Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
Anthem BCBSCommercial · Reimbursement · Claims & Billing · OH · Critical Care, HematologyMedium impact

[Ohio] Reimbursement policy update: Bundled Services and Supplies — Facility

Act
by Mar 15, 2026
Effective date
Apr 1, 2026
Identified
May 3, 2026

Summary

Effective April 1, 2026, Anthem is bundling blood product services (splitting, pooling, thawing, and administration) into facility fees for inpatient settings in Ohio. Facilities can no longer bill these services separately on the same date of service as a room/facility fee or procedure. Six new HCPCS codes have been added to the related coding section.

Get alerts when payers change rules like this one

We check Anthem BCBS and other payers every day and email you when a change matches your specialty and state.

Get Anthem BCBS alertsPolicy Monitoring is free. No card required.

What to do

by Mar 15, 2026 · 3 steps
01Billing team must update billing system edits to prevent separate reimbursement claims for blood product splitting, pooling, thawing, and administration (codes 76014-76019, C1734, C1762, C1763, C1781, C1889, L8699) when billed on the same date of service as facility/room fees or procedures by facility providers.
02Review current claims processing workflows and update encounter templates to bundle these services into facility charges.
03Notify providers and facility billing staff of the bundling requirement.
If missed: Failure to comply will result in claim denials for separately billed blood product services.

Codes mentioned

760147601576016760177601876019C1734C1762C1763C1781C1889L8699

Original notice

[Ohio] Reimbursement policy update: Bundled Services and Supplies — Facility
providernews.anthem.com · Always check the source before changing claims.
View original ↗

Related changes

See all Anthem BCBS changes →
[New York] Reimbursement policy update: Bundled Services and Supplies — FacilityHighEffective Apr 1, 2026 · Claims & Billing[Georgia] Reimbursement policy update: Bundled Services and Supplies — FacilityHighEffective Apr 1, 2026 · Claims & Billing[Virginia] Carelon Medical Benefits Management, Inc. Code UpdateMediumEffective Apr 1, 2026 · Provider Bulletin[New York] Carelon Medical Benefits Management, Inc. Code UpdateMediumEffective Apr 1, 2026 · Provider BulletinBrowse every Anthem BCBS change in the policy list

Related policy hubs

Anthem BCBS policiesOH policy changesCritical CareHematologyCode 76014Code 76015Code 76016Code 76017Code 76018Code 76019Code C1734Code C1762Code C1763Code C1781Code C1889Code L8699

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account