Anthem Blue Cross Medicaid Claims Submission Policy

This document is a reimbursement policy guide for Anthem Blue Cross and Blue Shield Medicaid, specifically detailing the required information for professional providers when submitting claims. The policy outlines the necessary documentation and coding that must accompany the CMS-1500 Health Insurance Claim Form or its electronic equivalent. It specifies the patient and insured information that must be included, such as names, addresses, medical conditions, and relevant diagnosis codes. Additionally, the policy emphasizes the importance of adhering to proper billing guidelines, including the use of compliant codes and the necessity of submitting accurate claims to avoid denial of payment. The document also mentions that claims with alterations will be returned and that paper claims are not accepted. Providers are encouraged to refer to their manuals and state-specific guidelines for further details on claims submission requirements.