Anthem BCBSHigh ImpactReimbursement
[California] Reimbursement policy update: Preventive Medicine and Sick Visits on the Same Day
Published May 3, 2026
AI Summary
Anthem California has updated their reimbursement policy regarding billing for preventive medicine visits and sick visits performed on the same day. This policy change affects how providers can bill and get reimbursed when addressing both preventive care and acute illness during a single patient 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 train staff on proper coding when both services are provided during one encounter. Verify reimbursement rules in billing system to ensure compliance with new policy.
Plan Types
Commercial
States
CA
Specialties
family-medicine, internal-medicine, general-practice, pediatrics