Anthem BCBSMedium ImpactReimbursement

[Georgia] Reimbursement policy update: Preventive Medicine and Sick Visits on the Same Day

Published May 3, 2026

AI Summary

Anthem Georgia has updated their reimbursement policy for billing preventive medicine visits and sick visits performed on the same day. This change affects how practices can bill and receive payment for same-day encounters that include both preventive care and treatment of acute conditions.

Action Required

Immediately: Billing team must review the full policy details at the provided URL to understand specific billing requirements for same-day preventive and sick visits. Update billing workflows and staff training accordingly. Ensure proper modifier usage and documentation requirements are implemented to avoid claim denials.

Plan Types

Commercial

States

GA

Specialties

family-medicine, internal-medicine, general-practice, pediatrics