Anthem currently sends claims payments directly to dentists when services are performed by a network dentist. Claims payments for out-of-network dentists are paid to the member. The member then has to remit payment to the dentist. Starting January 1, 2023, members will have the ability to have claim payments sent directly to their dentist.
Members will need to let the out-of-network dentist know if they would like Anthem to pay the dentist directly. The dentist will need to indicate where payment should be directed on the claim.
Anthem will notify clients about this change in the November small group employer newsletter, and ask them to notify their employees. Evidence of Coverage documents will be updated to reflect this new payment option.