Like many payer contracts, Anthem’s has a clause that allows them to do a unilateral amendment to the agreement with proper notice. They have been exercising that clause to amend a number of contractual items recently. Of significant note has been ablation specific/targeted reimbursement rates. Needless to say the rates do not constitute an increase.
We strongly recommend that any and all correspondence from a payer be reviewed. The volume of mail from the various payers can be a bit overwhelming but it is good to know when a change is being unilaterally pushed through.
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