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ICD-10 Updates

As of October 1, 2015, Anthem is LIVE with ICD-10 as the code set for medical diagnoses and inpatient hospital procedures in compliance with HIPAA requirements and in accordance with the rule issued by the U. S. Department of Health and Human Services (HHS). 
Important Notice to Paper Claim Filers – ICD Indicator on Claim Form
The ICD Indicator is required to be populated on paper claim forms. 
Reference Information for Providers
Important information you’ll need to know for your transition to ICD-10. 
ICD-10 Claims Billing Guidance by Service Type Reference Guide
Guidance on billing claims for services that SPAN the 10/1/2015 compliance date. 
ICD-10 Pre-Authorizations and Claims Filing Reference Chart
Guidance on pre-authorizations and general information on claims filing. 
Split Claims Billing Could Cause Overpayments
Guidance on how to handle overpayments due to split claims billing for services that span the 10/1/2015 compliance date 
Interim Claims Billing
Guidance on how to bill interim claims that span the 10/1/2015 compliance date  
New EDI Claim Edits for ICD-10 Claims
Check our EDI Latest News webpage for the most current EDI edits information. 
CMS 1500 Form Guidelines for Paper Claims
Guidance on our new requirements regarding the CMS1500 form 
Anthem’s Response to the CMS/AMA Announcement
Our response to CMS/AMA’s 7/6/2015 announcement to assist providers in their ICD-10 transition.  
Anthem ICD-10 FAQs for Providers
Anthem-specific information and guidance for providers as well as answers about our ICD-10 transition. 
ICD-10 Basics FAQs for Providers
This FAQ contains educational information about ICD-10.  
ICD-10 Resources
Resources to help with your ICD-10 transition  
Contact Us 
For immediate and appropriate attention to any ICD-10 matter, please use your normal channels of communication for reporting and resolving issues and/or inquiries. 
Providers: Contact the Provider Service Call Center for the locality and line of business of your inquiry.
Clearinghouses: Please contact your Local E-Solutions Support or visit our EDI home webpage.
Vendors: Please contact your Account Management Representative.
Member-related inquiries: Please contact Customer Service listed on the back of the member’s ID card or visit Anthem’s member home webpage.
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Anthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Com pany. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi"), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare"), which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Use of the Anthem Web sites constitutes your agreement with our Terms of Use