Mark Anishchenko

Mark Anishchenko

Davis Wright Tremaine LLP

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Anthem's New Chargemaster-Based Claim Edits: Which Charges and Providers Will Anthem's New Process Target and How Will It Impact...

Effective August 1, 2025, Anthem will implement a new claims-editing process that adjusts payments for Medicare Advantage (MA) claims based on an undisclosed, customized chargemaster table. The announcement identifies claims...more

7/24/2025  /  Anthem Blue Cross , Emergency Rooms , Fraud , Health Insurance , Hospitals , Insurance Claims , Insurance Industry , Insurance Regulations , Medicare Advantage , Reimbursements
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