I used to send everything to Blue Cross. What services are the IPAs financial responsibility and what services remain Blue Cross responsibility?
• For the most part, professional services rendered in a physician office are the IPA’s financial responsibility. Most ancillary services (lab and x-ray) are also the IPA’s financial responsibility. Hospital and other inpatient services remain Anthem Blue Cross’s responsibility. We meet regularly with Anthem Blue Cross staff if a particular service falls into a gray zone.
Related Questions
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