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[Ohio] Reimbursement policy update: Maternity Services coding changes (October 2026 Newsletter)
Act
by Dec 15, 2026
Effective date
Jan 1, 2027
Identified
Oct 2, 2026
Summary
Anthem Blue Cross and Blue Shield has issued a maternity services coding changes policy update effective January 1, 2027. The policy document references material amendments to contract and/or changes to prior authorization requirements, but the specific coding changes are not detailed in the provided excerpt. Your billing team must access the full policy document to identify which maternity CPT codes are affected and whether new prior authorization requirements apply.
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What to do
by Dec 15, 2026 · 5 steps
01Billing team must obtain and review the complete policy document from the Anthem Ohio provider portal (https://providernews.anthem.com/ohio/articles/reimbursement-policy-update-maternity-services-coding-change-32618).
02Identify all affected maternity CPT codes and any new prior authorization requirements.
03Update billing software, encounter templates, and superbill forms to reflect coding changes.
04Train all billing and clinical staff on new maternity coding protocols.
05Contact Anthem provider services if clarification is needed.
If missed: Failure to implement changes by January 1, 2027 will result in claim denials for maternity services.
Original notice
[Ohio] Reimbursement policy update: Maternity Services coding changes (October 2026 Newsletter)
providernews.anthem.com · Always check the source before changing claims.