ReimburseOS · Lens
Loading…
auditor@audit
Counteroffer Memo · PDF Preview

Counteroffer memo · branded preview

This is what the practice receives as a 2-page PDF after generating a counteroffer memo. View-only here. The live tool produces a signed, dated PDF with Anthem's own MRF citations inline.

[i]
Loading…
Counteroffer Memo · 2-Page Preview

Anthem Blue Cross of California. Contract Rate Counteroffer

Prepared by ReimburseOS · Generated May 11, 2026 · For: Chiropractic practice in Northern California (identity redacted in audit view)
Subject

Request for in-network reimbursement rate adjustment on chiropractic manipulative treatment (98940 / 98941 / 98942) and therapeutic procedure codes (97110 / 97140 / 97112), effective at the next contract anniversary date.

Findings (from Anthem's own Transparency in Coverage filing)

Our review of Anthem Blue Cross of California's federal Transparency in Coverage Machine-Readable File (Schema 2.0, dated March 2026) shows that our practice's current contracted rate for CPT 98941 is $14.00 per encounter.

Across the 34,914 distinct Anthem-CA chiropractor contracted rates published in the same MRF, the 50th-percentile rate for CPT 98941 is $35.45, and the 75th-percentile is $76.25. Our practice's rate sits at the floor of the published range, within the bottom ~1% of all California chiropractors contracted with Anthem.

Specific Counteroffer
Citations
Read-only audit · CTAs disabled
Pricing. Counteroffer memo generation is $199 one-time in the live product. Includes the 2-page PDF, full citation pack, and a 30-day rewrite if the payer counter-counter-offers.