Anthem BCBSMedium ImpactAdministrative
[Ohio] Claims processing for MyCare Full‑Dual Eligible members
Published May 3, 2026
AI Summary
This policy update addresses claims processing procedures specifically for MyCare Full-Dual Eligible members in Ohio. The change likely affects billing workflows and requirements for patients who are eligible for both Medicare and Medicaid benefits through the MyCare program.
Action Required
Immediately: Billing team should review the full policy details at the provided URL to understand specific claims processing changes for MyCare Full-Dual Eligible members. Update billing procedures and staff training as needed based on the complete policy requirements. Verify current MyCare member eligibility verification processes are compliant with new guidelines.
Plan Types
Medicare Advantage, Medicaid
States
OH
Specialties
all-specialties