Most of the providers in our office are in-network provider with the PPO and HMO plans administered by Anthem BCBS in Richmond, Virginia , including Federal FEP PPO plans. This means that we submit claims to Anthem BCBS, and receive reimbursement 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 fee allowed by Anthem BCBS. You are financially responsible for any co-payments/co-insurance, deductibles, and non-covered services.
Because some of the benefit plans administered by Anthem BCBS require preauthorization prior to receiving services, you should check with your plan administrator or call the Customer Service number on the back of your insurance card to see if an authorization is necessary before to your first appointment.