Anthem BCBSMedium ImpactDocumentation
[New York] Genetic testing claims for FEP members: medical records required for review
Published May 29, 2026
AI Summary
FEP (Federal Employee Program) members now require medical records to be submitted for genetic testing claim reviews. This affects all genetic testing claims for federal employees and requires additional documentation beyond standard claims submission.
Action Required
Immediately: Billing team must update procedures to include medical records submission for all genetic testing claims for FEP members. Coordinate with providers to ensure complete medical documentation is available before submitting genetic testing claims. Add FEP flag to billing system to trigger medical records requirement for genetic testing procedures.
Plan Types
Commercial
States
NY
Specialties
family-medicine, internal-medicine, oncology, ob-gyn, cardiology, neurology