Anthem BCBSHigh ImpactReimbursement
[New York] Reimbursement policy update: Preventive Medicine and Sick Visits on the Same Day
Published May 3, 2026
AI Summary
Anthem New York has updated their reimbursement policy for billing preventive medicine visits and sick visits on the same day. This policy change affects how providers can bill and get reimbursed when a patient receives both preventive care and treatment for illness during a single encounter.
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 to ensure proper coding and modifier usage when both visit types occur. Verify system settings allow appropriate billing combinations to prevent claim denials.
Plan Types
Commercial
States
NY
Specialties
family-medicine, internal-medicine, general-practice, pediatrics, ob-gyn