Anthem BCBSMedium ImpactDocumentation
[Ohio] Genetic testing claims for FEP members: medical records required for review
Published May 29, 2026
AI Summary
Anthem Ohio now requires medical records to be submitted for review with all genetic testing claims for Federal Employee Program (FEP) members. This adds a documentation requirement that could delay claim processing if records are not included.
Action Required
Immediately: Billing team must update procedures to include medical records with all genetic testing claims for FEP members in Ohio. Update billing workflows to flag FEP genetic testing claims for record attachment before submission. Claims may be delayed or denied without proper medical record documentation.
Plan Types
Commercial
States
OH
Specialties
family-medicine, internal-medicine, oncology, ob-gyn, pediatrics