Lab Fee Schedule Update from Anthem

Posted June 27, 2019

Anthem sent out orange envelopes on June 1 announcing updates to their lab code fee schedule. Providers have thirty days from the date of the letter to decide if they will accept the fee schedule that was sent with this announcement, dated June 1, 2019. Note: These new fees are significantly below both Medicare and Medicaid rates. While the letter sounds like a more complete list of updated fees is forthcoming, GLMS and KMA received clarification this week that the attachment includes ALL LAB CODES with adjustments effective 9/1/19.

The revised fees will not be available online via Availity until July 15, 2019. Providers are encouraged to review the notice thoroughly and respond to the letter if they are not satisfied with this updated fee schedule or notification. Complaints may also be made to the Kentucky Department of Insurance by submitted an online complaint form here.