CommercialReimbursementMedium impact
[Ohio] Reimbursement policy reminder: Bundled Services and Supplies — Facility
Anthem BCBS·OH, CO, CT, GA, IN, KY, ME, MO, NV, NH, NY, WI·Claims & Billing
Effective date
Jul 1, 2026
We identified it
Jul 2, 2026
Summary
Anthem Blue Cross and Blue Shield 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 compliance with bundled service requirements to avoid claim denials and member disputes.
Action Required
By July 1, 2026: Billing team must review the complete Bundled Services and Supplies — Facility reimbursement policy on the Anthem provider website (providernews.anthem.com/ohio). Verify that all facility fee billing for both inpatient and outpatient services complies with bundling requirements. Audit current billing processes to ensure no balance-billing occurs for bundled services. Update billing software rules and provider education materials to reinforce the balance-billing prohibition. Non-compliance will result in claim denials and potential member refund obligations.