CommercialReimbursementMedium impact
[New York] Reimbursement policy update: Preventive Medicine and Sick Visits on the Same Day
Anthem BCBS·NY · Family Medicine, Internal Medicine, General Practice +1 more·Claims & Billing
We identified it
May 3, 2026
Summary
Anthem New York has updated their reimbursement policy for billing preventive medicine visits and sick visits that occur on the same day. This affects how providers can code and get reimbursed for combination visits.
Action Required
Immediately: Billing team should access the full policy details at the Anthem provider portal to understand specific coding requirements for same-day preventive and sick visits. Update billing workflows and staff training based on the complete policy guidance to ensure proper reimbursement.