Anthem Claims Reprocessing

If you were seen at MU Health Care from April 1 through July 31, 2025, claims for care you received during that period will be reprocessed at in-network rates, and you may be eligible for reimbursement if you paid out-of-pocket costs.

Once your claim has been processed, you will receive a new explanation of benefits (EOB) that will reflect any in-network cost shares to include year-to-date deductibles and out-of-pocket maximums.

Here's what you can do

  • Keep all receipts, billing statements and EOBs that you received from either Anthem or MU Health Care.
  • Please allow us some time as we work through the necessary adjustments with Anthem.
    • If you paid out-of-pocket expenses and are eligible for a refund, we will contact you directly about refunds or changes to the amount paid.
  • Anthem will be calling members who received a check at the number they have on file for the member who received services.
    • If you do not have a phone number included in your profile or need to update the number, you can do so on the Sydney℠ Health app or call the Member Services number on your ID card.
    • If you received a check, please do not cash it.
      • Anthem will place a stop payment on that check and the claims related to that check will be refiled by MU Health Care and paid directly by Anthem.
      • If you have not yet paid your in-network cost share, you will need to pay that to MU Health Care.
    • If you received a check, cashed it, and paid MU Health Care, MU Health Care and Anthem will reprocess the claim and any over payment that you made for the out-of-network care will be refunded by MU Health Care.
    • If you received a check, cashed it, and have not yet paid MU Health Care, please call the number on your insurance ID card to receive additional instructions for how to proceed.

Resources

If you have questions about your insurance coverage or benefits, please contact Anthem using the number on the back of your insurance card. You can also call our dedicated Anthem patient line at 1-833-969-2426 or 573-882-1978 for questions about your billing statement.

Thank you for your understanding and support as we work with Anthem to resolve these claims.