CommercialReimbursementMedium impact
[Georgia] Reimbursement policy update: Preventive Medicine and Sick Visits on the Same Day
Anthem BCBS·GA · Family Medicine, Internal Medicine, General Practice +1 more·Claims & Billing
We identified it
May 3, 2026
Summary
Anthem Georgia has updated their reimbursement policy regarding billing for preventive medicine visits and sick visits conducted on the same day. This affects how providers should code and bill when addressing both preventive care and acute/chronic conditions during a single patient encounter.
Action Required
Immediately: Review the full policy details at the provided URL to understand specific billing requirements for same-day preventive and sick visits. Update billing staff training on proper coding procedures for combined visits. Modify encounter forms and EMR templates to prompt providers about appropriate documentation and coding when both preventive and problem-focused services are provided during the same appointment.