Anthem BCBSMedium 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 for billing preventive medicine visits and sick visits performed on the same day. This policy change affects how providers should code and bill when both services are provided during a single patient encounter.
Action Required
Immediately: Billing team must 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 when both services are provided in one encounter. Verify with billing software vendor if system updates are needed to support the new reimbursement guidelines.
Plan Types
Commercial
States
CA
Specialties
family-medicine, internal-medicine, general-practice, pediatrics