CommercialReimbursementHigh impact
[Ohio] Reimbursement policy update: Preventive Medicine and Sick Visits on the Same Day
Anthem BCBS·OH · Family Medicine, Internal Medicine, General Practice +2 more·Claims & Billing
We identified it
May 3, 2026
Summary
Ohio Anthem has updated their reimbursement policy for billing preventive medicine visits and sick visits on the same day. This affects how practices can bill when patients receive both preventive care and treatment for acute issues during a single appointment.
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 procedures and staff training accordingly. Verify modifier requirements and documentation standards to ensure proper reimbursement for combined visits.