Anthem – Claims denying for authorization incorrectly when authorization is not required resolution plan

Authorization denials being sent to providers who have submitted lab, radiology, mammograms, and OB/GYN services, which normally do not require an authorization. We have determined a system error caused claims to deny with a denial code of 210 between November 1, 2022, and December 22, 2022. The error was corrected as of December 22, 2022.

Anthem is now working on reprocessing claims that were denied incorrectly between November 1, 2022, and February 23, 2023. Anthem Blue Cross and Blue Shield (Anthem) is treating this reprocessing effort as a high priority. Anthem will begin creating impact reports and reprocessing of the incorrectly denied claims the week of February 27, 2023

Source: https://providernews.anthem.com/colorado/article/important-update-claims-denying-for-authorization-incorrectly-when-authorization-is-not-required-resolution-plan