Anthem BCBSMedium ImpactBilling Codes
[Georgia] Outpatient facility claims update: modifier 26 (professional services) on UB‑04
Published May 3, 2026
AI Summary
Georgia Anthem has updated their policy regarding the use of modifier 26 (professional component) on outpatient facility claims submitted on UB-04 forms. This change affects how professional services are billed when provided in hospital outpatient settings.
Action Required
Immediately: Billing team must review current practices for using modifier 26 on UB-04 claims for outpatient facility services in Georgia. Access the full policy details at the provided URL to understand specific requirements and update billing procedures accordingly. Ensure staff are trained on proper modifier 26 usage to prevent claim denials.
Plan Types
All Plans
States
GA
Specialties
all-specialties