Jun 10, 2026 | Insurance News, News for Members
In March 2026 ANJC was first made aware of a claim’s submission problem with out of state BCBS programs, especially Anthem. In the past, all BCBS claims were typically processed through the home carrier of the provider. Since March, the ANJC has been in...
May 8, 2026 | Insurance News, News for Members
Providers using third-party vendors to check Medicare beneficiary eligibility must now enroll these vendors with CMS by May 11, 2026. This is only for checking Medicare eligibility through your clearinghouse! If you opt not to attest, you may still verify eligibility...
Apr 2, 2026 | Insurance News, News for Members
Dear ANJC Members, We want to make you aware that we have received information that Aetna has begun issuing retroactive reprocessing and overpayment notifications for acupuncture services provided to SEHBP/SHBP retirees enrolled in the Aetna Medicare Advantage Plan....
Mar 17, 2026 | Insurance News, News for Members
The Office of Management and Budget (OMB) has approved the control number for the Advance Beneficiary Notice of Non-coverage (ABN) (CMS-R-131). The updated ABN is effective now and expires March 31, 2029. Providers may continue to use the expired version of the ABN...
Mar 8, 2026 | Insurance News, News for Members
In another ploy to restrict your ability to practice safely, Anthem Blue Cross/Blue Shield and others have attempted to dictate when you, as a trained professional, should or should not perform medically necessary X-ray studies. Several of our doctors throughout the...
Feb 9, 2026 | Insurance News, News for Members
The current Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, expired on January 31, 2026. While a new form is under development, providers should continue using the current version (with the 01/31/2026 expiration date) until official CMS updates are...
