Coverage profile
Work ANTHEM BCBS COLORADO (WGS ENCOUNTERS) across every published route
Use the current payer record to choose the right claim-status, eligibility, portal, phone, or appeals workflow. Substrate only marks routes that are published for this payer.
2027 maternity billing research
When does ANTHEM BCBS COLORADO (WGS ENCOUNTERS) change OB/GYN billing?
Effective January 1, 2027, the commercial policy says antepartum care is reported per encounter with the applicable E/M code and modifier TH, for up to 13 routine visits per pregnancy episode per TIN, with a Z3A weeks-of-gestation code on the first prenatal visit. Labor management is reported with 59080-59083, one per calendar date per setting at the highest level. Delivery is reported with 59431, 59432, 59502, or 59503 and a Z3A code. Postpartum care is per-encounter E/M with modifier TH, up to 3 routine visits within 12 weeks (16 combined). Visit limits do not apply to high-risk or complication E/M services. No Colorado exemption is stated. This catalog entry is an encounters routing ID, not a member-facing product.
- Transition start
- No 2026 transition date stated
- Billing start
- 2027-01-01
- Published
- 2026-09-09
- Current As Of
- October 2026
Scope: Anthem Blue Cross and Blue Shield commercial professional claims, Colorado. Catalog entry is an encounters routing ID, not a member-facing product. No Colorado exemption is stated.
Commercial Reimbursement Policy C-19004: Maternity Services – Professional (approved 09/09/2026, effective 01/01/2027). Verify the payer source before claim submission.
Frequently asked questions
ANTHEM BCBS COLORADO (WGS ENCOUNTERS) payer FAQs
What is the payer ID for ANTHEM BCBS COLORADO (WGS ENCOUNTERS)?
The primary payer ID for ANTHEM BCBS COLORADO (WGS ENCOUNTERS) is ENCWGS. The correct routing ID can differ by clearinghouse and transaction, so compare the 837P, 837I, 835, 270, and 276 entries before submitting.
Routing reference
ANTHEM BCBS COLORADO (WGS ENCOUNTERS) payer IDs and operating states
Use the payer ID listed for the transaction you are submitting. Verify current routing and enrollment requirements with your clearinghouse.
| Payer name | ANTHEM BCBS COLORADO (WGS ENCOUNTERS)Source: Substrate payer directory · data last changed |
|---|
Routing sources and verification
- Substrate payer directoryPayer identity, aliases, operating states, and vendor IDs. Data last changed ; checked .
Clearinghouse payer IDs are transaction-specific and can change. Confirm the current payer list and the member’s ID card before submission.