CommercialReimbursementMedium impact
[Georgia] Reimbursement policy reminder: Bundled Services and Supplies — Facility
Anthem BCBS·GA·Claims & Billing
Effective date
Jul 1, 2026
We identified it
Jul 2, 2026
Summary
Anthem Blue Cross Blue Shield Georgia is reminding providers that the Bundled Services and Supplies — Facility reimbursement policy applies to both inpatient and outpatient facility fees effective July 1, 2026. Providers are prohibited from balance-billing members under this policy, and billing teams must ensure claims comply with bundling requirements.
Action Required
By July 1, 2026: Billing team must review the complete Bundled Services and Supplies — Facility reimbursement policy on the Anthem provider website (referenced in the policy notice). Verify that all facility fee billing for both inpatient and outpatient claims complies with bundling requirements. Audit billing software to ensure no unbundled charges are being submitted separately when they should be included in facility fees. Train billing and coding staff on what services/supplies are bundled under this policy to prevent balance-billing violations and claim denials. Confirm that encounter forms and billing templates reflect correct bundling logic.