. You can rebill any denied claims as corrected and attach the GP modifier...
by KAC Staff | Dec 20, 2019 | Anthem
Anthem has stated that all therapy codes will need prior authorization starting March 1, 2020, through AIM. This notice was sent out in their Provider News on 12/1/2020. At this time, no provider we have spoken with has received notice...
by KAC Staff | Dec 20, 2019 | Aetna Better Health
We continue working with Aetna on a variety of issues including Medicare crossover claims and denials for care given to children under three. We have sent requested information to Aetna on both these issues and will update members as soon as we have more...
