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[Georgia] Reimbursement policy update: Facility Guidelines for Claims Related to Professional Services — Facility
Act
by Sep 30, 2026
Effective date
Oct 1, 2026
Identified
Jul 2, 2026
Summary
Effective October 1, 2026, Anthem Blue Cross and Blue Shield in Georgia requires that professional services previously billed on UB-04 forms (revenue codes 0920, 0929, 0942) must now be billed by rendering providers on CMS-1500 forms using applicable HCPCS/CPT codes. Claims submitted on UB-04 with these revenue codes will be denied; providers cannot balance bill members for services affected by this change.
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What to do
by Sep 30, 2026 · 3 steps
01Billing team must (1) audit all current workflows to identify claims using UB-04 revenue codes 0920, 0929, and 0942; (2) update billing software and templates to route these services to CMS-1500 claim forms instead of UB-04; (3) ensure rendering providers are configured to bill these services with appropriate HCPCS/CPT codes rather than revenue codes; (4) train all billing and clinical staff on the new requirement; (5) establish internal controls to prevent UB-04 submissions with these revenue codes.
02Failure to implement will result in claim denials for affected services.
03Verify implementation with test claims before October 1, 2026 effective date.
Original notice
[Georgia] Reimbursement policy update: Facility Guidelines for Claims Related to Professional Services — Facility
providernews.anthem.com · Always check the source before changing claims.
Related changes
See all Anthem BCBS changes →[Georgia] Reimbursement policy update: Facility Guidelines for Claims Related to Professional Services — FacilityHighEffective Dec 1, 2026 · Claims & Billing[New York] Reimbursement policy update: Facility Guidelines for Claims Related to Professional Services — FacilityHighEffective Oct 1, 2026 · Claims & BillingBrowse every Anthem BCBS change in the policy list