> ## Documentation Index
> Fetch the complete documentation index at: https://docs.thrizer.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Elevance Health reimbursement changes for Anthem plans

> Anthem, Carelon, NYSHIP, and Wellpoint now reimburse by paper check only. Thrizer Pay and OON Pay direct deposit are unavailable and Thrizer fees are waived.

## 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

<Note>
  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.
</Note>

## 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.

<Note>
  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](/help/claims/anthem-oon-registration).
</Note>

## 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.

## Related articles

<CardGroup cols={2}>
  <Card title="Register as an out-of-network Anthem provider" href="/help/claims/anthem-oon-registration">
    Anthem-specific step: register your practice through Availity Essentials so OON claims are not delayed or denied.
  </Card>

  <Card title="Which insurance companies does Thrizer work with?" href="/help/claims/supported-insurance">
    See Thrizer's insurance company reference, including Elevance Health plans.
  </Card>

  <Card title="How Thrizer Pay works" href="/help/payments/how-thrizer-pay-works">
    Learn how Thrizer Pay normally works when it is available for a client's plan.
  </Card>

  <Card title="How OON Pay works" href="/help/payments/how-oon-pay-works">
    Learn how OON Pay routes reimbursement to a client's linked bank account when supported.
  </Card>
</CardGroup>