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Overview

Elevance Health has updated its guidelines so that third-party entities like Thrizer are no longer permitted to receive reimbursement on a client’s behalf. As a result, Thrizer Pay and OON Pay direct deposit are not available for Elevance Health plans. Clients now receive reimbursement by paper check directly from their insurance company. Plans affected:
  • Anthem BCBS
  • Carelon
  • NYSHIP (administered by Carelon)
  • Wellpoint
Thrizer is working with Elevance Health to restore electronic reimbursement and Thrizer Pay support for these plans. If the carrier policy changes, Thrizer will share an update.

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What changes for clinicians

  • Charge affected clients as you normally would. Thrizer continues to submit claims, and clients receive paper checks once claims are approved.
  • Thrizer Pay and OON Pay are turned off for future sessions on these plans.
  • Thrizer is not charging claim support fees on these claims at this time. The 5% Thrizer Pay fee and 1% OON Pay fee do not apply to future claims on affected plans.
  • If this pricing policy changes, Thrizer will notify you in advance.
Anthem clients also require an additional step: your practice must be registered as a non-participating provider with Anthem before OON claims can process. See Register as an out-of-network Anthem provider.

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What changes for clients on affected plans

  • Claims are still submitted with every charge as usual.
  • Former Thrizer Pay clients now pay the clinician’s full cash rate upfront and wait for reimbursement by paper check once the claim is approved. Timing is typically about 6 weeks and varies by plan.
  • Former OON Pay direct deposit clients also receive reimbursement by paper check instead of direct deposit.
  • No 5% Thrizer Pay fee or 1% OON Pay fee is applied while this policy is in effect.

Register as an out-of-network Anthem provider

Anthem-specific step: register your practice through Availity Essentials so OON claims are not delayed or denied.

Which insurance companies does Thrizer work with?

See Thrizer’s insurance company reference, including Elevance Health plans.

How Thrizer Pay works

Learn how Thrizer Pay normally works when it is available for a client’s plan.

How OON Pay works

Learn how OON Pay routes reimbursement to a client’s linked bank account when supported.