Medicare AdvantageAdministrativeMedium impact
[Ohio] Claims processing for MyCare Full‑Dual Eligible members
Anthem BCBS·OH·Provider Bulletin
We identified it
May 3, 2026
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.