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ExchangeAdministrativeMedium impact

[Georgia] EMR alerts aim to close gaps in care for Affordable Care Act members

Anthem BCBS·GA·Provider Bulletin
Effective date
Not stated
We identified it
May 3, 2026
Days to comply
—

Summary

Anthem is implementing EMR alerts to help providers identify and close care gaps for Affordable Care Act (ACA/Exchange plan) members. These alerts will notify providers when preventive care or recommended treatments are due.

Action Required

Action needed
Immediately: Configure EMR system to receive and display Anthem care gap alerts for ACA members. Train clinical staff to review alerts during patient encounters and document completion of recommended care. Billing team should ensure proper coding when closing care gaps to maximize quality incentives.

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