Eligibility Search Tips:We are continuing to improve our eligibility search functionality based on your feedback. Noted below are a few tips to assist you in accessing member eligibility information.
2018 AUTHORIZATIONS: If you entered a prior authorization into Access Express in 2018 for a future date in 2019, it will show a member termination date of 12/31/2018. If the member is eligible in 2019, Access Express will show an effective date of 01/01/2019 on a different line with the member’s new Anthem ID number. The authorization will remain valid under the new Plan Brand/Member ID and there is no need to resubmit a new service request.
BALANCE BILLING:Per CMS Guidelines, it prohibits Medicare providers from balance billing dual eligible beneficiaries. This includes deductible, coinsurance, and copayments. Please verify if members have Medicaid as a secondary payer. If so, please ensure you bill Medicaid for all balances.
Your feedback is important. Click the link to access the Provider Satisfaction Survey. Provider Satisfaction Survey
Powered by Access Express - v5.2.#.0.20 Build 2014.09.10.13