Anthem BCBSMedium ImpactReimbursement
[Ohio] Reimbursement policy update: Preventive Medicine and Sick Visits on the Same Day
Published May 29, 2026
AI Summary
Anthem Ohio updated their reimbursement policy for billing preventive medicine visits and sick visits when performed on the same day. This affects how providers should code and bill for these combined encounters to ensure proper reimbursement.
Action Required
Immediately: Billing team should review the full policy details at the provided URL to understand specific billing requirements for same-day preventive and sick visits. Update billing procedures and train staff on proper coding when both visit types occur during one encounter to avoid claim denials.
Plan Types
Commercial
States
OH
Specialties
family-medicine, internal-medicine, general-practice, pediatrics