Anthem BCBSMedium ImpactReimbursement
[Ohio] Reimbursement policy update: Preventive Medicine and Sick Visits on the Same Day
Published May 3, 2026
AI Summary
Anthem updated their Ohio reimbursement policy regarding billing for preventive medicine visits and sick visits when performed on the same day. This affects how providers should code and bill for combination visits to ensure proper reimbursement.
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. Ensure coders understand proper modifier usage and documentation requirements for combined visits to avoid claim denials.
Plan Types
Commercial
States
OH
Specialties
family-medicine, internal-medicine, general-practice, pediatrics