Anthem BCBSHigh ImpactPrior Auth

[Virginia] Precertification/prior authorization requirement changes

Published May 18, 2026

AI Summary

Anthem Virginia has updated precertification and prior authorization requirements for certain services. This policy change affects which services require approval before treatment and may impact claim processing for Virginia providers.

Action Required

Immediately: Access the full policy details at https://providernews.anthem.com/virginia/articles/precertificationprior-authorization-requirement-changes-28388 to identify specific services affected. Update prior authorization workflows and billing system requirements based on the detailed changes. Train staff on new precertification requirements to prevent claim denials.

Plan Types

All Plans

States

VA

Specialties

all-specialties