Most of the providers in our office are in-network participating provider with the PPO and HMO plans administered by Anthem BCBS in Richmond, Virginia , including Federal FEP PPO plans (that is, plans where the Subscriber Number begins with “R”). This means that we submit claims to Anthem BCBS, and receive benefit payments directly from Anthem BCBS for covered services according to the terms of your benefits plan.
It also means that we accept whatever fee reduction/discount Anthem BCBS may impose, according to the terms of our provider contracts with Anthem. You are not balance-billed for the difference between our usual fee, and the reduced fees that are allowed by Anthem BCBS of Virginia. However, you are financially responsible for any co-payments/co-insurance, deductibles, and non-covered services. If you have questions about covered services, or about your anticipated out-of-pocket expenses, please contact your plan administrator, or log in to view your plan information on the Anthem Website.
Because some of the benefit plans administered by Anthem BCBS require preauthorization prior to receiving services (such as psychological and neuropsychological testing, or developmental assessments), you should check with your plan administrator or call the Customer Service number on the back of your insurance card to see if an preauthorization is necessary before to your first appointment.