Anthem BCBSMedium ImpactAdministrative
[New York] New Commercial Facility Administrative Policy: Use of a Nonparticipating Care Provider
Published May 3, 2026
AI Summary
Anthem has implemented a new commercial facility administrative policy regarding the use of nonparticipating care providers in New York. This policy likely establishes new requirements or procedures for when commercial plan members receive services from out-of-network providers at facilities.
Action Required
Review the full policy details at the provided URL to understand specific requirements for nonparticipating provider scenarios. Billing team should verify network status verification procedures and update workflows for handling commercial patients who may see out-of-network providers. Ensure staff understand any new authorization or billing requirements for nonparticipating provider services.
Plan Types
Commercial
States
NY
Specialties
all-specialties