Anthem will soon begin a review of “medically unlikely” procedure code edits that could result in claims denials. Beginning Oct. 1, the insurance company will review medically unlikely edits with a ...
Navigating Aetna's Expanded Claim Edits: What Providers Need To Know and Do Before September 1, 2025
Aetna recently announced that effective September 1, 2025, its Claim and Code Review Program (CCRP) will expand to include additional claim coding edits for all commercial, Medicare, and Student ...
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