Anthem BCBSMedium ImpactReimbursement
[Ohio] Reimbursement policy update: After‑Hours, Emergency, and Miscellaneous E/M Services — Professional and Facility
Published May 8, 2026
AI Summary
Anthem has updated their reimbursement policy for after-hours, emergency, and miscellaneous evaluation and management (E/M) services for both professional and facility billing in Ohio. This affects how these specific E/M services will be reimbursed going forward.
Action Required
Immediately: Review the full policy details at the provided URL to understand specific reimbursement changes for after-hours, emergency, and miscellaneous E/M services. Update billing procedures and fee schedules accordingly for Anthem Ohio members. Monitor initial claims processing to ensure proper reimbursement under the new policy.
Plan Types
Commercial
States
OH
Specialties
emergency-medicine, family-medicine, internal-medicine, general-practice, pediatrics, urgent-care