CommercialCoverageMedium impact
[Georgia] Introducing TailorCare: a personalized path to musculoskeletal pain relief
Anthem BCBS·GA · Orthopedics, Physical Therapy, Occupational Therapy +2 more·Provider Bulletin
Effective date
Jul 31, 2026
We identified it
Aug 1, 2026
Summary
Anthem Blue Cross and Blue Shield (Georgia) is launching TailorCare, a new personalized musculoskeletal (MSK) pain relief program available at no cost to covered members. The program uses licensed physical therapists to assess patients, coordinate appropriate care (physical therapy, occupational therapy, pain management, behavioral health), and streamline referrals to reduce unnecessary imaging and low-value follow-ups. Providers should begin referring eligible MSK patients to TailorCare via secure email or fax to optimize care coordination.
Action Required
Effective immediately (July 31, 2026): Front desk and clinical staff should begin educating patients about the TailorCare benefit and identifying MSK cases for referral. Billing team should update provider communication materials and referral protocols to include TailorCare as a care coordination option for Anthem Commercial members in Georgia. Providers should refer appropriate MSK patients to TailorCare by secure email (referrals@TailorCare.com) or fax (470-857-9608) rather than directly to specialists when feasible. Update encounter templates and EHR routing to prompt providers about TailorCare availability for MSK diagnoses. No billing code changes are required, but this program may reduce downstream referral volume and associated procedure coding for MSK cases as TailorCare coordinates care. Ensure staff can direct patient questions to 800-863-5993 or TailorCare.com/Anthem/GA.