Pending final negotiations, Emergency Medicine Physicians of Cincinnati will leave Anthem’s networks effective December 24, 2019. Consequently, Emergency Medicine Physicians of Cincinnati may choose to balance bill Anthem members for amounts above and beyond Anthem’s reimbursement. Because Anthem members do not have a choice of emergency room doctors at these hospitals, Anthem will apply the equivalent of any member liability amounts such as copays, deductibles, etc., at the member’s in-network level (rather than the out-of-network benefit level equivalent). In most circumstances, payment for services will be issued directly to the member, who will then be responsible for paying Emergency Medicine Physicians of Cincinnati.
The Emergency Medicine Physicians of Cincinnati is a group of emergency room doctors that provides emergency services at Mercy Health’s Anderson, Fairfield, West, and Clermont hospitals and Mercy Health’s Rookwood, Mt. Orab, Queen City, and Harrison medical centers.
Contact your Cornerstone representative with any questions.